Large reductions in amenable mortality associated with brazil's primary care expansion and strong health governance

Health Affairs

Volumn 36, Issue 1, 2017, Pages 149-158

  Hone, Thomas ^a   Rasella, Davide ^b   Barreto, Mauricio ^c   Atun, Rifat ^d   Majeed, Azeem ^e   Millett, Christopher ^e  

^a IMPERIAL COLLEGE SCHOOL OF MEDICINE   (United Kingdom)

^b INSTITUTO OSWALDO CRUZ   (Brazil)

^c FEDERAL UNIVERSITY OF BAHIA   (Brazil)

^d HARVARD UNIVERSITY   (United States)

^e IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

BRAZIL; FAMILY HEALTH; HUMAN; MORTALITY RATE; PRIMARY MEDICAL CARE; STATISTICAL MODEL; ADOLESCENT; ADULT; AGED; CHILD; CITY; FEMALE; GOVERNMENT; HEALTH CARE DELIVERY; INFANT; INSURANCE; MALE; MIDDLE AGED; MORTALITY; ORGANIZATION AND MANAGEMENT; PRESCHOOL CHILD; PRIMARY HEALTH CARE; QUESTIONNAIRE; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA; TRENDS;

ADOLESCENT; ADULT; AGED; BRAZIL; CHILD; CHILD, PRESCHOOL; CITIES; DELIVERY OF HEALTH CARE; FAMILY HEALTH; FEMALE; GOVERNMENT PROGRAMS; HUMANS; INFANT; MALE; MIDDLE AGED; MORTALITY; PRIMARY HEALTH CARE; SOCIOECONOMIC FACTORS; SURVEYS AND QUESTIONNAIRES; UNIVERSAL COVERAGE;

EID: 85011817570     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2016.0966     Document Type: Article

References (46)

