ArticlePloS one2018
Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 44 citations in OpenAlex.
- Trends in Mortality Attributed to Heart Failure Among Older Adults in Brazil, 2000-2024.Cureus · 2026Article
- From Integrated Care to Learning Systems.Healthcare (Basel, Switzerland) · 2026Review
- Joint Modeling of Fasting Blood Sugar Changes and Cardiovascular Disease Progression in Type-2 Diabetes Mellitus Patients: A Retrospective Cohort Study.Health science reports · 2026Article
- Trends in Stroke Mortality Among Adults in Southern Brazil: A Time Series Study (2000-2021).International journal of preventive medicine · 2026Article
- Assessing statins use in a real-world primary care digital strategy: a cross-sectional analysis of a population-wide digital health approach.Lancet regional health. Americas · 2023 · on this mapArticle
- Hospitalizations in Brazil according to National Health Survey estimates, 2013 and 2019.Revista de saude publica · 2023Article
- Primary care coverage and individual health: evidence from a likelihood model using biomarkers in Brazil.BMC health services research · 2021Article
- Mortality Due to Heart Failure and Socioeconomic Development in Brazil between 1980 and 2018.Arquivos brasileiros de cardiologia · 2021Article
- Assessing the performance of beneficiary targeting in Brazil's More Doctors Programme.Health policy and planning · 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
- Performance of family health teams for tackling chronic diseases in a state of the Amazon.PloS one · 2020Article
- Impact of distance education on primary health care indicators in central Brazil: An ecological study with time trend analysis.PloS one · 2019Article
- Hospitalizations for Cardiovascular Diseases Sensitive to Primary Health Care in Paraná State, Brazil: A Bayesian Spatiotemporal Model.Annals of family medicineArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe objective was to analyze whether socioeconomic factors related to the context and those related to the model of care-specifically the coverage of primary care by the Family Health Strategy (ESF)-had an impact on hospitalizations due to heart failure (HF) and stroke, in the State of São Paulo/Brazil between 1998 and 2013.
methodsA longitudinal ecological study involving 645 municipalities was conducted in the state of São Paulo/Brazil from 1998 to 2013, using the Hospital Information System (SIH-DataSUS database). The hospitalizations for primary care sensitive conditions: Stroke and heart failure (HF) that correspond to the International Classification of Diseases (ICD 10): I50, I63 to I67; I69, G45 to G46 were analyzed longitudinally during the period indicated regarding the percentage of people covered by the Family Health Program (PSF) adjusted for confounders (population size, gross domestic product -GDP and human development index- HDI).
resultsThere was a significant decrease in the number of hospitalizations for heart failure and stroke per 10000 (inhabitants) in the period (p <0.0001), with a significant relationship with increased proportion of ESF (p <0.0001), and this remained significant even when possible confounders (population size, GDP and HDI) were included in the model (p <0.0001).
conclusionsGDP per capita was close to or higher than that if many European countries, which shows the relevance of the study. The health care model based on the Family Health Strategy positively impacted hospitalization indicators for heart failure and stroke, indicating that this model is effective in the prevention of primary care sensitive conditions.
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