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Assessing the impact of a doctor in remote areas of Brazil

Author

Listed:
  • Joana Raquel Raposo Santos

    (University of São Paulo
    National Health Institute Doctor Ricardo Jorge)

  • Hellen Geremias Santos

    (Cargos Chagas Institute, Oswaldo Cruz Foundation)

  • Carlos Manuel Matias Dias

    (National Health Institute Doctor Ricardo Jorge
    NOVA University of Lisbon)

  • Alexandre Dias Porto Chiavegatto Filho

    (University of São Paulo)

Abstract

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

Suggested Citation

  • Joana Raquel Raposo Santos & Hellen Geremias Santos & Carlos Manuel Matias Dias & Alexandre Dias Porto Chiavegatto Filho, 2020. "Assessing the impact of a doctor in remote areas of Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(3), pages 267-272, April.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:3:d:10.1007_s00038-020-01360-z
    DOI: 10.1007/s00038-020-01360-z
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    References listed on IDEAS

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    1. Jean-Michel Josselin & Benoît Le Maux, 2017. "Statistical Tools for Program Evaluation," Springer Books, Springer, number 978-3-319-52827-4, June.
    2. Jean-Michel Josselin & Benoît Le Maux, 2017. "Statistical Tools for Program Evaluation. Methods and Applications to Economic Policy, Public Health, and Education," Post-Print halshs-02138619, HAL.
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    4. Carrillo, B.; Feres, J.;, 2017. "More Doctors, Better Health? Evidence from a Physician Distribution Policy," Health, Econometrics and Data Group (HEDG) Working Papers 17/29, HEDG, c/o Department of Economics, University of York.
    5. Letícia Xander Russo & Anthony Scott & Peter Sivey & Joilson Dias, 2019. "Primary care physicians and infant mortality: Evidence from Brazil," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-16, May.
    6. Liebert, H. & Mäder, B., 2016. "Marginal effects of physician coverage on infant and disease mortality," Health, Econometrics and Data Group (HEDG) Working Papers 16/17, HEDG, c/o Department of Economics, University of York.
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