1. World Health Organization. Everybody's business: strengthening health systems to improve health outcomes: WHO's framework for action [Internet]. Geneva: WHO; 2007 [cited 2016 Nov 22]. Available from: http://www.who.int/health systems/strategy/everybodys_ business.pdf
2. Tangcharoensathien V, Mills A, Palu T. Accelerating health equity: the key role of universal health coverage in the Sustainable Development Goals. BMC Med. 2015;13(1):101.
3. World Health Organization. Health systems governance for universal health coverage: action plan [Internet]. Geneva: WHO; c 2014 [cited 2016 Dec 2]. Available from: http:// www.who.int/universal_health_ coverage/plan_action-hsgov_uhc.pdf
4. Savedoff WD. Governance in the health sector: a strategy for measuring determinants and performance [Internet]. Washington (DC): World Bank; 2011 May [cited 2016 Nov 22]. (Policy Research Working Paper No. 5655). Available from: http://documents.worldbank.org/ curated/en/812751468158068363/ pdf/WPS5655.pdf
5. World Health Organization. Health systems: governance [Internet]. Geneva: WHO; c 2016 [cited 2016 Dec 2]. Available from: http://www.who.int/healthsystems/topics/ stewardship/en/
6. Greer SL, Méndez CA. Universal health coverage: a political struggle and governance challenge. Am J Public Health. 2015;105(Suppl 5): S637-9.
7. Wagstaff A, Claeson M. The Millennium Development Goals for health: rising to the challenges [Internet]. Washington (DC): World Bank; c 2004 [cited 2016 Nov 22]. Available from: http://documents.worldbank.org/curated/en/ 875031468329973611/pdf/ 296730PAPER0Mi1ent0goals0for 0health.pdf
8. Khaleghian P, Das Gupta M. Public management and the essential public health functions. World Dev. 2005;33(7):1083-99.
9. Bardhan P. Decentralization of governance and development. J Econ Perspect. 2002;16(4):185-205.
10. Kickbusch I, Gleicher D. Governance for health in the 21st century [Internet]. Copenhagen: World Health Organization Regional Office for Europe; c 2012 [cited 2016 Nov 22]. Available from: http://www.euro.who.int/__data/assets/pdf_file/ 0019/171334/RC62BD01-Governance-for-Health-Web.pdf
11. Atun R, de Andrade LO, Almeida G, Cotlear D, Dmytraczenko T, Frenz P, et al. Health-system reform and universal health coverage in Latin America. Lancet. 2015;385(9974): 1230-47.
12. Paim J, Travassos C, Almeida C, Bahia L, Macinko J. The Brazilian health system: history, advances, and challenges. Lancet. 2011; 377(9779):1778-97.
13. Instituto Brasileiro de Geografia e Estatística. Estimativas de população [Internet]. Rio de Janeiro: IBGE; [cited 2016 Dec 2]. Available from: http://www.ibge.gov.br/home/ estatistica/populacao/estimativa 2016/default.shtm
14. Instituto Brasileiro de Geografia e Estatística. Área territorial Brasileira [Internet]. Rio de Janeiro: IBGE; [cited 2016 Dec 2]. Available from: http://www.ibge.gov.br/home/ geociencias/cartografia/default_ territ_area.shtm
15. Instituto Brasileiro de Geografia e Estatística. Produto interno bruto dos municípios [Internet]. Rio de Janeiro: IBGE; [cited 2016 Dec 2]. Available from: http://www.ibge.gov.br/home/estatistica/pesquisas/ pesquisa_resultados.php?id_ pesquisa=46
16. Magalhães R, Senna MdeC. Local implementation of the Family Health Program in Brazil. Cad Saude Publica. 2006;22(12):2549-59.
17. Collins C, Araujo J, Barbosa J. Decentralising the health sector: issues in Brazil. Health Policy. 2000;52(2): 113-27.
18. Harris M, Haines A. Brazil's Family Health Programme. BMJ. 2010; 341(c4945):c4945.
19. Macinko J, Harris MJ. Brazil's family health strategy-delivering community-based primary care in a universal health system. N Engl J Med. 2015;372(23):2177-81.
20. Macinko J, Dourado I, Aquino R, Bonolo Pde F, Lima-Costa MF, Medina MG, et al. Major expansion of primary care in Brazil linked to decline in unnecessary hospitalization. Health Aff (Millwood). 2010; 29(12):2149-60.
21. Aquino R, de Oliveira NF, Barreto ML. Impact of the family health program on infant mortality in Brazilian municipalities. Am J Public Health. 2009;99(1):87-93.
22. Macinko J, Marinho de Souza MdeF, Guanais FC, da Silva Simões CC. Going to scale with communitybased primary care: an analysis of the family health program and infant mortality in Brazil, 1999-2004. Soc Sci Med. 2007;65(10):2070-80.
