Evidence map›Paper›PMID 28250510›Full record

ArticleBulletin of the World Health Organization2017

Implementation research: towards universal health coverage with more doctors in Brazil.

Leonor Maria Pacheco Santos, Aimê Oliveira, Josélia Souza Trindade, Ivana Chc Barreto, Poliana Araújo Palmeira, Yamila Comes, Felipe Os Santos, Wallace Santos, João Paulo Alves Oliveira, Vanira Matos Pessoa and 1 more

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  12. Has Latin America achieved universal health coverage yet? Lessons from four countries.Archives of public health = Archives belges de sante publique · 2022
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  19. Observational
  20. Best Practices in Achieving Universal Health Coverage: A Scoping Review.Medical journal of the Islamic Republic of Iran · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Leonor Maria Pacheco SantosUniversidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Campus Universitário Darcy Ribeiro, Brasília, DF, 70910-900 Brasília, Brazil .
Aimê OliveiraUniversidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Campus Universitário Darcy Ribeiro, Brasília, DF, 70910-900 Brasília, Brazil .
Josélia Souza TrindadeUniversidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Campus Universitário Darcy Ribeiro, Brasília, DF, 70910-900 Brasília, Brazil .
Ivana Chc BarretoFundação Osvaldo Cruz - Ceará, Torre Saúde, Fortaleza, Brazil .
Poliana Araújo PalmeiraUniversidade Federal de Campina Grande, Centro de Educação e Saúde, Cidade Universitária, Cuité, Brazil .
Yamila ComesUniversidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Campus Universitário Darcy Ribeiro, Brasília, DF, 70910-900 Brasília, Brazil .
Felipe Os SantosFundação Osvaldo Cruz - Brasília, Campus Universitário Darcy Ribeiro, Brasília, Brazil .
Wallace SantosSecretaria de Estado de Saúde do Distrito Federal, Diretoria Regional de Atenção Primária - DIRAPS, Brasília, Brazil .
João Paulo Alves OliveiraUniversidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Campus Universitário Darcy Ribeiro, Brasília, DF, 70910-900 Brasília, Brazil .
Vanira Matos PessoaFundação Osvaldo Cruz - Ceará, Torre Saúde, Fortaleza, Brazil .
Helena Eri ShimizuUniversidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Campus Universitário Darcy Ribeiro, Brasília, DF, 70910-900 Brasília, Brazil .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the implementation of a programme to provide primary care physicians for remote and deprived populations in Brazil.

methodsThe

findingsBy September 2015, 4917 physicians had been added to the 16 524 physicians already in place in municipalities with remote and deprived populations. The number of municipalities with ≥ 1.0 physician per 1000 inhabitants doubled from 163 in 2013 to 348 in 2015. Primary care coverage in enrolled municipalities (based on 3000 inhabitants per primary care team) increased from 77.9% in 2012 to 86.3% in 2015. Avoidable hospitalizations in enrolled municipalities decreased from 44.9% in 2012 to 41.2% in 2015, but remained unchanged in control municipalities. We also documented higher infrastructure investments in enrolled municipalities and an increase in the number of medical school places over the study period.

conclusionOther countries having shortages of physicians could benefit from the lessons of Brazil's programme towards achieving universal right to health.

Indexed as

Medically Underserved AreaBrazilDeveloping CountriesHealth Services AccessibilityHealth Services ResearchHealth WorkforceHumansNational Health ProgramsPhysicians, Primary CareProgram Evaluation

Identifiers

PMID28250510
PMCPMC5327934

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.