Article
Impact of primary health care on mortality from heart and cerebrovascular diseases in Brazil: a nationwide analysis of longitudinal data
Registro en:
RASELLA, Davide et al. Impact of primary health care on mortality from heart and cerebrovascular diseases in Brazil: a nationwide analysis of longitudinal data. TheBMJ, v. 348, p. 1-10, 2014.
0959-8138
10.1136/bmj.g4014
Autor
Rasella, Davide
Harhay, Michael O.
Pamponet, Marina L.
Pereira, Rosana Aquino Guimarães
Barreto, Maurício Lima
Resumen
Barreto, Mauricio Lima. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. “Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento”. National Council for Scientific and Technological Development (CNPq). 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.