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Primary care physicians and infant mortality: Evidence from Brazil

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  • Letícia Xander Russo
  • Anthony Scott
  • Peter Sivey
  • Joilson Dias

Abstract

Primary health care has been recognized as a critical strategy for improving population health in developing countries. This paper investigates the effect of primary care physicians on the infant mortality rate in Brazil using a dynamic panel data approach. This method accounts for the endogeneity problem and the persistence of infant mortality over time. The empirical analysis uses an eight-year panel of municipalities between 2005 and 2012. The results indicate that primary care physician supply contributed to the decline of infant mortality in Brazil. An increase of one primary care physician per 10,000 population was associated with 7.08 fewer infant deaths per 10,000 live births. This suggests that, in addition to other determinants, primary care physicians can play an important role in accounting for the reduction of infant mortality rates.

Suggested Citation

  • Letícia Xander Russo & Anthony Scott & Peter Sivey & Joilson Dias, 2019. "Primary care physicians and infant mortality: Evidence from Brazil," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-16, May.
  • Handle: RePEc:plo:pone00:0217614
    DOI: 10.1371/journal.pone.0217614
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    1. Guanais, F.C., 2013. "The combined effects of the expansion of primary health care and conditional cash transfers on infant mortality in Brazil, 1998-2010," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 2000-2006.
    2. David Roodman, 2009. "A Note on the Theme of Too Many Instruments," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 71(1), pages 135-158, February.
    3. Barros, F.C. & Matijasevích, A. & Requejo, J.H. & Giugliani, E. & Maranhão, A.G. & Monteiro, C.A. & Barros, A.J.D. & Bustreo, F. & Merialdi, M. & Victora, C.G., 2010. "Recent trends in maternal, newborn, and child health in brazil: Progress toward millennium development goals 4 and 5," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1877-1889.
    4. David Roodman, 2009. "How to do xtabond2: An introduction to difference and system GMM in Stata," Stata Journal, StataCorp LP, vol. 9(1), pages 86-136, March.
    5. Aakvik, Arild & Holmas, Tor Helge, 2006. "Access to primary health care and health outcomes: The relationships between GP characteristics and mortality rates," Journal of Health Economics, Elsevier, vol. 25(6), pages 1139-1153, November.
    6. Farahani, Mansour & Subramanian, S.V. & Canning, David, 2009. "The effect of changes in health sector resources on infant mortality in the short-run and the long-run: A longitudinal econometric analysis," Social Science & Medicine, Elsevier, vol. 68(11), pages 1918-1925, June.
    7. Romero Rocha & Rodrigo R. Soares, 2010. "Evaluating the impact of community‐based health interventions: evidence from Brazil's Family Health Program," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 126-158, September.
    8. Luiz Felipe Campos Fontes & Otavio Canozzi Conceição & Paulo de Andrade Jacinto, 2018. "Evaluating the impact of physicians' provision on primary healthcare: Evidence from Brazil's More Doctors Program," Health Economics, John Wiley & Sons, Ltd., vol. 27(8), pages 1284-1299, August.
    9. Gamper-Rabindran, Shanti & Khan, Shakeeb & Timmins, Christopher, 2010. "The impact of piped water provision on infant mortality in Brazil: A quantile panel data approach," Journal of Development Economics, Elsevier, vol. 92(2), pages 188-200, July.
    10. Arellano, Manuel & Bover, Olympia, 1995. "Another look at the instrumental variable estimation of error-components models," Journal of Econometrics, Elsevier, vol. 68(1), pages 29-51, July.
    11. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, April.
    12. Davide Rasella & Sanjay Basu & Thomas Hone & Romulo Paes-Sousa & Carlos Octávio Ocké-Reis & Christopher Millett, 2018. "Child morbidity and mortality associated with alternative policy responses to the economic crisis in Brazil: A nationwide microsimulation study," PLOS Medicine, Public Library of Science, vol. 15(5), pages 1-20, May.
    13. Aquino, R. & De Oliveira, N.F. & Barreto, M.L., 2009. "Impact of the Family Health Program on infant mortality in brazilian municipalities," American Journal of Public Health, American Public Health Association, vol. 99(1), pages 87-93.
    14. Macinko, J. & De Oliveira, V.B. & Turci, M.A. & Guanais, F.C. & Bonolo, P.F. & Lima-Costa, M.F., 2011. "The influence of primary care and hospital supply on ambulatory care-sensitive hospitalizations among adults in Brazil, 1999-2007," American Journal of Public Health, American Public Health Association, vol. 101(10), pages 1963-1970.
    15. Blundell, Richard & Bond, Stephen, 1998. "Initial conditions and moment restrictions in dynamic panel data models," Journal of Econometrics, Elsevier, vol. 87(1), pages 115-143, August.
    16. Angelica Sousa & Mario R Dal Poz & Cynthia Boschi-Pinto, 2013. "Reducing Inequities in Neonatal Mortality through Adequate Supply of Health Workers: Evidence from Newborn Health in Brazil," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    17. Mishra, Prachi & Newhouse, David, 2009. "Does health aid matter?," Journal of Health Economics, Elsevier, vol. 28(4), pages 855-872, July.
    18. Nickell, Stephen J, 1981. "Biases in Dynamic Models with Fixed Effects," Econometrica, Econometric Society, vol. 49(6), pages 1417-1426, November.
    19. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 58(2), pages 277-297.
    20. Windmeijer, Frank, 2005. "A finite sample correction for the variance of linear efficient two-step GMM estimators," Journal of Econometrics, Elsevier, vol. 126(1), pages 25-51, May.
    21. Arulampalam, Wiji & Bhalotra, Sonia R., 2006. "Persistence in Infant Mortality: Evidence for the Indian States," IZA Discussion Papers 2488, Institute of Labor Economics (IZA).
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    Cited by:

    1. Godager , Geir & Scott, Anthony, 2023. "Physician Behavior and Health Outcomes," HERO Online Working Paper Series 2023:3, University of Oslo, Health Economics Research Programme.
    2. Joana Raquel Raposo Santos & Hellen Geremias Santos & Carlos Manuel Matias Dias & Alexandre Dias Porto Chiavegatto Filho, 2020. "Assessing the impact of a doctor in remote areas of Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(3), pages 267-272, April.
    3. Alexandre Bugelli & Roxane Borgès Da Silva & Ladislau Dowbor & Claude Sicotte, 2021. "The Determinants of Infant Mortality in Brazil, 2010–2020: A Scoping Review," IJERPH, MDPI, vol. 18(12), pages 1-28, June.
    4. Shongkour Roy & Tanjina Khatun, 2022. "Effect of adolescent female fertility and healthcare spending on maternal and neonatal mortality in low resource setting of South Asia," Health Economics Review, Springer, vol. 12(1), pages 1-8, December.
    5. Joana Raquel Raposo Santos & Hellen Geremias Santos & Carlos Manuel Matias Dias & Alexandre Dias Porto Chiavegatto Filho, 0. "Assessing the impact of a doctor in remote areas of Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-6.
    6. Jinlin Liu & Karen Eggleston, 2022. "The Association between Health Workforce and Health Outcomes: A Cross-Country Econometric Study," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(2), pages 609-632, September.

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