The study goals present an overview of Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in Guarulhos, SP, from 2008 to 2012. This is an ecological study based on secondary data obtained from the Brazilian Hospital Information System, and supported by the Praxical Theory of Intervention of Collective Health Nursing. Applied descriptive statistics for analysis. It was observed that Guarulhos shows an upward trend in hospitalizations by ACSC (20% increase), the most frequent causes of heart failure (11.8%), cerebrovascular disease (10.6%) and angina (9.7%), most frequently in the age group ≥ 65years old, for both sexes. The results are similar to other Brazilian studies, but their analysis should extrapolate the biological limits and the supply of healthcare resources, focusing on the social determinants of the health-disease process.

Introduction: Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) correspond to an indicator used in different countries, including Brazil, in order to indirectly assess the quality, resolution and timely access to primary care. There are few national studies that interpret the results of the ACSCs realistic view of Public Health and Social Determination of the health-disease process. Objective: To understand the landscape of ACSCs residents of the municipality of Guarulhos (São Paulo) and relate the social aspects that determine the profile of these hospitalizations. Method: Ecological research conducted in 2014 used a secondary elements of hospitalizations the years 2008-2012 available in the databases from the Hospital Information System of the Unified Health System (HIS-UHS) (electronically for public access), supported by the Praxical Theory of Intervention of Collective Health Nursing. Understanding the phenomenon of ACSCs actually Guarulhos was achieved through two categories of analysis: 1) Policies and health production in the municipality especially the APS and 2) Profiles of health and disease with emphasis on ACSCs. Groups of sensitive diagnoses were obtained from the Brazilian List ACSC with the information tabulated under the aid of Tabwin application (version 3.5) and analyzed using simple descriptive statistics on a spreadsheet in Microsoft Excel ®. Results: The rate of ACSC followed an upward trend, with positive percentage change of 20%, and the total ACSC in relation to general admissions (excluding obstetrics), was 16.2% (47,703 admissions). There was an inverse relationship between population coverage by family health teams and the occurrence of ACSC. Males were more affected by sensitive admissions, but with a difference of only 3% compared to females. It was found in the analysis of ACSCs by age group the number of admissions is directly proportional to the extremes of age, i.e. children and elderly had the highest percentage of avoidable hospitalizations. The five main causes of sensitive admissions were: heart failure, cerebrovascular disease, angina, pneumonia and bacterial infections in the kidney and urinary tract; and major diagnostic groups registered a positive variation were preventable by immunization and sensitive conditions, infections in the ear, nose and throat and anemia. Relate these results to the meager social indicators in the city, added to the large areas of social vulnerability in willing Guarulhos's territory. Conclusion: The increased rate of ACSC reveals the fragility of outpatient systems, with emphasis on primary care. Consolidation of Health Care Networks (SAN), facing chronic diseases, should be achieved by understanding the social determinants of illness in the process of population, paying in different public sectors in order to nurture the quality care, especially that promoted by primary care.

RESUMO A pesquisa em enfermagem é um importante espaço para a reflexão e a transformação da prática profissional. O objetivo deste estudo consistiu em analisar a lógica interna do que se refere ao título, ao problema de pesquisa e à adequação dos tópicos referentes à metodologia científica, nos trabalhos publicados em periódicos no período de 1999 a 2002 por enfermeiros assistenciais de um hospital-escola público do Paraná. Trata-se de uma pesquisa descritiva e documental de abordagem quantitativa, realizada a partir do levantamento de dados em fontes primárias. Constatou-se que os títulos dos artigos apresentavam-se claros e coerentes com o tema do estudo e a redação do problema encontrava-se na forma interrogativa indireta. Constatou-se igualmente que, apesar de a maioria dos trabalhos analisados no estudo ter utilizado o rigor científico na elaboração do artigo, em alguns textos não se cumpriu à risca a explicitação de elementos constituintes do método científico. Espera-se que a disseminação do conhecimento, neste contexto, possa contribuir para o aprimoramento da redação científica, fortalecendo a educação permanente de alunos, profissionais e pesquisadores em enfermagem, como no avanço desta área de conhecimento.

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