Assessment of the association between the Brazilian family health strategy and adult mortality

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Tipo de documento
Artigo Científico
Data
2022
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ACESSO_RESTRITO_Artigo_2022_Assessment_of_the_association_between_the_brazilian_family_health_strategy_and_adult_mortality_TC.pdf (308.64 KB)
Primeira_Pagina_Artigo_2022_Assessment_of_the_association_between_the_brazilian_family_health_strategy_and_adult_mortality_TC.pdf (99.26 KB)
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Resumo
This study aimed to analyse a wide range of related health problems that respond favourably to efficient primary care treatment among adults. We evaluate the direct impact of the Family Health Strategy (ESF) in Brazil on mortality of adults aged 25–64 years related to conditions for which access to effective primary care can reduce the likelihood of more severe outcomes. Additionally, we discuss heterogeneous effects associated with different intensities of the programme. To address these issues, we estimated a model with variation at the municipal level of the ESF expansion, including municipal-fixed effects, municipal specific trends and year-fixed effects. Our results show that a higher intensity of ESF is associated with reduced mortality by all conditions sensitive to primary care and for some diseases, especially after some years: avoidable conditions, asthma, heart failure, cerebrovascular diseases and gastrointestinal ulcer, infectious gastroenteritis and complications, diseases of the lower airways, hypertension and diabetes. As a public policy view, these results help understand how a nationwide primary care strategy can help mitigate mortality and emphasize the role of having sufficient health teams to attend to the population.

Palavras-chave
Family Health Strategy (ESF); Adult mortality; Datasus database; Impact evaluation
Titulo de periódico
Health Policy and Planning
URL da fonte
https://academic.oup.com/heapol/article/37/4/461/6517064
DOI
10.1093/heapol/czac011
Título de Livro
URL na Scopus
Idioma
Inglês
URL permanente
https://repositorio.insper.edu.br/handle/11224/7287
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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
Coleções
Coleção de Artigos Acadêmicos
Citação