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	<title>public health outcomes &#8211; Science</title>
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	<title>public health outcomes &#8211; Science</title>
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		<title>Critical Path Institute to Receive Reagan-Udall Foundation Innovation Award</title>
		<link>https://scienmag.com/critical-path-institute-to-receive-reagan-udall-foundation-innovation-award/</link>
		
		<dc:creator><![CDATA[Courtney Benton]]></dc:creator>
		<pubDate>Tue, 14 Oct 2025 21:24:56 +0000</pubDate>
				<category><![CDATA[Policy]]></category>
		<category><![CDATA[2025 award ceremony Washington D.C.]]></category>
		<category><![CDATA[biomedical data translation]]></category>
		<category><![CDATA[collaborative healthcare initiatives]]></category>
		<category><![CDATA[Critical Path Institute]]></category>
		<category><![CDATA[cross-sector alliances in healthcare]]></category>
		<category><![CDATA[drug development acceleration]]></category>
		<category><![CDATA[innovative regulatory tools]]></category>
		<category><![CDATA[patient care improvements]]></category>
		<category><![CDATA[public health outcomes]]></category>
		<category><![CDATA[Reagan-Udall Foundation Innovation Award]]></category>
		<category><![CDATA[regulatory science advancements]]></category>
		<category><![CDATA[transformative healthcare innovations]]></category>
		<guid isPermaLink="false">https://scienmag.com/critical-path-institute-to-receive-reagan-udall-foundation-innovation-award/</guid>

					<description><![CDATA[In a landmark recognition that highlights the transformative power of innovative regulatory science, Critical Path Institute® (C-Path) has been honored with the 2025 Innovation Award by the Reagan-Udall Foundation for the FDA. This prestigious accolade celebrates organizations whose pioneering endeavors in regulatory science and policy have tangibly advanced public health outcomes. The award ceremony, scheduled [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In a landmark recognition that highlights the transformative power of innovative regulatory science, Critical Path Institute® (C-Path) has been honored with the 2025 Innovation Award by the Reagan-Udall Foundation for the FDA. This prestigious accolade celebrates organizations whose pioneering endeavors in regulatory science and policy have tangibly advanced public health outcomes. The award ceremony, scheduled for December 9, 2025, at the Willard InterContinental Hotel in Washington, D.C., will bring together key stakeholders from government, industry, and academia to acknowledge the contributions that redefine the landscape of drug development.</p>
<p>C-Path&#8217;s pioneering work epitomizes the intersection of scientific rigor and collaborative ingenuity that is essential for accelerating the development of new therapies. By crafting sophisticated, regulatory-grade tools and catalyzing cross-sector alliances, C-Path has substantially truncated the timelines traditionally associated with drug development. These tools not only facilitate more efficient regulatory decisions but also underpin the translation of complex biomedical data into actionable insights that directly impact patient care.</p>
<p>At its core, the Innovation Award underscores the integral role that neutral, science-based convening plays in fostering advancements that resonate throughout the healthcare ecosystem. As M. Wainwright Fishburn, J.D., Chairman of C-Path’s Board of Directors, notes, the accolade reflects the collective effort of multiple collaborators dedicated to advancing patient outcomes. The practical deployment of C-Path’s tools by regulators and developers signifies a shared commitment to evidence-based decision-making aimed at improving therapeutic efficacy and safety.</p>
<p>Innovation in regulatory science demands more than just technological advancement; it requires a synergistic coalition spanning academia, industry, governmental bodies, and patient advocacy groups. Klaus Romero, M.D., M.S., FCP, and Chief Executive Officer of C-Path, emphasizes this collaborative spirit as the foundation of their success. By integrating diverse datasets into C-Path’s robust platform, their teams generate biomarkers, clinical trial simulators, and outcomes models that serve as cornerstones for real-world regulatory and development decisions. This translational approach is designed to minimize risk and enhance the precision of therapeutic interventions.</p>
<p>The Reagan-Udall Foundation’s 2025 honor roll reflects a broader commitment to dismantling barriers that impede drug development and patient-centered innovation. Their recognition of leadership, bold policy initiatives, and groundbreaking science reaffirms a shared vision: to ensure that innovation tangibly enhances public well-being. This year’s cohort of awardees, including the Produce Safety Alliance for Leadership and Loren A. Eng for Advocacy/Policy, exemplify the multifaceted strategies necessary to elevate health standards across various sectors.</p>
