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Summary information

Study title

Administrative health data Brazil, 1996-2004

Creator

Bhalotra, S, University of Essex
Rocha, R, UFRJ
Soares, R, Columbia University

Study number / PID

852583 (UKDA)

10.5255/UKDA-SN-852583 (DOI)

Data access

Restricted

Series

Not available

Abstract

Aggregated health dataset based on microdata from the Brazilian Ministry of Health on hospitalizations and mortality by cause, health facilities and several socio-economic variables. Based on administrative records, a dataset was constructed covering various interconnected aspects of the Brazilian health system. Mortality and hospitalization records were obtained from the Brazilian Ministry of Health’s System of Information (DataSUS) with individual-level data since the mid-1990s on admissions, main diagnosis, length of stay, procedures, expenditures, mortality outcomes, and some demographic characteristics such as age, gender, state, and, in some cases, educational level. These data cover the universe of mortality outcomes and hospitalizations through the public health system in Brazil, constituting a rare opportunity for analyzing issues that are potentially useful outside the Brazilian context as well.Legislation enacted in 1990 established a public health system in Brazil (SUS) that guarantees free, comprehensive and universal coverage, including equal access to medical and pharmaceutical services (Bustreo and Hunt 2013). In this regard, Brazil is a forerunner, a potential model to other societies (Harris 2014). In reality, access is a serious problem and rationing of services takes place through long waiting times, which vary across procedures and regions, and this has led to emergence of a private health sector. So, despite increased access to basic health care for a major part of the poorer population over the last two decades, concerns about inequalities in access to health are a first order policy concern in Brazil. The extent of these inequalities in access is currently unknown, since they cannot be correctly inferred from the anecdotal and aggregate data that are typically used in public debate. Our proposal contains the following core elements- 1. To identify and assess inequalities in access to health care by socio-economic position gender and...
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Topics

HealthEconomicsDemography (population, vital statistics and censuses)

Keywords

FAMILY HEALTHHEALTH CAREPRIMARY CAREINEQUALITYACCESSBRAZIL2018

Methodology

Data collection period

01/01/2015 - 30/09/2016

Country

Brazil

Time dimension

Not available

Analysis unit

Geographic Unit

Universe

Not available

Sampling procedure

Not available

Kind of data

Numeric

Data collection mode

Downloading, merging and assimilation of vital statistics data, hospitalization records and administrative data on program roll-out. We collected microdata from the Brazilian Ministry of Health, Department of Basic Attention (MS/DAB) and converted it into a yearly panel of data at the municipality of residence level. The borders of some municipalities, however, have changed over time with the creation of new units across years. We thus combined municipalities into Minimum Comparable Areas (MCAs), which are the smallest geographic units that can be consistently compared over time. Our sample contains yearly data for 4,265 MCAs over the 1996-2004 period. Data related to implementation of the PSF are obtained from the Brazilian Ministry of Health (Department of Basic Attention, MS/DAB), and provide the year of implementationin each municipality, starting from 1996. Data on health outcomes and access to health care are also available from the Brazilian Ministry of Health (MS/Datasus). We first construct data on infant and maternal mortality from microdata from the Brazilian National System of Mortality Records (Datasus/SIM). The second health database that we use in our analysis is the National System of Information on Birth Records (Datasus/SINASC), which covers every registered birth in Brazil.The data provide information on, among other things, birth weight, length of gestation, and APGAR score. The data also provide the exact date of birth, the municipality of birth, the municipality of residence of the mother, as well as selected characteristics of the mother (such as age and schooling). The third health dataset is the National System of Information on Hospitalizations (Datasus/SIH), which contains administrative information at the hospitalization level. The data are managed by the Health Care Agency (SAS/Ministry of Health) with support of local and regional public health agencies, which receive information about hospitalizations from public and private hospitals through standardized inpatient forms.Data related to implementation of the PSF are obtained from the Brazilian Ministry of Health (Department of Basic Attention, MS/DAB), and provide the year of implementation in each municipality, starting from 1996. Data on health outcomes and access to health care are also available from the Brazilian Ministry of Health (MS/Datasus). We first construct data on infant and maternal mortality from microdata from the Brazilian National System of Mortality Records (Datasus/SIM). The second health database that we use in our analysis is the National System of Information on Birth Records (Datasus/SINASC), which covers every registered birth in Brazil.The data provide information on, among other things, birth weight, length of gestation, and APGAR score. The data also provide the exact date of birth, the municipality of birth, the municipality of residence of the mother, as well as selected characteristics of the mother (such as age and schooling). The third health dataset is the National System of Information on Hospitalizations (Datasus/SIH), which contains administrative information at the hospitalization level. The data are managed by the Health Care Agency (SAS/Ministry of Health) with support of local and regional public health agencies, which receive information about hospitalizations from public and private hospitals through standardized inpatient forms.

Funding information

Grant number

ES/N000048/1

Access

Publisher

UK Data Service

Publication year

2018

Terms of data access

The Data Collection is available for download to users registered with the UK Data Service.

Related publications

Not available