Assessing the impact of More Doctors Program on health care indicators
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional do FGV (FGV Repositório Digital) |
Texto Completo: | http://hdl.handle.net/10438/24928 |
Resumo: | This paper aims to assess the short run effects of the More Doctors Program, launched by the Brazilian federal government in 2013. Using differences-in-differences approach with municipal data collected between 2010 and 2015, we confirm that MDP has two correlated impacts. First, it has increased health service attendance on treated municipalities. We document that appointments, consults, referrals, and home visits have increased by 5.9%, 9.4%, 12.3%, and 29.7%. Second, we find a negative impact on hospitalization. We argue that intensification on health service access have reduced general hospitalization (4.6%). However, it does not seem to have been able to reduce mortality in the municipalities, in line with Carrilo and Feres (2018) and Fontes et al. (2017). We argue that increase in referrals and appointment with specialists can be interpreted as quality improvement, since a more precise diagnostic, can reduce hospitalization due to faster health recovery without an impact on mortality. |
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Mattos, EnlinsonMazetto, DéboraEscolas::EESP2018-10-25T14:21:45Z2018-10-25T14:21:45Z2018-10TD 494http://hdl.handle.net/10438/24928This paper aims to assess the short run effects of the More Doctors Program, launched by the Brazilian federal government in 2013. Using differences-in-differences approach with municipal data collected between 2010 and 2015, we confirm that MDP has two correlated impacts. First, it has increased health service attendance on treated municipalities. We document that appointments, consults, referrals, and home visits have increased by 5.9%, 9.4%, 12.3%, and 29.7%. Second, we find a negative impact on hospitalization. We argue that intensification on health service access have reduced general hospitalization (4.6%). However, it does not seem to have been able to reduce mortality in the municipalities, in line with Carrilo and Feres (2018) and Fontes et al. (2017). We argue that increase in referrals and appointment with specialists can be interpreted as quality improvement, since a more precise diagnostic, can reduce hospitalization due to faster health recovery without an impact on mortality.engFGV EESP - Textos para Discussão; TD 494Policy evaluation“Mais Médicos” ProgramMore Doctors ProgramPhysicians supplyDifferences-in-differencesEconomiaAssistência médica - AvaliaçãoPolíticas públicas - BrasilPrograma Mais MédicosAssessing the impact of More Doctors Program on health care indicatorsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional do FGV (FGV Repositório Digital)instname:Fundação Getulio Vargas (FGV)instacron:FGVTEXTTD 494 - Mattos_Mazetto_2018.pdf.txtTD 494 - Mattos_Mazetto_2018.pdf.txtExtracted texttext/plain100389https://repositorio.fgv.br/bitstreams/1bfe02a6-7ba5-44ca-84a9-c85601a5a361/downloadcb1d426618db27662c5fa6911e7db93dMD55ORIGINALTD 494 - 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dc.title.eng.fl_str_mv |
Assessing the impact of More Doctors Program on health care indicators |
title |
Assessing the impact of More Doctors Program on health care indicators |
spellingShingle |
Assessing the impact of More Doctors Program on health care indicators Mattos, Enlinson Policy evaluation “Mais Médicos” Program More Doctors Program Physicians supply Differences-in-differences Economia Assistência médica - Avaliação Políticas públicas - Brasil Programa Mais Médicos |
title_short |
Assessing the impact of More Doctors Program on health care indicators |
title_full |
Assessing the impact of More Doctors Program on health care indicators |
title_fullStr |
Assessing the impact of More Doctors Program on health care indicators |
title_full_unstemmed |
Assessing the impact of More Doctors Program on health care indicators |
title_sort |
Assessing the impact of More Doctors Program on health care indicators |
author |
Mattos, Enlinson |
author_facet |
Mattos, Enlinson Mazetto, Débora |
author_role |
author |
author2 |
Mazetto, Débora |
author2_role |
author |
dc.contributor.unidadefgv.por.fl_str_mv |
Escolas::EESP |
dc.contributor.author.fl_str_mv |
Mattos, Enlinson Mazetto, Débora |
dc.subject.eng.fl_str_mv |
Policy evaluation “Mais Médicos” Program More Doctors Program Physicians supply Differences-in-differences |
topic |
Policy evaluation “Mais Médicos” Program More Doctors Program Physicians supply Differences-in-differences Economia Assistência médica - Avaliação Políticas públicas - Brasil Programa Mais Médicos |
dc.subject.area.por.fl_str_mv |
Economia |
dc.subject.bibliodata.por.fl_str_mv |
Assistência médica - Avaliação Políticas públicas - Brasil Programa Mais Médicos |
description |
This paper aims to assess the short run effects of the More Doctors Program, launched by the Brazilian federal government in 2013. Using differences-in-differences approach with municipal data collected between 2010 and 2015, we confirm that MDP has two correlated impacts. First, it has increased health service attendance on treated municipalities. We document that appointments, consults, referrals, and home visits have increased by 5.9%, 9.4%, 12.3%, and 29.7%. Second, we find a negative impact on hospitalization. We argue that intensification on health service access have reduced general hospitalization (4.6%). However, it does not seem to have been able to reduce mortality in the municipalities, in line with Carrilo and Feres (2018) and Fontes et al. (2017). We argue that increase in referrals and appointment with specialists can be interpreted as quality improvement, since a more precise diagnostic, can reduce hospitalization due to faster health recovery without an impact on mortality. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-10-25T14:21:45Z |
dc.date.available.fl_str_mv |
2018-10-25T14:21:45Z |
dc.date.issued.fl_str_mv |
2018-10 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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http://hdl.handle.net/10438/24928 |
dc.identifier.sici.none.fl_str_mv |
TD 494 |
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TD 494 |
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http://hdl.handle.net/10438/24928 |
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eng |
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eng |
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FGV EESP - Textos para Discussão; TD 494 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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