23. Rasella D, Harhay MO, Pamponet ML, Aquino R, Barreto ML. Impact of primary health care on mortality from heart and cerebrovascular diseases in Brazil: a nationwide analysis of longitudinal data. BMJ. 2014; 349:g4014.
24. Nolte E, McKee CM. Measuring the health of nations: updating an earlier analysis. Health Aff (Millwood). 2008;27(1):58-71.
25. Ministério da Saúde Brasil. DATASUS [Internet]. Brasilia: Ministério da Saúde Brasil; c 2016 [cited 2016 Dec 2]. Available from: http:// datasus.saude.gov.br/informacoesde-saude/tabnet
26. Ministério da Saúde Brasil, Departamento de Atenção Básica. Histórico de Cobertura da Saúde da Família [Internet]. Brasilia: DAB; 2012 [cited 2016 Dec 2]. Available from: http:// dab.saude.gov.br/portaldab/ historico_cobertura_sf.php
27. Atlas do Desenvolvimento Humano no Brasil. Database [Internet]. Brasilia: The Atlas; [cited 2016 Dec 2] Available from: http://www.atlasbrasil.org.br/2013/en/ download/
28. Instituto Brasileiro de Geografia e Estatística. Pesquisa de Assistência Médico-Sanitária [Internet]. Rio de Janeiro: IBGE [cited 2016 Dec 2] Available from: http://www.ibge.gov.br/home/estatistica/ populacao/condicaodevida/ams/ 2009/
29. Instituto Brasileiro de Geografia e Estatística. Perfil dos municípios Brasileiros [Internet]. Rio de Janeiro: IBGE; [cited 2016 Dec 2]; Available from: http://www.ibge.gov.br/home/estatistica/economia/ perfilmunic/2001/default.shtm
30. To access the Appendix, click on the Appendix link in the box to the right of the article online.
31. Belon AP, Barros MB, Marín-León L. Mortality among adults: gender and socioeconomic differences in a Brazilian city. BMC Public Health. 2012;12(1):39.
32. Goldani MZ, Barbieri MA, Bettiol H, Barbieri MR, Tomkins A. Infant mortality rates according to socioeconomic status in a Brazilian city. Rev Saude Publica. 2001;35(3): 256-61.
33. Wooldridge JM. Introductory econometrics: a modern approach. 5th ed. Mason (OH): Cengage Learning; 2013.
34. De Andrade CL, Szwarcwald CL. Socio-spatial inequalities in the adequacy of Ministry of Health data on births and deaths at the municipal level in Brazil, 2000-2002. Cad Saude Publica. 2007;23(5):1207-16. Portuguese.
35. Rasella D, Aquino R, Barreto ML. Impact of the Family Health Program on the quality of vital information and reduction of child unattended deaths in Brazil: an ecological longitudinal study. BMC Public Health. 2010;10:380.
36. Rasella D, Aquino R, Barreto ML. Reducing childhood mortality from diarrhea and lower respiratory tract infections in Brazil. Pediatrics. 2010;126(3):e534-40.
37. Macinko J, Starfield B, Erinosho T. The impact of primary healthcare on population health in low-and middle-income countries. J Ambul Care Manage. 2009;32(2):150-71.
38. Beaglehole R, Epping-Jordan J, Patel V, Chopra M, Ebrahim S, Kidd M, et al. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet. 2008; 372(9642):940-9.
39. Bossert TJ, Larrañaga O, Giedion U, Arbelaez JJ, Bowser DM. Decentralization and equity of resource allocation: evidence from Colombia and Chile. Bull World Health Organ. 2003;81(2):95-100.
40. Faguet J-P. Does decentralization increase government responsiveness to local needs? Evidence from Bolivia. J Public Econ. 2004;88(3-4): 867-93.
41. Robinson M. Does decentralisation improve equity and efficiency in public service delivery provision? IDS Bull. 2007;38(1):7-17.
42. Guanais FC, Macinko J. The health effects of decentralizing primary care in Brazil. Health Aff (Millwood). 2009;28(4):1127-35.
43. Lozano R, Soliz P, Gakidou E, Abbott-Klafter J, Feehan DM, Vidal C, et al. Benchmarking of performance of Mexican states with effective coverage. Lancet. 2006; 368(9548):1729-41.
44. Servo LMS, de Paiva AB. Gasto com atenção básica das três esferas de governo: possibilidades e limitações das análises a partir de bases de dados orçamentário-financeiras [Spending on primary care by the three levels of government: possibilities and limitations from analyzing financial budget databases]. Brasília: Instituto de Pesquisa Econômica Aplicada; 2013.
45. Rocha Filho Fdos S, da Silva MC. [Costs with personnel and productivity analysis of family health program teams in Fortaleza, Ceará]. Cien Saude Colet. 2009;14(3): 919-28. Portuguese.
46. Fontenelle LF. [Recent changes in the National Primary Care Policy: a critical appraisal]. Revista Brasiliera de Medicina de Família e Comunidade. 2012;7(22):5-9. Portuguese.