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Evaluating the impact of physicians' provision on primary healthcare: Evidence from Brazil's More Doctors Program

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  • Luiz Felipe Campos Fontes
  • Otavio Canozzi Conceição
  • Paulo de Andrade Jacinto

Abstract

This study aims to evaluate the More Doctors Program (Programa Mais Médicos) in terms of the provision of physicians, presenting estimates of its impact on hospitalization for ambulatory care sensitive conditions. The differences‐in‐differences method was used with propensity score matching (double difference matching), using 3 specifications, a falsification test, and also a dynamic endogeneity test to confirm the robustness of the results. For the application of this methodology, a panel of municipal data was constructed covering several variables related to socioeconomic, demographic, and public health infrastructure characteristics in the cities for the period from 2010 to 2016. The results show a significant reduction in hospital admissions in treated municipalities with an increasing and perceptible effect in the second year of the program.

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  • Luiz Felipe Campos Fontes & Otavio Canozzi Conceição & Paulo de Andrade Jacinto, 2018. "Evaluating the impact of physicians' provision on primary healthcare: Evidence from Brazil's More Doctors Program," Health Economics, John Wiley & Sons, Ltd., vol. 27(8), pages 1284-1299, August.
    • Handle: RePEc:wly:hlthec:v:27:y:2018:i:8:p:1284-1299
    DOI: 10.1002/hec.3775
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    Cited by:

    1. 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.
    2. Mateus Dias & Luiz Felipe Fontes, 2024. "The Effects of a Large-Scale Mental Health Reform: Evidence from Brazil," American Economic Journal: Economic Policy, American Economic Association, vol. 16(3), pages 257-289, August.
    3. Jonas Minet Kinge & Jostein Grytten, 2021. "The impact of primary care physician density on perinatal health: Evidence from a natural experiment," Health Economics, John Wiley & Sons, Ltd., vol. 30(12), pages 2974-2994, December.
    4. Mattos, Enlinson & Mazetto, Débora, 2018. "Assessing the impact of More Doctors Program on health care indicators," Textos para discussão 494, FGV EESP - Escola de Economia de São Paulo, Fundação Getulio Vargas (Brazil).
    5. Matías Mrejen & Rudi Rocha, 2021. "Hiring Mental Health Professionals: Evidence from a Large-Scale Primary Care Policy in Brazil," Institutional Studies 03, Instituto de Estudos para Políticas de Saúde.
    6. Galárraga, Omar & Quijano-Ruiz, Alonso & Faytong-Haro, Marco, 2024. "The effects of mobile primary health teams: Evidence from the Médico del Barrio strategy in Ecuador," World Development, Elsevier, vol. 181(C).
    7. Wichmann, Bruno & Wichmann, Roberta, 2022. "COVID-19 and Indigenous health in the Brazilian Amazon," Economic Modelling, Elsevier, vol. 115(C).
    8. Marcelo Castro & Enlinson Mattos & Fernanda Patriota, 2021. "The effects of health spending on the propagation of infectious diseases," Health Economics, John Wiley & Sons, Ltd., vol. 30(10), pages 2323-2344, September.
    9. Stefan Sliwa Ruiz & Malte Becker & Thomas Hone & Rudi Rocha, 2023. "Doctor Turnover and Health Outcomes: Evidence from the Exit of Cuban Doctors in Brazil," Working Papers 18, Instituto de Estudos para Políticas de Saúde.

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