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

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dc.contributor.authorDiaz, Maria Dolores Montoya
dc.contributor.authorTeixeira, Adriano Dutra
dc.contributor.authorPostali, Fernando Antonio Slaibe
dc.contributor.authorFerreira-Batista, Natalia Nunes
dc.contributor.authorMoreno-Serra, Rodrigo
dc.creatorDiaz, Maria Dolores Montoya
dc.creatorTeixeira, Adriano Dutra
dc.creatorPostali, Fernando Antonio Slaibe
dc.creatorFerreira-Batista, Natalia Nunes
dc.creatorMoreno-Serra, Rodrigo
dc.date.accessioned2025-01-27T19:42:48Z
dc.date.available2025-01-27T19:42:48Z
dc.date.issued2022
dc.description.abstractThis 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.en
dc.formatDigital
dc.format.extentp. 461 – 471
dc.identifier.doi10.1093/heapol/czac011
dc.identifier.issn1460-2237
dc.identifier.urihttps://repositorio.insper.edu.br/handle/11224/7287
dc.language.isoInglês
dc.relation.ispartofHealth Policy and Planning
dc.subjectFamily Health Strategy (ESF)en
dc.subjectAdult mortalityen
dc.subjectDatasus databaseen
dc.subjectImpact evaluationen
dc.titleAssessment of the association between the Brazilian family health strategy and adult mortality
dc.typejournal article
dspace.entity.typePublication
local.identifier.sourceUrihttps://academic.oup.com/heapol/article/37/4/461/6517064
local.publisher.countryNão Informado
local.subject.cnpqCIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA
local.subject.cnpqCIENCIAS DA SAUDE::SAUDE COLETIVA::MEDICINA PREVENTIVA
local.subject.cnpqCIENCIAS HUMANAS::CIENCIA POLITICA::POLITICAS PUBLICAS
local.subject.cnpqCIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA
local.typeArtigo Científico
publicationissue.issueNumber4
publicationvolume.volumeNumber37
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