http://www.ncbi.nlm.nih.gov/pubmed/23078478
Pagamentos a um trabalhador de saúde são feitas para os cuidados em casa para vítimas de derrame.
The Brazilian Family Health Program and secondary stroke and myocardial infarction prevention: a 6-year cohort study.
Cabral NL1,
Franco S,
Longo A,
Moro C,
Buss TA,
Collares D,
Werlich R,
Dadan DD,
Fissmer CS,
Aragão A,
Ferst P,
Palharini FG,
Eluf-Neto J,
Fonseca LA,
Whiteley WN,
Gonçalves AR.
Abstract
OBJECTIVES:
We compared the incidence of recurrent or fatal cardiovascular disease in patients using Brazil's government-run Family Health Program (FHP) with those using non-FHP models of care.
METHODS:
From 2005 to 2010, we followed outpatients discharged from city public hospitals after a first ever stroke for stroke recurrence and myocardial infarction, using data from all city hospitals, death certificates, and outpatient monitoring in state-run and private units.
RESULTS:
In the follow-up period, 103 patients in the FHP units and 138 in the non-FHP units had exclusively state-run care. Stroke or myocardial infarction occurred in 30.1% of patients in the FHP group and 36.2% of patients in non-FHP care (rate ratio [RR] = 0.85; 95% confidence interval [CI] = 0.61, 1.18; P = .39); 37.9% of patients in FHP care and 54.3% in non-FHP care (RR = 0.68; 95% CI = 0.50, 0.92; P = .01) died. FHP use was associated with lower hazard of death from all causes (hazard ratio [HR] = 0.58; P = .005) after adjusting for age and stroke severity. The absolute risk reduction for death by all causes was 16.4%.
CONCLUSIONS:
FHP care is more effective than is non-FHP care at preventing death from secondary stroke and myocardial infarction.
Payments to a health care worker are made for at-home care for stroke victims.
