Code for: "Socioeconomic inequalities in the quality of primary care under Brazil’s national pay-for-performance programme: a longitudinal study of family health teams"

Powell-Jackson, T, Kovacs, R and Borghi, J. 2021. Code for: "Socioeconomic inequalities in the quality of primary care under Brazil’s national pay-for-performance programme: a longitudinal study of family health teams". [Online]. London School of Hygiene & Tropical Medicine, London, United Kingdom. Available from: https://doi.org/10.17037/DATA.00002016.

Powell-Jackson, T, Kovacs, R and Borghi, J. Code for: "Socioeconomic inequalities in the quality of primary care under Brazil’s national pay-for-performance programme: a longitudinal study of family health teams" [Internet]. London School of Hygiene & Tropical Medicine; 2021. Available from: https://doi.org/10.17037/DATA.00002016.

Powell-Jackson, T, Kovacs, R and Borghi, J (2021). Code for: "Socioeconomic inequalities in the quality of primary care under Brazil’s national pay-for-performance programme: a longitudinal study of family health teams". [Data Collection]. London School of Hygiene & Tropical Medicine, London, United Kingdom. https://doi.org/10.17037/DATA.00002016.

Description

A Stata do file that contains code written to analyse longitudinal data on the quality of care delivered by family health teams participating in Brazil’s National Programme for Improving Primary Care Access and Quality (Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica [PMAQ]). The study analysed longitudinal data collected over three rounds of implementation: round 1 (Nov 2011 – Mar 2013), round 2 (Apr 2013 – Sep 2015) and round 3 (Oct 2015 – Dec 2019). The underlying PMAQ data are owned by the Ministry of Health in Brazil and we do not have permission to share the data publicly. However, we provide the codebook for the combined dataset.

Methods

Description of data capture

Many governments have introduced pay for performance (P4P) programmes to incentivise health providers to improve quality of care. Evidence is limited on whether P4P reduces or exacerbates disparities in healthcare. We examined socioeconomic inequalities in the performance of family health teams under Brazil’s National Programme for Improving Primary Care Access and Quality (PMAQ). We analysed longitudinal data on the quality of care delivered by family health teams participating in PMAQ over three rounds of implementation: round 1 (Nov 2011 – Mar 2013), round 2 (Apr 2013 – Sep 2015) and round 3 (Oct 2015 – Dec 2019). The primary outcome was the proportion of the maximum performance score obtained by family health teams (the PMAQ score), based on several hundred indicators of healthcare delivery. Using census data on local area household income, we examined the PMAQ score by income ventile. We provide the analysis code and the codebook that underpinned the study. Some of the data used in the study - which capture the performance of family health teams over three rounds of PMAQ implementation - are owned by the Ministry of Health in Brazil and we do not have permission to share the data publicly.

Data capture method

Compilation/Synthesis

Data Collection Period

From	To
1 November 2011	1 December 2019

Date (Date submitted to LSHTM repository)

19 January 2021

Language(s) of written materials

English

People & Groups

Data Creators	Powell-Jackson, T, Kovacs, R and Borghi, J
LSHTM Faculty/Department	Faculty of Public Health and Policy > Dept of Global Health and Development
Participating Institutions	London School of Hygiene & Tropical Medicine, London, United Kingdom, University of Brasilia, Brazil, Oswaldo Cruz Foundation-Fiocruz, Rio de Janeiro, Brazil, Federal University of Paraiba, Brazil, Ministry of Health of Brazil, Brazil, University of Southern Denmark, Denmark

Projects

Funders

Project	Funder	Grant Number	Funder URI
Unpacking the effect of the national pay for performance scheme (PMAQ) on inequalities in the financing and delivery of primary care in Brazil	Medical Research Council	MR/R022828/1	http://dx.doi.org/10.13039/501100000265
Unpacking the effect of the national pay for performance scheme (PMAQ) on inequalities in the financing and delivery of primary care in Brazil	Newton Fund	MR/R022828/1	http://dx.doi.org/10.13039/100010897