Assessing the impact of more doctors' program on healthcare indicators in Brazil
Assessing the impact of more doctors' program on healthcare indicators in Brazil
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DOI：
10.1016/j.worlddev.2019.104617
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发表时间：
2019-11-01
影响因子：
6.9
通讯作者：
Mazetto, Debora
中科院分区：
文献类型：
--
作者：
Mattos, Enlinson;Mazetto, Debora
本文旨在评估巴西联邦政府于2013年启动的“更多医生计划”的短期效果。使用2010年至2015年收集的市政数据的差异方法，我们证实了MDP有两个相关的影响。首先，它提高了接受治疗的城市的保健服务出勤率。我们记录了预约，咨询，转诊和家访分别增加了5.9%，9.4%，12.3%和29.7%。其次，我们发现对住院治疗有负面影响。我们认为，加强卫生服务的获得减少了一般住院（4.6%）。然而，它似乎未能像以前的文献那样降低城市的死亡率。我们认为，转诊和专家预约的增加可以解释为质量的提高，因为更准确的诊断可以减少住院，因为健康恢复更快，但对死亡率没有任何影响。(C)2019爱思唯尔有限公司版权所有。
This paper aimed to assess the short term effects of the More Doctors Program, launched by the Brazilian federal government in 2013. Using a differences-in-differences approach with municipal data collected between 2010 and 2015, we confirmed that MDP has two correlated impacts. First, it has increased health service attendance in treated municipalities. We documented that appointments, consults, referrals, and home visits have increased by 5.9%, 9.4%, 12.3%, and 29.7%, respectively. Second, we found a negative impact on hospitalization. We argue that intensification of health service access has reduced general hospitalization (4.6%). However, it does not seem to have been able to reduce mortality in the municipalities, in line with the previous literature. We believe that increases in referrals and appointments with specialists can be interpreted as a quality improvement, since a more precise diagnosis can reduce hospitalization due to faster health recovery but without any impact on mortality. (C) 2019 Elsevier Ltd. All rights reserved.