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Sustainable Development Goals
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IMPACT OF PRIMARY HEALTH CARE ON MORTALITY FROM HEART AND CEREBROVASCULAR DISEASES IN BRAZIL: A NATIONWIDE ANALYSIS OF LONGITUDINAL DATA
Transtornos Cerebrovasculares
Programa de Saúde da Família
Atenção Primária à Saúde
Estudos longitudinais
Humanos
Brasil
Cerebrovascular Disorders
Family Health Program
Primary Health Care
Longitudinal Studies
Humans
Brazil
Author
Affilliation
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
University of Pennsylvania School of Medicine. Center for Clinical Epidemiology and Biostatistics. Philadelphia, USA.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Ciência, Tecnologia e Inovação em Saúde. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Ciência, Tecnologia e Inovação em Saúde. Salvador, BA, Brasil.
University of Pennsylvania School of Medicine. Center for Clinical Epidemiology and Biostatistics. Philadelphia, USA.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Ciência, Tecnologia e Inovação em Saúde. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Ciência, Tecnologia e Inovação em Saúde. Salvador, BA, Brasil.
Abstract
To evaluate the impact of Brazil's recently implemented Family Health Program (FHP), the largest primary health care programme in the world, on heart and cerebrovascular disease mortality across Brazil from 2000 to 2009. using negative binomial regression models for panel data with fixed
effects specifications.
Setting Nationwide analysis of data from Brazilian municipalities covering
the period from 2000 to 2009.
Data sources 1622 Brazilian municipalities with vital statistics of
adequate quality.
Main outcome measures The annual FHP coverage and the average
FHP coverage in previous years were used as main independent
variables and classified as none (0%), incipient (<30%), intermediate
(30-69%), or consolidated (≥70%). Age standardised mortality rates from
causes in the group of cerebrovascular (ICD-10 codes I60-69), ischaemic
(ICD-10 I20-25), and other forms of heart diseases (ICD-10 I30-52),
which were included in the national list of ambulatory care-sensitive
conditions, were calculated for each municipality for each year. They
accounted for 40% of all deaths from these groups during the study
period.
Keywords in Portuguese
Doenças cardiovascularesTranstornos Cerebrovasculares
Programa de Saúde da Família
Atenção Primária à Saúde
Estudos longitudinais
Humanos
Brasil
Keywords
Cardiovascular DiseasesCerebrovascular Disorders
Family Health Program
Primary Health Care
Longitudinal Studies
Humans
Brazil
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