Getulio Vargas Foundation-São Paulo School of Economics (FGV-EESP), São Paulo/SP, Brazil.
Federal University of Paraná (UFPR), Curitiba/PR, Brazil.
Health Econ. 2018 Aug;27(8):1284-1299. doi: 10.1002/hec.3775. Epub 2018 May 16.
This study aims to evaluate the More Doctors Program (Programa Mais Médicos) in terms of the provision of physicians, presenting estimates of its impact on hospitalization for ambulatory care sensitive conditions. The differences-in-differences method was used with propensity score matching (double difference matching), using 3 specifications, a falsification test, and also a dynamic endogeneity test to confirm the robustness of the results. For the application of this methodology, a panel of municipal data was constructed covering several variables related to socioeconomic, demographic, and public health infrastructure characteristics in the cities for the period from 2010 to 2016. The results show a significant reduction in hospital admissions in treated municipalities with an increasing and perceptible effect in the second year of the program.
本研究旨在评估“更多医生计划”（Programa Mais Médicos）在提供医生方面的效果，评估其对门诊医疗敏感条件住院的影响。采用倾向评分匹配（双重差分匹配）的差分法，使用 3 种规范、一个伪检验以及一个动态内生性检验来确认结果的稳健性。为了应用这种方法，构建了一个市政面板数据，涵盖了 2010 年至 2016 年期间与城市的社会经济、人口和公共卫生基础设施特征相关的多个变量。结果表明，在治疗的城市中，住院人数显著减少，且在项目实施的第二年，效果明显增加。
