Internações por condições sensíveis à atenção primária em município do sudeste do Brasil

Abstract

The study did not exhibit any remarkable differences in HPCSC rates between the periods. Regarding the most frequent causes, reduced hospitalization rates for gastroenteritis, asthma, high blood pressure, and cerebrovascular diseases were observed, as well as increased hospitalizations for heart failure, pulmonary diseases, epilepsies, and kidney and urinary tract infections; these hospitalizations occurred differently by gender and age group. The results showed that a deep reflection regarding the determinants of hospitalizations for avoidable causes is needed.

Social determinants of hospitalizations for ambulatory care sensitive conditions in Guarulhos, São Paulo

“…This fact is in line with other studies (14,17) . Concerning the low incidence of hospitalizations for ACSC among young people between 15 and 24 years old, this must be interpreted taking into account the social and vulnerability factors that affect this age group, such as the early insertion in the labor market and exploitation, the difficulty of access to school and health services, violence, use of drugs, illtreatment, and social exclusion, among others (28) .…”

“…The increase in hospitalization rates for ACSC in the municipality (23%) corroborates the results of a study carried out in Juiz de Fora, State of Minas Gerais (14) , but stands out from most similar publications that pointed out decreases of these rates in different regions (8)(9)(11)(12) . This increase is possibly related to the low influence of the organization of the ambulatory system on hospitalizations.…”

“…The most frequent causes of hospitalizations for ACSC in Guarulhos --cardiac failure, cerebrovascular disease and angina --are similar to other results in the country (9,12,14) . It is worth highlighting the difficulty comparing results with international studies, as they use different lists of ACSC; however, the diagnoses given are in line with foreign studies (10,15) .…”

“…This measure was initially developed in the United States at the end of the 1980s, and has since been applied as an assessment and monitoring tool in PHC, in areas of different sizes (9)(10)(11)(12)(13)(14) .…”

Risco de interpretação falaciosa das internações por condições sensíveis à atenção primária em contextos locais, Itaboraí, Rio de Janeiro, Brasil, 2006-2011

“…The study was motivated by the observation of high admissions rates for PCSCs in ered by the SUS, and explore the impact of closing a hospital on admissions rates for PCSCs, thereby contributing to an on-going debate on the indiscriminate use of this indicator for inferences on the expansion and quality of primary care 28,29,30 . The target period is 2006 to 2011, when coverage by the FHP/FHS in the municipality varied irregularly from approximately 65% to 71% (Índice de Desempenho do Sistema Único de Saúde.…”