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The Influence of Primary Care and Hospital Supply on Ambulatory Care–Sensitive Hospitalizations Among Adults in Brazil, 1999–2007

Objectives. We assessed the influence of changes in primary care and hospital supply on rates of ambulatory care–sensitive (ACS) hospitalizations among adults in Brazil.
Methods. We aggregated data on nearly 60 million public sector hospitalizations between 1999 and 2007 to Brazil’s 558 microregions. We modeled adult ACS hospitalization rates as a function of area-level socioeconomic factors, health services supply, Family HealthProgram (FHP) availability, and health needs by using dynamic panel estimation techniques to control for endogenous explanatory variables.
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