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In our data probably the most influential factor affecting the decisions to contract out was the administrative structures of the municipalities.
Though the organisational structures of the municipalities are different from general practitioners, this lack of a national strategy led to very different practices between individual municipalities [ 41].
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[MPC9] Some MPCs also experienced that the divisional organizational structure of the municipality made it difficult to implement e.g. integrated care pathways or common IT solutions involving different departments: "I have realized that when we use the word 'municipality' we are hopelessly naive, because there is no such thing as a municipality.
Additionally, to account for the hierarchical structure of the data, municipalities (Terrassa, Sant Boi de Llobregat, Molins de Rei, and Gavà) will be added to the model as random effects factors.
A conditional auto-regressive (CAR) effect was used to account for the spatial structure of the municipal-level data that effectively "borrows" information from adjacent municipalities to improve estimates for individual municipalities.
To do so we exploit both the structure of the network of municipalities, which determines which municipalities create spillovers on others, and the historical roots of local state capacity as the source of exogenous variation.
In collaboration with the Divisional Officer of Limbe the Council began demolishing houses and structures within the municipality built on waterways.
Each of the municipalities accumulated a debt.
The centroids of the municipalities were used to calculate ranges.
For the period under study, 1622 municipalities met the inclusion criteria for adequacy of vital information, representing 30% of the municipalities in Brazil.. We calculated age standardised mortality rates for ages 20-74 years by cause of death for each municipality by the method of direct standardisation, using the Brazilian population structure of the year 2000 as the standard population.
Because of the team structure in the municipality, it was necessary to conduct several information meetings (approximately 40) in order to reach as many of the employees as possible.
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