Primary health care and social isolation against COVID-19 in Northeastern Brazil: Ecological time-series study

Sanderson José Costa de Assis, Johnnatas Mikael Lopes, Marcello Barbosa Otoni Gonçalves Guedes, Geronimo José Bouzas Sanchis, Diego Neves Araujo and Angelo Giuseppe Roncalli

PLOS ONE, 2021, vol. 16, issue 5, 1-12

Abstract: Background: Brazil is witnessing a massive increase of corona virus disease (COVID-19). Its peculiar primary health care (PHC) system faces a burden due to the contagion occurring in the community environment. Then, the aim is to estimate the effect of the coverage of primary health care and social isolation on the evolution of confirmed cases and deaths by COVID-19, controlling sociodemographic, economic and health system aspects. Methods: A time series design was designed with data on diagnosed cases of COVID-19 and their deaths as outcomes in the capital cities of the Northeast region of Brazil. Independent variables such as PHC coverage, hospital beds, social isolation, demographic density, Gini index and other indicators were analyzed. A Autoregressive Generalized Linear Model method was applied for model the relationship. Results: We identified an exponential growth of cases (y = 0.00250.71x; p-value

Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0250493

DOI: 10.1371/journal.pone.0250493

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