ArticleAmerican journal of public health2011
The influence of primary care and hospital supply on ambulatory care-sensitive hospitalizations among adults in Brazil, 1999-2007.
Article in American journal of public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of the Brazilian family health strategy on selected primary care sensitive conditions: A systematic review.PloS one · 2017Pooled it
- Association of hospitalization costs with demographic, socioeconomic, and lifestyle characteristics: Population-based study in Sao Paulo city, Brazil, 2003-2015.Health policy OPEN · 2026Article
- Preventable hospitalizations due to ambulatory care sensitive conditions in Latin America (2015-2019): a multi-country descriptive analysis.Lancet regional health. Americas · 2025Article
- Trend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District.Revista brasileira de enfermagem · 2023Article
- Impact of expansion of primary care in child health: a population-based panel study in municipalities in the Brazilian Amazon.BMJ open · 2022Article
- Primary care visits and ambulatory care sensitive diabetes hospitalizations among adult Alabama Medicaid beneficiaries.Primary care diabetes · 2022Article
- Article
- Primary care coverage and individual health: evidence from a likelihood model using biomarkers in Brazil.BMC health services research · 2021Article
- A Longitudinal Analysis of Functional Disability, Recovery, and Nursing Home Utilization After Hospitalization for Ambulatory Care Sensitive Conditions Among Community-Living Older Persons.Journal of hospital medicine · 2021Article
- Assessing the performance of beneficiary targeting in Brazil's More Doctors Programme.Health policy and planning · 2021Article
- Avoidable Hospitalization Trends From Ambulatory Care-Sensitive Conditions in the Public Health System in México.Frontiers in public health · 2021Article
- Evidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazon.PloS one · 2021Article
- Impact of Brazil's More Doctors Program on hospitalizations for primary care sensitive cardiovascular conditions.SSM - population health · 2020Article
- Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015.Innovation (Cambridge (Mass.)) · 2020Article
- Direct and lost productivity costs associated with avoidable hospital admissions.BMC health services research · 2020Article
- Financial Burdens and Barriers to Care Among Nonelderly Adults With Heart Disease: 2010-2015.Journal of the American Heart Association · 2019Article
- Effect of primary health care reforms in the province of Newfoundland and Labrador: Interrupted time-series analysis.Canadian family physician Medecin de famille canadien · 2019Article
- Impact of distance education on primary health care indicators in central Brazil: An ecological study with time trend analysis.PloS one · 2019Article
- Article
- Avoidable hospitalizations in Brazil and Portugal: Identifying and comparing critical areas through spatial analysis.PloS one · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe assessed the influence of changes in primary care and hospital supply on rates of ambulatory care-sensitive (ACS) hospitalizations among adults in Brazil.
methodsWe aggregated data on nearly 60 million public sector hospitalizations between 1999 and 2007 to Brazil's 558 microregions. We modeled adult ACS hospitalization rates as a function of area-level socioeconomic factors, health services supply, Family Health Program (FHP) availability, and health needs by using dynamic panel estimation techniques to control for endogenous explanatory variables.
resultsThe ACS hospitalization rates declined by more than 5% annually. When we controlled for other factors, FHP availability was associated with lower ACS hospitalization rates, whereas private or nonprofit hospital beds were associated with higher rates. Areas with highest predicted ACS hospitalization rates were those with the highest private or nonprofit hospital bed supply and with low (< 25%) FHP coverage. The lowest predicted rates were seen for areas with high (> 75%) FHP coverage and very few private or nonprofit hospital beds.
conclusionsThese results highlight the contribution of the FHP to improved health system performance and reflect the complexity of the health reform processes under way in Brazil.
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