<p>In an era marked by increasingly complex modalities and evolving clinical trial paradigms, C-Path’s contributions are particularly significant. Their scientific methodology embraces rigorous analytics and shared data infrastructures, which are critical in an environment where trial sizes are shrinking yet demands for patient-centered evidence are rising. These innovations enable pharmaceutical stakeholders to navigate regulatory pathways with greater clarity and confidence, ensuring that novel therapies reach patients more rapidly without compromising safety.</p>
<p>The evolution of C-Path since its inception in 2005 parallels the broader advancements in regulatory science inspired by the FDA’s Critical Path Initiative. Established as a neutral, nonprofit public-private partnership, C-Path has become a global nexus for advancing translational medicine. With a network exceeding 1,600 experts spanning government, academia, patient organizations, and industry, they exemplify the collaborative ecosystem necessary for impactful scientific innovation.</p>
<p>Central to C-Path’s mission is the validation and application of biomarkers and clinical trial simulation models that have been rigorously qualified by regulatory authorities worldwide. These tools reduce uncertainties inherent in drug development and inform decision-making processes throughout the product lifecycle. This approach results in more efficient trial designs and improved predictive power, fundamentally changing how new therapies are evaluated and brought to market.</p>
<p>Critical Path Institute operates out of Tucson, Arizona, with a European subsidiary situated in Amsterdam, Netherlands, enabling it to foster global partnerships that cross regulatory jurisdictions. This geographical reach enhances its ability to orchestrate multinational consortia addressing complex diseases and treatment modalities. Their infrastructure epitomizes a modern research paradigm emphasizing openness, interoperability, and consensus-driven progress.</p>
<p>Looking forward, C-Path remains committed to pushing the boundaries of what regulatory science can achieve. Their ongoing initiatives aim to integrate emerging data science techniques, including advanced machine learning and real-world evidence analytics, into their platforms. Such integration promises to refine the predictive capabilities of their tools even further, optimizing therapeutic development and enabling regulators and developers to make more nuanced, patient-focused decisions.</p>
<p>The recognition by the Reagan-Udall Foundation not only celebrates C-Path’s past achievements but also signals growing institutional acknowledgment of the critical role that neutral, collaborative entities play in public health innovation. As regulatory frameworks continue to adapt to scientific advancements, organizations like C-Path represent essential pillars supporting the safe and effective delivery of next-generation treatments worldwide.</p>
<p>Subject of Research:<br />
Article Title:<br />
News Publication Date: October 14, 2025<br />
Web References:<br />
&#8211; https://reaganudall.org/<br />
&#8211; https://c-path.org/</p>
<p>Keywords:<br />
Drug development, Drug discovery, Pharmacology, Health and medicine, Diseases and disorders, Human health, Research methods, Life sciences, Scientific community</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">91027</post-id>	</item>
		<item>
		<title>Telemedicine Payment Parity Linked to Reduced Overdose Rates</title>
		<link>https://scienmag.com/telemedicine-payment-parity-linked-to-reduced-overdose-rates/</link>
		
		<dc:creator><![CDATA[Ophelia Keating]]></dc:creator>
		<pubDate>Thu, 18 Sep 2025 09:40:53 +0000</pubDate>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[equitable payment structures]]></category>
		<category><![CDATA[financial barriers to healthcare]]></category>
		<category><![CDATA[healthcare delivery innovations]]></category>
		<category><![CDATA[healthcare system reevaluation]]></category>
		<category><![CDATA[opioid crisis impact]]></category>
		<category><![CDATA[overdose rate reduction]]></category>
		<category><![CDATA[public health outcomes]]></category>
		<category><![CDATA[rural healthcare access]]></category>
		<category><![CDATA[substance use disorder treatment]]></category>
		<category><![CDATA[telemedicine and public health]]></category>
		<category><![CDATA[telemedicine payment parity]]></category>
		<category><![CDATA[telemedicine reimbursement policies]]></category>
		<guid isPermaLink="false">https://scienmag.com/telemedicine-payment-parity-linked-to-reduced-overdose-rates/</guid>

