The quality of alternative models of primary health care and morbidity and mortality in Brazil: a national longitudinal analysis.

ABSTRACT:

Background

Evidence is limited on health benefits from quality improvement of primary healthcare (PHC) in low- and middle-income countries (LMICs). This study investigated whether increasing PHC quality in Brazil with highly-skilled health professionals and integrated community health workers (CHWs) was associated with reductions in hospitalizations and mortality beyond benefits derived from increasing access.

Methods

Annual municipal-level data for 5,411 municipalities between 2000 and 2014 were analysed using fixed effects panel regressions. PHC quality was measured as: i) the proportion of consultations provided by highly-skilled health professionals (doctors and nurses); and ii) the proportion of visits provided by CHWs from multidisciplinary PHC teams. Models assessed a

SUBMITTER: Mrejen M 

PROVIDER: S-EPMC9903814 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature