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Assessing the impact of a doctor in remote areas of Brazil

Joana Raquel Raposo Santos (), Hellen Geremias Santos (), Carlos Manuel Matias Dias () and Alexandre Dias Porto Chiavegatto Filho ()
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Joana Raquel Raposo Santos: University of São Paulo
Hellen Geremias Santos: Cargos Chagas Institute, Oswaldo Cruz Foundation
Carlos Manuel Matias Dias: National Health Institute Doctor Ricardo Jorge
Alexandre Dias Porto Chiavegatto Filho: University of São Paulo

International Journal of Public Health, No 0, 6 pages

Abstract: Abstract Objectives The More Doctors Program (MDP) is an ongoing Brazilian policy that aims to improve healthcare by providing physicians to the most vulnerable municipalities. We aimed to measure the impact of MDP in mortality and infant mortality rate, the proportion of live births with low weight, prenatal appointments, childbirths at first and fifth min Apgar, public health investment and immunization in Brazil. Methods Municipal health indicators were collected before and after the intervention (2012 and 2015). Effects were measured by applying propensity score matching with difference-in-differences. Results Our findings show that infant mortality presented the highest improvement during the period (a decrease in 11 infant deaths per 1000 live births, p

Keywords: Propensity score; Public health; Mais médicos; Public policy (search for similar items in EconPapers)
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DOI: 10.1007/s00038-020-01360-z

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