Major expansion of primary care in brazil linked to decline In unnecessary hospitalization.
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2010
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In 1994 Brazil launched what has since become the world’s
largest community-based primary health care program. Under the Family
Health Program, teams consisting of at least one physician, one nurse, a
medical assistant, and four to six trained community health agents
deliver most of their services at community-based clinics. They also make
regular home visits and conduct neighborhood health promotion
activities. This study finds that during 1999–2007, hospitalizations in
Brazil for ambulatory care–sensitive chronic diseases, including
cardiovascular disease, stroke, and asthma, fell at a rate that was
statistically significant and almost twice the rate of decline in
hospitalizations for all other causes. In municipalities with high Family
Health Program enrollment, chronic disease hospitalization rates were
13 percent lower than in municipalities with low enrollment, when other
factors were held constant. These results suggest that the Family Health
Program has improved health system performance in Brazil by reducing
the number of potentially avoidable hospitalizations.
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MACINKO. J. et al. Major expansion of primary care in brazil linked to decline In unnecessary hospitalization. Health Affairs, Millwood, v. 29, p. 2149-2160, 2010. Disponível em: <http://content.healthaffairs.org/content/29/12/2149.long>. Acesso em: 29 jan. 2017.