					<description><![CDATA[In an unprecedented exploration of the intersection between telemedicine payment policies and public health outcomes, researchers have recently published a concise report revealing correlations that could reverberate through healthcare systems. The study, authored by J.C. Chen, S. Diagne, and A.E. Block, was undertaken to shed light on a critical issue: the influence of payment parity [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In an unprecedented exploration of the intersection between telemedicine payment policies and public health outcomes, researchers have recently published a concise report revealing correlations that could reverberate through healthcare systems. The study, authored by J.C. Chen, S. Diagne, and A.E. Block, was undertaken to shed light on a critical issue: the influence of payment parity for telemedicine on overdose rates. The research highlights a pressing need for systemic reevaluation of telemedicine reimbursement frameworks, particularly in light of the ongoing opioid crisis that has dominated headlines in recent years.</p>
<p>As telemedicine becomes an increasingly viable alternative for healthcare delivery, especially post-pandemic, understanding its role in addressing substance use disorders has emerged as a significant area of interest. The findings indicate that regions implementing telemedicine payment parity may experience drastically reduced overdose rates, suggesting that financial barriers are a considerable determinant of health outcomes. These revelations not only prompt discussions on medical economics but also urge policymakers to consider the implications of equitable payment structures.</p>
<p>At the core of the report is the notion that access to treatment services can be significantly enhanced through telemedicine. By enabling patients to engage with healthcare providers without the need for physical travel, especially in rural and underserved areas, telemedicine can play a pivotal role in improving access to treatment programs for substance use. The study&#8217;s authors argue that when reimbursement policies are designed to support telehealth services equivalently to traditional in-person care, it fosters greater utilization of these essential resources.</p>
<p>Moreover, the research underscores a critical finding: in regions where payment parity exists, more healthcare providers are likely to offer telemedicine services. This availability translates into increased patient engagement, which is crucial for effective interventions in addiction medicine. The report indicates that individuals struggling with substance use disorders are often at a disadvantage when it comes to accessibility, making telemedicine a game-changer if adequately supported through policy frameworks.</p>
<p>The implications of this research extend far beyond economic considerations. There is a moral and social dimension to the conversation—the urgency of addressing the devastating impacts of the opioid epidemic cannot be overstated. While the ascent of telemedicine was accelerated by necessity during the COVID-19 pandemic, the question remains whether these service delivery innovations will be sustained and expanded in an equitable manner. Payment parity emerges as a vital piece of the puzzle, connecting financial viability with public health objectives.</p>
<p>Chen, Diagne, and Block emphasize the importance of continual assessment and adaptation of telehealth policies as the healthcare landscape evolves. As new modalities of care gain traction, there must be a deliberate effort to ensure that they do not inadvertently perpetuate existing disparities in healthcare access. This report serves as both a cautionary tale and a hopeful blueprint—pointing to tangible strategies that can be implemented to bridge gaps in care for vulnerable populations.</p>
<p>In delving into the specifics of overdose rates, the researchers provide compelling evidence linking improved access to treatment via telemedicine and enhanced recovery outcomes. Their analysis reveals that integrating telemedicine into treatment plans can facilitate timely interventions, which are crucial in curbing the prevalence of overdose incidents. This synergy between technology and treatment presents a promising avenue for reforming how substance abuse is approached at a systemic level.</p>
<p>As health systems grapple with the dual challenges of an opioid crisis and the maturation of digital health services, the authors call for an urgent recalibration of priorities within healthcare policy. The potential benefits of telemedicine have been laid out clearly—reduced barriers to access, increased provider offerings, and ultimately, a lifeline for individuals in need of urgent care. However, these advantages can only be fully realized if payment structures are aligned with the realities of modern healthcare delivery.</p>
<p>The report also touches upon the necessity for data-driven policy design—a theme that resonates deeply within the current discourse surrounding healthcare reform. Empirical evidence, as presented by the researchers, must guide the decisions made by policymakers to ensure that telemedicine becomes not just a stopgap measure, but a fundamental aspect of our healthcare system. The notion of payment parity is not merely an economic consideration; it embodies a commitment to reducing health disparities and ultimately promoting social equity.</p>
