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Impact of ESF coverage on general health at the individual level - Metropolitan areas

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  • Natalia Nunes Ferreira-Batista
  • Maria Dolores Montoya Diaz, Adriano Dutra Teixeira, Fernando Antonio Slaibe Postali, Rodrigo Serra

Abstract

The main purpose this paper is evaluate the impact of Family Health Strategy (ESF) on specific health indicators. We use of two levels of treatment (municipality assignment/ implementation of ESF as well the individual registration in the program) to evaluate its possible pass-through and externalities among population in nine Brazilian Metropolitan Regions. The empirical strategy employed estimation of fixed-effects instrumental variables. We adopted the ration number of teams by population in each Metropolitan regions as the coverage variable. The individual data is pooled from two surveys: PNADs Health Supplement (1998, 2003 and 2008) and PNS-2013. The most consistent results were for the perception of limitation to perform usual activities for health reasons. The lack of significant results for a sub-sample with individual registration data prevented us from analyzing potential program externalities. We believe that great heterogeneities in these urban areas may be one of the difficulties in expanding program coverage.

Suggested Citation

  • Natalia Nunes Ferreira-Batista & Maria Dolores Montoya Diaz, Adriano Dutra Teixeira, Fernando Antonio Slaibe Postali, Rodrigo Serra, 2019. "Impact of ESF coverage on general health at the individual level - Metropolitan areas," Working Papers, Department of Economics 2019_43, University of São Paulo (FEA-USP).
    • Handle: RePEc:spa:wpaper:2019wpecon43
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    File URL: http://www.repec.eae.fea.usp.br/documentos/Batista_Diaz_Postali_Teixeira_Serra_43WP.pdf
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    References listed on IDEAS

    as
    1. van Doorslaer, Eddy & Gerdtham, Ulf-G., 2003. "Does inequality in self-assessed health predict inequality in survival by income? Evidence from Swedish data," Social Science & Medicine, Elsevier, vol. 57(9), pages 1621-1629, November.
    2. Maria Dolores Montoya Diaz & Adriano Dutra Teixeira, Fernando Antonio Slaibe Postali, Natalia Nunes Ferreira-Batista, Rodrigo Mor, 2019. "Primary health care coverage in Brazil: Assessment of the Family Health Program impacts on mortality at municipality level," Working Papers, Department of Economics 2019_42, University of São Paulo (FEA-USP), revised 12 Aug 2021.
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    More about this item

    Keywords

    Family Health Strategy (ESF); Self-assessment health; PNAD(IBGE) health supplement; PNS 2013; Impact Evaluation; Fixed Effects Instrumental Variables;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models
    • C26 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Instrumental Variables (IV) Estimation

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