Major expansion of primary care in brazil linked to decline In unnecessary hospitalization.

dc.contributor.authorMacinko, James
dc.contributor.authorDourado, Inês
dc.contributor.authorAquino, Rosana
dc.contributor.authorBonolo, Palmira de Fátima
dc.contributor.authorCosta, Maria Fernanda Lima
dc.contributor.authorMedina, Maria Guadalupe
dc.contributor.authorMota, Eduardo
dc.contributor.authorOliveira, Veneza Berenice de
dc.contributor.authorTurci, Maria Aparecida
dc.date.accessioned2017-03-27T16:59:24Z
dc.date.available2017-03-27T16:59:24Z
dc.date.issued2010
dc.description.abstractIn 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.pt_BR
dc.identifier.citationMACINKO. 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.pt_BR
dc.identifier.doihttps://doi.org/10.1377/hlthaff.2010.0251
dc.identifier.issn0278-2715
dc.identifier.urihttp://www.repositorio.ufop.br/handle/123456789/7469
dc.identifier.uri2http://content.healthaffairs.org/content/29/12/2149.longpt_BR
dc.language.isoen_USpt_BR
dc.rightsrestritopt_BR
dc.titleMajor expansion of primary care in brazil linked to decline In unnecessary hospitalization.pt_BR
dc.typeArtigo publicado em periodicopt_BR

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