<p>In light of these findings, healthcare stakeholders, including insurers and government entities, are urged to take bold actions. Comprehensive strategies must be constructed to ensure that telemedicine is not relegated to the shadows once the public health crisis subsides. Payment parity is a crucial lever for change, and its implementation could play a crucial role in preventing future overdose tragedies.</p>
<p>As the research suggests, there is an undeniable link between equitable payments for telemedicine services and the broader goal of addressing the opioid epidemic. Without concerted efforts to integrate telemedicine into standard care protocols with adequate financial support, the substantial gains made during recent crises risk stagnation or regression. The path forward mandates a collaborative approach, integrating multiple stakeholders united in the goal of improving public health outcomes.</p>
<p>As we reflect on these findings, an invigorated dialogue is necessary—one that thoughtfully examines how telemedicine can not only supplement but potentially transform care delivery. The intersection of technology and healthcare policy presents vast opportunities, and with the right frameworks in place, we can realign our healthcare systems to better serve those most at risk, championing recovery and resilience in the face of adversity.</p>
<p>The implications of this report resonate on a national level, prompting urgency in legislative reform and healthcare practice adaptation. By embracing telemedicine payment parity, we could see a monumental shift in the trajectory of overdose rates. Such action is not just a healthcare imperative; it is, at its core, a profound moral obligation to serve those who are often overlooked in the traditional frameworks of care.</p>
<p>In their compelling report, Chen, Diagne, and Block advocate for a bold vision of healthcare—a landscape where treatment for substance use disorders is accessible, effective, and inherently equitable. Their insights offer a clarion call to action, urging health systems to invest in the future of care that is inclusive and responsive to the multifaceted challenges presented by crises like the opioid epidemic.</p>
<hr />
<p><strong>Subject of Research</strong>: Telemedicine Payment Parity and its Impact on Overdose Rates</p>
<p><strong>Article Title</strong>: Concise Research Report: Telemedicine Payment Parity and Overdose Rates</p>
<p><strong>Article References</strong>:</p>
<p class="c-bibliographic-information__citation">Chen, J.C., Diagne, S. &amp; Block, A.E. Concise Research Report: Telemedicine Payment Parity and Overdose Rates.<i>J GEN INTERN MED</i>  (2025). https://doi.org/10.1007/s11606-025-09875-y</p>
<p><strong>Image Credits</strong>: AI Generated</p>
<p><strong>DOI</strong>: 10.1007/s11606-025-09875-y</p>
<p><strong>Keywords</strong>: Telemedicine, Payment Parity, Overdose Rates, Substance Use Disorders, Health Policy, Healthcare Access, Opioid Crisis, Treatment Accessibility, Economic Impact, Recovery Outcomes.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">79666</post-id>	</item>
		<item>
		<title>Brazilian Social Program Averts Over 8 Million Hospitalizations and 713,000 Deaths Over Two Decades</title>
		<link>https://scienmag.com/brazilian-social-program-averts-over-8-million-hospitalizations-and-713000-deaths-over-two-decades/</link>
		
		<dc:creator><![CDATA[Courtney Benton]]></dc:creator>
		<pubDate>Thu, 29 May 2025 23:17:42 +0000</pubDate>
				<category><![CDATA[Social Science]]></category>
		<category><![CDATA[Bolsa Família Programme]]></category>
		<category><![CDATA[Brazil social safety net]]></category>
		<category><![CDATA[conditional cash transfers]]></category>
		<category><![CDATA[educational advancement programs]]></category>
		<category><![CDATA[health system demands]]></category>
		<category><![CDATA[hospitalizations prevention]]></category>
		<category><![CDATA[long-term health interventions]]></category>
		<category><![CDATA[mortality reduction strategies]]></category>
		<category><![CDATA[poverty alleviation initiatives]]></category>
		<category><![CDATA[preventive health care integration]]></category>
		<category><![CDATA[public health outcomes]]></category>
		<category><![CDATA[social determinants of health]]></category>
		<guid isPermaLink="false">https://scienmag.com/brazilian-social-program-averts-over-8-million-hospitalizations-and-713000-deaths-over-two-decades/</guid>

