IMPACT OF THE HEALTH ACADEMY PROGRAM ON HOSPITAL ADMISSION EXPENSES FOR ISCHEMIC HEART DISEASE IN BRAZIL
Hospitalization, Unified Health System, Impact Evaluation, Policy Analysis, Primary Health Care, Health Costs.
Every year, millions of people are affected by Ischemic Heart Disease (IHD) worldwide,
which, in addition to causing harm to people's health, generates costs for the health system. The
development of these diseases can be related to modifiable factors such as physical inactivity, poor
eating habits and obesity. The Health Academy Program (HGP) is one of the main health promotion
strategies in Brazil and is present in more than half of Brazilian municipalities, with one of its
specific objectives being to increase the level of physical activity of the Brazilian population. The
objective of this study was to measure the impact of PAS on spending on hospital admissions due
to IHD in Brazil. To carry out this public health impact assessment, socioeconomic, demographic
and epidemiological data from 2007 to 2019 were used for all Brazilian municipalities. The
empirical strategy used pre-tests, ordinary least squares (OLS) econometric modeling, and quantile
regression as a robustness test, in addition to the Wald test to verify the overall significance of the
models. The results of this study showed that municipalities that implemented the PAS spent, on
average, 12.06% less on hospitalizations due to IHD than municipalities that did not, equivalent to
savings of approximately US$ 3,891 billion. This result was statistically significant at the 1% level.
The results of the quantile regression confirm the results of the OLS; however, there is a reduction
in the magnitude of the impact between the quantiles of distribution of expenses with
hospitalizations due to IHD. This research showed that the presence of the PAS provided a
reduction in expenses related to hospitalizations due to IHD, which may indicate that this program
effectively expands the scope of health promotion actions in primary health care. The evidence
generated from this study can be used to implement evidence-based policies aimed at preventing
and controlling chronic diseases in Brazil.