The Brazilian Family Health Strategy and adult health: Evidence from individual and local data for metropolitan areas

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Tipo de documento
Artigo Científico
Data
2022
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ACESSO_RESTRITO_Artigo_2022_Brazilian_family_health_strategy_and_adult_health_evidence_from_individual_and_local_data_for_metropolitan_areas_TC.pdf (3.37 MB)
Primeira_Pagina_Artigo_2022_Brazilian_family_health_strategy_and_adult_health_evidence_from_individual_and_local_data_for_metropolitan_areas_TC.pdf (236.97 KB)
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Previous studies have found that the expansion of primary health care in Brazil following the country-wide family health strategy (ESF), one of the largest primary care programs in the world, has improved health out comes. However, these studies have relied either on aggregate data or on limited individual data, with no fine grained information available concerning household participation in the ESF or local supply of ESF services, which represent crucial aspects for analytical and policy purposes. This study analyzes the relationship between the ESF and health outcomes for the adult population in metropolitan areas in Brazil. We investigate this rela tionship through two linked dimensions of the ESF: the program’s local supply of health teams and ESF household registration. In contrast with previous studies focusing on comparisons between certain definitions of "treated" versus "nontreated" populations, our results indicate that the local density of health teams is important to the observed effects of the ESF on adult health. We also find evidence consistent with the presence of positive primary health care spillovers to people not registered with the ESF. However, current ESF coverage levels in metropolitan areas have limited ability to address prevailing health inequalities. Our analysis suggests that the local intensity of ESF coverage should be a key consideration for evaluations and policy efforts related to future ESF expansion.

Palavras-chave
Family health strategy; Self-assessed health; Fixed effects; Pooled cross-section; Health surveys
Titulo de periódico
Economics & Human Biology
URL da fonte
https://www.sciencedirect.com/science/article/pii/S1570677X22000399?via=ihub
DOI
10.1016/j.ehb.2022.101143
Título de Livro
URL na Scopus
Idioma
Inglês
URL permanente
https://repositorio.insper.edu.br/handle/11224/7295
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Membros da banca
Área do Conhecimento CNPQ
CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA

CIENCIAS DA SAUDE::SAUDE COLETIVA::MEDICINA PREVENTIVA

CIENCIAS HUMANAS::CIENCIA POLITICA::POLITICAS PUBLICAS

CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA
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Coleção de Artigos Acadêmicos
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