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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Evaluating the impact of contracting out basic health care services in the state of Sao Paulo, Brazil

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Autor(es):
Greve, Jane ; Ruas Pereira Coelho, Vera Schattan
Número total de Autores: 2
Tipo de documento: Artigo Científico
Fonte: HEALTH POLICY AND PLANNING; v. 32, n. 7, p. 923-933, SEP 2017.
Citações Web of Science: 3
Resumo

As a means of dealing with shortcomings in the coverage, quality and efficiency of the public health care sector, several municipalities in the state of Sao Paulo, Brazil, have started to contract pre-certified non-profit or non-governmental organizations to take part in the delivery of health care services. This paper explores the impact of introducing these contracts in the primary health care sector. Using data on the 645 municipalities in the state of Sao Paulo and difference-in-differences methods, we estimate the effect of contracting out in the primary health care sector on various dimensions of mortality and health care use. The results show that implementation of the contracting out strategy significantly increases the number of primary health care appointments by approximately one appointment per user of the national health care system per year. Point estimates indicate a reducing effect on hospitalization for preventable diseases. (AU)

Processo FAPESP: 13/07616-7 - CEM - Centro de Estudos da Metrópole
Beneficiário:Marta Teresa da Silva Arretche
Linha de fomento: Auxílio à Pesquisa - Centros de Pesquisa, Inovação e Difusão - CEPIDs
Processo FAPESP: 11/20641-5 - Equidade e contratualização de serviços no SUS
Beneficiário:Vera Schattan Ruas Pereira Coelho
Linha de fomento: Auxílio à Pesquisa - Regular