IDEAS home Printed from https://ideas.repec.org/p/spa/wpaper/2019wpecon43.html
   My bibliography  Save this paper

Impact of ESF coverage on general health at the individual level - Metropolitan areas

Author

Listed:
  • Natalia Nunes Ferreira-Batista
  • Maria Dolores Montoya Diaz, Adriano Dutra Teixeira, Fernando Antonio Slaibe Postali, Rodrigo Serra

Abstract

The main purpose this paper is evaluate the impact of Family Health Strategy (ESF) on specific health indicators. We use of two levels of treatment (municipality assignment/ implementation of ESF as well the individual registration in the program) to evaluate its possible pass-through and externalities among population in nine Brazilian Metropolitan Regions. The empirical strategy employed estimation of fixed-effects instrumental variables. We adopted the ration number of teams by population in each Metropolitan regions as the coverage variable. The individual data is pooled from two surveys: PNADs Health Supplement (1998, 2003 and 2008) and PNS-2013. The most consistent results were for the perception of limitation to perform usual activities for health reasons. The lack of significant results for a sub-sample with individual registration data prevented us from analyzing potential program externalities. We believe that great heterogeneities in these urban areas may be one of the difficulties in expanding program coverage.

Suggested Citation

  • Natalia Nunes Ferreira-Batista & Maria Dolores Montoya Diaz, Adriano Dutra Teixeira, Fernando Antonio Slaibe Postali, Rodrigo Serra, 2019. "Impact of ESF coverage on general health at the individual level - Metropolitan areas," Working Papers, Department of Economics 2019_43, University of São Paulo (FEA-USP).
    • Handle: RePEc:spa:wpaper:2019wpecon43
    as