					<description><![CDATA[In 2024, Brazil commemorated two decades of its pioneering Bolsa Família Programme (BFP), a vital conditional cash transfer initiative widely recognized as one of the world&#8217;s largest and most influential social safety nets. A newly published study in The Lancet Public Health offers an unprecedented, data-driven examination of the programme’s profound impact on public health [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In 2024, Brazil commemorated two decades of its pioneering Bolsa Família Programme (BFP), a vital conditional cash transfer initiative widely recognized as one of the world&#8217;s largest and most influential social safety nets. A newly published study in <em>The Lancet Public Health</em> offers an unprecedented, data-driven examination of the programme’s profound impact on public health outcomes and health system demands across Brazil from 2004 to 2019. Combining retrospective real-world data with predictive microsimulation modeling, this research quantifies how the BFP has prevented over 8.2 million hospitalizations and more than 713,000 deaths, while forecasting that extending the programme’s coverage until 2030 could avert an additional 683,000 deaths. These staggering figures underscore the programme’s potential as both a health intervention and a social determinant of health worth sustaining and expanding.</p>
<p>The Bolsa Família Programme operates by providing monthly cash transfers to low-income families contingent on compliance with specific health and education benchmarks, such as school attendance and up-to-date childhood immunizations. By enforcing these conditionalities, the BFP integrates social protection with preventive health care and educational advancement, tackling poverty and its health sequelae simultaneously. In the context of a growing “polycrisis,” where multiple global challenges—ranging from armed conflicts to climate change and inflation—intersect and exacerbate vulnerabilities, such holistic interventions are critically important. The BFP’s model demonstrates how targeted social policies can disrupt the cyclical intergenerational transmission of poverty while concurrently boosting national health metrics.</p>
<p>The recent study was orchestrated by experts at the Barcelona Institute for Global Health (ISGlobal), a leading research institution supported by the “la Caixa” Foundation. The collaborative effort involved epidemiologists and public health specialists from the Institute for Collective Health at Brazil’s Federal University of Bahia. Using a rigorous approach, the team linked nationwide administrative records on mortality and hospitalizations with socioeconomic and geographic data to conduct detailed retrospective analyses. Subsequently, sophisticated microsimulation models projected future impacts under several plausible policy scenarios, including programme expansion, maintenance, and contraction amid fiscal austerity.</p>
<p>One of the most striking findings highlights the differential health benefits across age groups. The analysis revealed a robust 33% reduction in mortality among children under five years of age attributable to the BFP, a population segment particularly vulnerable to the deleterious effects of poverty and inadequate healthcare access. Equally remarkable, hospitalizations decreased by 48% among adults over 70, indicating that the programme’s protective effects extend beyond early childhood and significantly reduce the burden of chronic and acute illnesses in the elderly. These outcomes not only reduce human suffering but also represent substantial cost savings for Brazil’s overburdened public healthcare system.</p>
<p>Geographically and socially, the programme was found to disproportionately benefit communities suffering from higher disease burdens and entrenched health disparities. By channeling financial support to the most marginalized populations, the BFP has played a pivotal role in narrowing territorial inequities in health care access and outcomes. This dual impact—both economic and epidemiological—exemplifies the transformative potential of integrated public policies that combine social protection mechanisms with guaranteed access to essential health services. Such synergies are crucial in emergent economies grappling with stark disparities, demonstrating that social welfare policies can serve as fundamental pillars of population health strategies.</p>
<p>From a methodological standpoint, the study’s use of microsimulation modeling represents an advanced approach to evaluating social programs’ health impacts in a real-world context. These models integrate multidimensional datasets, including demographic, socioeconomic, and health indicators, allowing researchers to simulate individual life courses and population-level changes under various intervention scenarios. This technique provides robust estimates of causal effects and forecasts, offering policymakers actionable insights about the health and economic returns of expanding or contracting social protection schemes such as Bolsa Família. The modeling further accounts for contextual complexities, including regional variability and evolving epidemiological trends.</p>
<p>The projections underscore a critical public health warning: funding cuts and reduced coverage associated with fiscal austerity will likely reverse the health gains achieved over the last two decades. In fiscal contraction scenarios, mortality rates are projected to climb sharply, and hospital admission rates may surge, amplifying pressure on Brazil&#8217;s health infrastructure and increasing preventable suffering. This insight is particularly relevant against the backdrop of global declines in humanitarian aid and budgetary constraints facing many low- and middle-income countries. The study’s findings argue compellingly for the prioritization of social protection investments, not only as social justice imperatives but as cost-effective public health strategies.</p>
