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Titel
Does universalization of healthwork? Evidence from health systems restructuring and expansion in Brazil / Sonia Bhalotra (University of Essex and IZA), Rudi Rocha (São Paulo School of Business Administration, Fundação Getulio Vargas - FGV EAESP), Rodrigo R. Soares (Columbia University, São Paulo School of Economics, Fundação Getulio Vargas - FGV EESP and IZA) ; IZA Institute of Labor Economics
VerfasserBhalotra, Sonia R. ; Rocha, Rudi ; Soares, Rodrigo Reis
KörperschaftForschungsinstitut zur Zukunft der Arbeit
ErschienenBonn, Germany : IZA Institute of Labor Economics, January 2019
Ausgabe
Elektronische Ressource
Umfang1 Online-Ressource (66 Seiten) : Diagramme
SerieDiscussion paper ; no. 12111
URNurn:nbn:de:hbz:5:2-179630 
Zugriffsbeschränkung
 Das Dokument ist öffentlich zugänglich im Rahmen des deutschen Urheberrechts.
Volltexte
Does universalization of healthwork? Evidence from health systems restructuring and expansion in Brazil [1.51 mb]
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Zusammenfassung (Englisch)

We investigate universalization of access to health in Brazil. We find large reductions in maternal, foetal, neonatal and post-neonatal mortality, a reduction in fertility and, possibly on account of selection, no change in the quality of births. Using rich administrative data, we investigate changes in organization, access and outcomes, thereby illuminating the driving mechanisms. We find sharp increases in coverage of primary health facilities with GPs and outreach workers and, in line with this, increases in outpatient procedures, prenatal care visits, health-education activities and home visits by medical professionals. Consistent with an attempt to rationalize use of hospital resources, we find a decline in specialists and hospital beds per capita. Despite this, we see increases in hospital births, C-sections, and maternal hospitalization for complications, with no change in rates of infant hospitalization.