Estimating a Health Production Function for Brazil: Some New Evidence
- 1 Institute of Economics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- 2 Escopo Energia, Rio de Janeiro, Brazil
Abstract
This paper reports the impact of low-cost health centers on child mortality in Brazil. We use a comprehensive database to evaluate the impact of a change in Brazilian health policy from 2006 to 2009, when the number of health centers per capita increased significantly while hospitals per capita were reduced, indicating a focus on low-cost, low-complexity medical services. Unlike most empirical studies, our results indicate that additional health care decreases mortality. Increasing the number of health centers per capita decreases mortality through access to basic services and make high-complexity hospitals more effective, as they can focus on more serious conditions.
- Auster, R., Leveson, I., & Sarachek, D. (1972). The Production of Health, an Exploratory Study. In Essays in the Economics of Health and Medical Care (pp. 135-158). Cambridge, MA: NBER.
- Currie, J., & Gruber, J. (1996). Saving Babies: The Efficacy and Cost of Recent Changes in the Medicaid Eligibility of Pregnant Women. Journal of Political Economy, 104, 1263-1296. https://doi.org/10.1086/262059
- Fayissa, B., & Gutema, P. (2005). Estimating a Health Production Function for Sub-Saharan Africa (SSA). Applied Economics, 37, 155-164. https://doi.org/10.1080/00036840412331313521
- Gabbe, S., Niebyl, J., Simpson, J., Landon, M., Galan, H., Jauniaux, E., Driscoll, D., Berghella, V., & Grobman, W. (2016). Obstetrics: Normal and Problem Pregnancies e-Book. Amsterdam: Elsevier Health Sciences.
- Glaeser, E. (2011). Triumph of the City: How Urban Spaces Make Us Human (1st ed.). New York: Pan Macmillan.
- Grossman, M. (1972). On the Concept of Health Capital and the Demand for Health. Journal of Political Economy, 80, 223-255. https://doi.org/10.1086/259880
- Grossman, M. (2017). The Demand for Health: A Theoretical and Empirical Investigation. New York: Columbia University Press. https://doi.org/10.7312/gros17900
- Hahn, J., Ham, J., & Moon, H. (2011). Test of Random versus Fixed Effects with Small within Variation. Economics Letters, 112, 293-297. https://doi.org/10.1016/j.econlet.2011.05.018
- Lucas Jr., R. (1988). On the Mechanics of Economic Development. Journal of Monetary Economics, 22, 3-42. https://doi.org/10.1016/0304-3932(88)90168-7
- Murray, C. (1994). Quantifying the Burden of Disease: The Technical Basis for Disability-Adjusted Life Years. Bulletin of the World health Organization, 72, 429-445.
- Thornton, J. (2002). Estimating a Health Production Function for the US: Some New Evidence. Applied Economics, 34, 59-62. https://doi.org/10.1080/00036840010025650
- World Bank (2020). World Development Indicators. Washington DC.
- Zweifel, P., Breyer, F., & Kifmann, M. (2009). Health Economics. Berlin/Heidelberg: Springer Science & Business Media. https://doi.org/10.1007/978-3-540-68540-1