Impact evaluation of the Brazilian Integrated Border Health System
C. Krüger
, , C. Mendes Pinto Gomes Ferreira
, L. Guilherme Dácar da Silva Scorzafave
, C. Souza Passador
2023, Public Money and Management
Borders
Brazil
healthcare project
impact evaluation
medical tourism
migration
public policies
SIS-Fronteiras
trans-border population
Abstract
This study evaluates Brazil’s Integrated Border Health System (SIS-Fronteiras). First, propensity score matching and difference in differences techniques were applied to analyse the health indicators of the 588 municipalities in the border strip of Brazil. Second, the authors conducted and analysed 23 interviews and 12 focus groups. The results suggest that the inadequacy of the governance model explains the failure to improve healthcare conditions in these areas. This article contributes to deepening our understanding of public policies and, in particular, public health interventions in border regions.