<p>Importantly, the research frames the Bolsa Família Programme as a concrete mechanism to advance the United Nations’ Sustainable Development Goals (SDGs). It directly contributes to SDG 1 (No Poverty), SDG 3 (Good Health and Well-being), and SDG 10 (Reduced Inequalities). By demonstrating how conditional cash transfers impact mortality and morbidity through improved socioeconomic and healthcare conditions, the programme embodies the intersectionality inherent in the SDGs. This integrative effect exemplifies how targeted social policies can stimulate progress across multiple development dimensions simultaneously, serving as a model for other nations pursuing holistic pathways to sustainable development.</p>
<p>The study’s implications extend beyond Brazil, feeding into global conversations about social protection and poverty reduction at forums like the G20 summit, where the Global Alliance Against Hunger and Poverty was reinforced in 2024. Brazil’s successful implementation and rigorous evaluation of Bolsa Família provide a replicable blueprint for other countries aiming to harness social cash transfers as instruments for health equity and poverty alleviation. This is especially pertinent in regions challenged by deep social inequalities, complex health burdens, and limited fiscal resources, where evidence-based policymaking can catalyze systemic transformation.</p>
<p>The researchers emphasize the importance of multilevel policy coherence, linking social assistance programs with health and education services to maximize impact. The Bolsa Família Programme’s design, which mandates both financial aid and compliance with health and educational conditions, highlights the advantages of integrated governance structures. Such models enable continuous engagement with beneficiaries, ensuring that cash transfers translate into tangible health benefits and human capital development. The study’s multidisciplinary approach, combining social science frameworks and computational modeling, illustrates how complex health interventions can be dissected, understood, and optimized for maximal public good.</p>
<p>As global humanitarian landscapes evolve, the Bolsa Família Programme&#8217;s legacy underscores that social protection schemes are more than economic lifelines—they are foundational determinants of public health resilience. The program’s documented prevention of millions of hospitalizations and deaths reveals the profound societal dividends yielded by sustained investments in social policies. Moreover, the microsimulation projections make a compelling case for expanding these initiatives as a means to safeguard vulnerable populations and reduce healthcare system overloads in the face of ongoing socioeconomic uncertainties and crises.</p>
<p>In summary, this landmark study enriches the scientific understanding of how conditional cash transfer programmes like Bolsa Família transcend immediate poverty alleviation to deliver far-reaching public health benefits. It sets a benchmark for future research and policymaking, advocating for evidence-informed expansions of social protection as pivotal to achieving equitable health outcomes. As the global community confronts intertwined challenges of poverty, health disparities, and fiscal constraints, the Brazilian experience offers both inspiration and practical guidance for harnessing social welfare as a powerful catalyst for sustainable health progress.</p>
<hr />
<p><strong>Subject of Research</strong>: People</p>
<p><strong>Article Title</strong>: Health effects of the Brazilian Conditional Cash Transfer programme on mortality and hospitalisation rates: a retrospective analysis and modelling study</p>
<p><strong>News Publication Date</strong>: 2024</p>
<p><strong>Web References</strong>:<br />
<a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(25)00091-X/fulltext">https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(25)00091-X/fulltext</a><br />
<a href="http://dx.doi.org/10.1016/S2468-2667(25)00091-X">http://dx.doi.org/10.1016/S2468-2667(25)00091-X</a></p>
<p><strong>References</strong>:<br />
Medeiros Cavalcanti, D., Ordoñez, J. A., Ferreira da Silva, A., Landin Basterra, E., L Moncayo, A., Chivardi, C., Hessel, P., Pietro Sironi, A., Paes de Sousa, R., Campello, T., Eugênio Souza, L., &amp; Rasella, D. (2025). Health effects of the Brazilian Conditional Cash Transfer programme on mortality and hospitalisation rates: a retrospective analysis and modelling study. <em>Lancet Public Health</em>.</p>
<p><strong>Keywords</strong>: Socioeconomics, Hospitals, Modeling, Mortality rates, Health care, Health care costs, Health care delivery</p>
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