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Assessing the impact of a doctor in remote areas of Brazil

2020-04-21Journal article Restricted access
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dc.contributor.authordos Santos, Joana Raquel Raposo
dc.contributor.authordos Santos, Hellen Geremias
dc.contributor.authorDias, Carlos Manuel Matias
dc.contributor.authorFilho, Alexandre Dias Porto Chiavegatto
dc.date.accessioned2021-04-05T18:18:57Z
dc.date.available2021-04-05T18:18:57Z
dc.date.issued2020-04-21
dc.description.abstractObjectives: 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.pt_PT
dc.description.sponsorshipThis study was funded by process Number 201709369-8, from Fundac¸a˜o de Amparo a` Pesquisa do Estado de Sa˜o Paulo (FAPESP), Brazilpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Public Health. 2020 Apr;65(3):267-272. doi: 10.1007/s00038-020-01360-z. Epub 2020 Apr 21.pt_PT
dc.identifier.doi10.1007/s00038-020-01360-zpt_PT
dc.identifier.issn1661-8556
dc.identifier.urihttp://hdl.handle.net/10400.18/7647
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontiers Mediapt_PT
dc.relation.publisherversionhttps://link.springer.com/article/10.1007%2Fs00038-020-01360-zpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectAdolescentpt_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectBrazilpt_PT
dc.subjectChildpt_PT
dc.subjectChild, Preschoolpt_PT
dc.subjectCitiespt_PT
dc.subjectDelivery of Health Carept_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectInfantpt_PT
dc.subjectInfant, Newbornpt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectMortalitypt_PT
dc.subjectPhysicianspt_PT
dc.subjectPregnancypt_PT
dc.subjectPropensity Scorept_PT
dc.subjectPublic Healthpt_PT
dc.subjectQuality Indicators, Health Carept_PT
dc.subjectRural Health Servicespt_PT
dc.subjectVulnerable Populationspt_PT
dc.subjectYoung Adultpt_PT
dc.subjectInfant Mortalitypt_PT
dc.subjectPropensity Score;pt_PT
dc.subjectPublic Policypt_PT
dc.subjectCuidados de Saúdept_PT
dc.titleAssessing the impact of a doctor in remote areas of Brazilpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage272pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage267pt_PT
oaire.citation.titleInternational Journal of Public Healthpt_PT
oaire.citation.volume65pt_PT
rcaap.embargofctAcesso de acordo com política editorial da revista.pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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