The effect of primary healthcare on mortality: Evidence from Costa Rica.
J Health Econ
; 93: 102833, 2024 Jan.
Article
em En
| MEDLINE
| ID: mdl-38041894
ABSTRACT
This paper uses the gradual implementation of a primary healthcare (PHC) intervention in Costa Rica to examine the long-term effect of PHC on mortality. Nine years after opening a primary care center, known as a Health Area, there was an associated 13% reduction in age-adjusted mortality rate in the assigned patient population. The effect was highest among adults over 65 years of age and for those with noncommunicable diseases, such as cardiovascular-related causes of death. We also show that as Health Areas opened, more individuals sought care at primary care clinics, while fewer sought care at emergency rooms; these changes may have partially mediated the effect of the intervention on mortality.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Atenção à Saúde
Limite:
Adult
/
Humans
País/Região como assunto:
America central
/
Costa rica
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article