Assessing the impact of a doctor in remote areas of Brazil.

Szczegóły
Abstrakt

Tytuł:: Assessing the impact of a doctor in remote areas of Brazil.
Autorzy:: Dos Santos JRR; School of Public Health, University of São Paulo, São Paulo, Brazil. .; Department of Epidemiology, National Health Institute Doctor Ricardo Jorge, Lisbon, Portugal. .
Dos Santos HG; Cargos Chagas Institute, Oswaldo Cruz Foundation, Curitiba, Paraná, Brazil.
Dias CMM; Department of Epidemiology, National Health Institute Doctor Ricardo Jorge, Lisbon, Portugal.; Public Health Research Center, National School of Public Health, NOVA University of Lisbon, Lisbon, Portugal.
Filho ADPC; School of Public Health, University of São Paulo, São Paulo, Brazil.
Źródło:: International journal of public health [Int J Public Health] 2020 Apr; Vol. 65 (3), pp. 267-272. Date of Electronic Publication: 2020 Apr 21.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2021- : Lausanne, Switzerland : Frontiers Media S.A.
Original Publication: Basel : Birkhäuser
MeSH Terms:: Infant Mortality*
Delivery of Health Care/*statistics & numerical data
Physicians/*statistics & numerical data
Public Health/*statistics & numerical data
Quality Indicators, Health Care/*statistics & numerical data
Rural Health Services/*statistics & numerical data
Vulnerable Populations/*statistics & numerical data
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Brazil ; Child ; Child, Preschool ; Cities/statistics & numerical data ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Mortality ; Pregnancy ; Propensity Score ; Young Adult
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Grant Information:: 201709369-8 Fundação de Amparo à Pesquisa do Estado de São Paulo (BR)
Contributed Indexing:: Keywords: Mais médicos; Propensity score; Public health; Public policy
Entry Date(s):: Date Created: 20200422 Date Completed: 20201005 Latest Revision: 20201005
Update Code:: 20240105
DOI:: 10.1007/s00038-020-01360-z
PMID:: 32313968
: Czasopismo naukowe

Objectives: The More Doctors Program (MDP) is an ongoing Brazilian policy that aims to improve healthcare by providing physicians to the most vulnerable municipalities. We aimed to measure the impact of MDP in mortality and infant mortality rate, the proportion of live births with low weight, prenatal appointments, childbirths at first and fifth min Apgar, public health investment and immunization in Brazil.
Methods: Municipal health indicators were collected before and after the intervention (2012 and 2015). Effects were measured by applying propensity score matching with difference-in-differences.
Results: Our findings show that infant mortality presented the highest improvement during the period (a decrease in 11 infant deaths per 1000 live births, p < 0.01). A significant effect, albeit smaller, was also found for the age-standardized total mortality (a decrease in five deaths per 10,000 residents), proportion of children with Apgar score lower than 8 in the fifth min and children with low birth weight.
Conclusions: MDP contributed to improve important health indicators, highlighting the importance of a doctor in remote areas of Brazil.

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