Association between expansion of primary healthcare and racial inequalities in mortality amenable to primary care in Brazil: A national longitudinal analysis

School of Public Health. Public Health Policy Evaluation Unit. Department of Primary Care and Public Health. Imperial College London. London, UK.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
School of Public Health. Public Health Policy Evaluation Unit. Department of Primary Care and Public Health. Imperial College London. London, UK.
School of Public Health. Public Health Policy Evaluation Unit. Department of Primary Care and Public Health. Imperial College London. London, United Kingdom / University of São Paulo. Center for Epidemiological Studies in Health and Nutrition. São Paulo, SP, Brazil / Rio de Janeiro State University. Institute of Social Medicine. Department of Epidemiology. Rio de Janeiro, RJ, Brasil.

Abstract

Universal health coverage (UHC) can play an important role in achieving Sustainable Development Goal (SDG) 10, which addresses reducing inequalities, but little supporting evidence is available from low- and middle-income countries. Brazil's Estratégia de Saúde da Família (ESF) (family health strategy) is a community-based primary healthcare (PHC) programme that has been expanding since the 1990s and is the main platform for delivering UHC in the country. We evaluated whether expansion of the ESF was associated with differential reductions in mortality amenable to PHC between racial groups.

Keywords in Portuguese

Atenção primária à saúde
Desigualdades em saúde
Cuidados de saúde primários
Fatores socioeconômicos
Mortalidade
Racismo
Humanos
Brazil

Keywords

Primary Health Care
Inequalities in health humans
Mortality
Socioeconomic Factors
Humans
Racism
Brazil

Publisher

Public Library of Science

Citation

HONE, Thomas et al. Association between expansion of primary healthcare and racial inequalities in mortality amenable to primary care in Brazil: A national longitudinal analysis. PLoS Medicine, v. 14, n. 5, p. 1-19, 2017.

DOI

10.1371/journal.pmed.1002306

ISSN

1549-1277

Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/25170

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Open access

Sustainable Development Goals

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