    Download full text from publisher

    File URL: http://www.repec.eae.fea.usp.br/documentos/Batista_Diaz_Postali_Teixeira_Serra_43WP.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. van Doorslaer, Eddy & Gerdtham, Ulf-G., 2003. "Does inequality in self-assessed health predict inequality in survival by income? Evidence from Swedish data," Social Science & Medicine, Elsevier, vol. 57(9), pages 1621-1629, November.
    2. Brollo, Fernanda & Nannicini, Tommaso, 2012. "Tying Your Enemy's Hands in Close Races: The Politics of Federal Transfers in Brazil," American Political Science Review, Cambridge University Press, vol. 106(4), pages 742-761, November.
    3. William H. Greene & Mark N. Harris & Bruce Hollingsworth, 2015. "Inflated Responses in Measures of Self-Assessed Health," American Journal of Health Economics, MIT Press, vol. 1(4), pages 461-493, Fall.
    4. Gerdtham, U. -G. & Johannesson, M. & Lundberg, L. & Isacson, D., 1999. "A note on validating Wagstaff and van Doorslaer's health measure in the analysis of inequalities in health," Journal of Health Economics, Elsevier, vol. 18(1), pages 117-124, January.
    5. Crossley, Thomas F. & Kennedy, Steven, 2002. "The reliability of self-assessed health status," Journal of Health Economics, Elsevier, vol. 21(4), pages 643-658, July.
    6. Maria Dolores Montoya Diaz & Adriano Dutra Teixeira, Fernando Antonio Slaibe Postali, Natalia Nunes Ferreira-Batista, Rodrigo Mor, 2019. "Primary health care coverage in Brazil: Assessment of the Family Health Program impacts on mortality at municipality level," Working Papers, Department of Economics 2019_42, University of São Paulo (FEA-USP), revised 12 Aug 2021.
    7. Mossey, J.M. & Shapiro, E., 1982. "Self-rated health: a predictor of mortality among the elderly," American Journal of Public Health, American Public Health Association, vol. 72(8), pages 800-808.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ferreira-Batista, Natalia N. & Postali, Fernando Antonio Slaibe & Diaz, Maria Dolores Montoya & Teixeira, Adriano Dutra & Moreno-Serra, Rodrigo, 2022. "The Brazilian Family Health Strategy and adult health: Evidence from individual and local data for metropolitan areas," Economics & Human Biology, Elsevier, vol. 46(C).
    2. Nesson, Erik T. & Robinson, Joshua J., 2019. "On the measurement of health and its effect on the measurement of health inequality," Economics & Human Biology, Elsevier, vol. 35(C), pages 207-221.
    3. García-Muñoz, Teresa & Neuman, Shoshana & Neuman, Tzahi, 2014. "Health Risk Factors among the Older European Populations: Personal and Country Effects," IZA Discussion Papers 8529, Institute of Labor Economics (IZA).
    4. Mayu Fujii & Takashi Oshio & Satoshi Shimizutani, 2014. "Self-rated Health Status of Japanese and Europeans in Later Life: Evidence from JSTAR and SHARE," The Japanese Economic Review, Japanese Economic Association, vol. 65(4), pages 483-498, December.
    5. William Greene & Mark N. Harris & Bruce Hollingsworth & Rachel Knott & Nigel Rice, 2016. "Reporting heterogeneity effects in modelling self reports of health," Working Papers 16-12, New York University, Leonard N. Stern School of Business, Department of Economics.
    6. Teresa García-Muñoz & Shoshana Neuman & Tzahi Neuman, 2014. "Subjective Health Status of the Older Population: Is It Related to Country-Specific Economic Development Measures?," Working Papers 2014-02, Bar-Ilan University, Department of Economics.
    7. Christopher J. Holmes & Anna Zajacova, 2014. "Education as “the Great Equalizer”: Health Benefits for Black and White Adults," Social Science Quarterly, Southwestern Social Science Association, vol. 95(4), pages 1064-1085, December.
    8. David Cantarero & Marta Pascual, 2005. "Regional Differences In Health In Spain - An Empirical Analysis," ERSA conference papers ersa05p551, European Regional Science Association.
    9. Liliya Leopold, 2019. "Health Measurement and Health Inequality Over the Life Course: A Comparison of Self-rated Health, SF-12, and Grip Strength," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 763-784, April.
    10. Jones, Andrew M. & Wildman, John, 2008. "Health, income and relative deprivation: Evidence from the BHPS," Journal of Health Economics, Elsevier, vol. 27(2), pages 308-324, March.
    11. Fabrice Etilé & Carine Milcent, 2006. "Income‐related reporting heterogeneity in self‐assessed health: evidence from France," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 965-981, September.
    12. Davillas, Apostolos & de Oliveira, Victor Hugo & Jones, Andrew M., 2023. "Is inconsistent reporting of self-assessed health persistent and systematic? Evidence from the UKHLS," Economics & Human Biology, Elsevier, vol. 49(C).
    13. Prus, Steven G., 2011. "Comparing social determinants of self-rated health across the United States and Canada," Social Science & Medicine, Elsevier, vol. 73(1), pages 50-59, July.
    14. Quis, Johanna Sophie & Reif, Simon, 2017. "Health effects of instruction intensity: Evidence from a natural experiment in German high-schools," BERG Working Paper Series 123, Bamberg University, Bamberg Economic Research Group.
    15. Sizhe Liu & Wei Zhang & Bei Wu, 2024. "The Reciprocity of Intergenerational Support and Self-rated Health Among Chinese Older Adults," SAGE Open, , vol. 14(3), pages 21582440241, August.
    16. McFadden, E. & Luben, R. & Bingham, S. & Wareham, N. & Kinmonth, A.-L. & Khaw, K.-T., 2009. "Does the association between self-rated health and mortality vary by social class?," Social Science & Medicine, Elsevier, vol. 68(2), pages 275-280, January.
    17. Ivan Cipin & Sime Smolic, 2013. "Socio-Economic Determinants of Health in Croatia: Insights from Four Cross-Sectional Surveys," Croatian Economic Survey, The Institute of Economics, Zagreb, vol. 15(1), pages 25-60, April.
    18. H. Eme Ichoku & William Fonta & Michael Thiede, 2011. "Socioeconomic gradients in self-rated health: a developing country case study of Enugu State, Nigeria," Economic Change and Restructuring, Springer, vol. 44(3), pages 179-202, August.
    19. Albertini, Julien & Fairise, Xavier & Terriau, Anthony, 2021. "Health, wealth, and informality over the life cycle," Journal of Economic Dynamics and Control, Elsevier, vol. 129(C).
    20. Lindeboom, Maarten & van Doorslaer, Eddy, 2004. "Cut-point shift and index shift in self-reported health," Journal of Health Economics, Elsevier, vol. 23(6), pages 1083-1099, November.

    More about this item

    Keywords

    Family Health Strategy (ESF); Self-assessment health; PNAD(IBGE) health supplement; PNS 2013; Impact Evaluation; Fixed Effects Instrumental Variables;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models
    • C26 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Instrumental Variables (IV) Estimation

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spa:wpaper:2019wpecon43. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Pedro Garcia Duarte (email available below). General contact details of provider: https://edirc.repec.org/data/deuspbr.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.