Trends in hospitalization due to cardiovascular conditions sensitive to primary health care

Lentsck, Maicon Henrique; Latorre, Maria do Rosário Dias de Oliveira; Mathias, Thaís Aidar de Freitas

doi:10.1590/1980-5497201500020007

Cited by 13 publications

(17 citation statements)

References 24 publications

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“…17,24 Indeed, the increase in local and regional FHS coverage appears to be associated with the reduction in HACSC, even though the classic problems linked to primary health care continue to exist, such as economic, social and political factors, as well as certain problems proper to health services, which are capable of influencing the risk of hospitalization. [25][26][27] Small municipalities with 100% FHS coverage showed high proportions of HACSC recorded in the period studied. It is known that FHS coverage is inversely proportional to population size.…”

Section: Discussionmentioning

confidence: 91%

Internações por condições sensíveis à atenção primária no estado de Rondônia: estudo descritivo do período 2012-2016

Santos¹,

Lima²,

Fontes³

2019

Epidemiologia e Serviços de Saúde

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Objective: to describe the frequency and reasons for hospitalizations for ambulatory care-sensitive conditions (HACSC) in Rondônia, Brazil, between 2012 and 2016, and to analyze their relationship with the evolution of the coverage of the family health strategy (FHS) in the same period. Methods: this was a descriptive study of secondary data from the Brazilian National Health System's Hospital Information System. Results: during the period of the study 133,958 HACSC were authorized, corresponding to a rate of 75 hospitalizations/1,000 inhab.; there was a parallel annual increase in FHS coverage and a slightly decreasing trend of authorized HACSC, although this was not statistically significant; in 2012, HACSC frequency was 20.7% in relation to all hospitalizations that occurred in the state, while in 2016 this indicator declined to 16.7%. Conclusion: HACSC frequency in Rondônia was high between 2012 and 2016; although there was an increase in FHS coverage in the same period, this increase was not accompanied by a significant change in the frequency of HACSC registered in the state.

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Section: Discussionmentioning

confidence: 91%

Internações por condições sensíveis à atenção primária no estado de Rondônia: estudo descritivo do período 2012-2016

Santos¹,

Lima²,

Fontes³

2019

Epidemiologia e Serviços de Saúde

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“…There is evidence that the expansion of the Family Health Strategy (FHS) is associated with a tendency to reduce this indicator 4 , 7 , 10 , 12 . Therefore, although the rates of ICSAP are still high when compared to those of other countries 24 , there was a decrease of more than 5% per year between 2008 and 2014 in Brazil 12 .…”

Section: Introductionmentioning

confidence: 99%

Structure and work process in primary care and hospitalizations for sensitive conditions

Araújo

Queiroz²,

Rocha

et al. 2017

Rev. saúde pública

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OBJECTIVE The objective of this study is to investigate whether the characteristics of the structure of primary health units and the work process of primary care teams are associated with the number of hospitalizations for primary care sensitive conditions.METHODS In this ecological study, we have analyzed data of Brazilian municipalities related to sociodemographic characteristics, coverage of care programs, structure of primary health units, and work process of primary care teams. We have obtained the data from the first cycle of the Brazilian Program for Improving Access and Quality of the Primary Care, of the Department of Information Technology of the Brazilian Unified Health System, the Brazilian Institute of Geography and Statistics, and the United Nations Development Programme. The associations have been estimated using negative binomial regression coefficients (β) and respective 95% confidence intervals, with a hierarchical approach in three levels (alpha = 5%).RESULTS In the adjusted analysis for the outcome in 2013, in the distal level, the coverage of the Bolsa Família Program (β = -0.001) and private insurance (β = -0.01) had a negative association, and the human development index (β = 1.13), the proportion of older adults (β = 0.05) and children under the age of five (β = 0.05), and the coverage of the Community Health Agent Strategy (β = 0.002) showed positive association with hospitalizations for primary care sensitive conditions. In the intermediate level, minimum hours (β = -0.14) and availability of vaccines (β = -0.16) showed a negative association, and availability of medications showed a positive association (β = 0.16). In the proximal level, only the variable of matrix support (β = 0.10) showed a positive association. The variables in the adjusted analysis of the number of hospitalizations for primary care sensitive conditions in 2014 presented the same association as in 2013.CONCLUSIONS The characteristics of the structure of primary health units and the work process of the primary care teams impact the number of hospitalizations for primary care sensitive conditions in Brazilian municipalities.

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“…On the other hand, studies point to the heterogeneity of the quality of care provided by the ESF, which offers diversified portfolios of health services and actions to respond to the attribute of the sometimes insufficient comprehensiveness [5][6][7][8] . Some of these findings highlight better performance in mother and child health outcomes [9][10][11][12][13] , others point to reduced hospitalizations due to PHC-sensitive causes [14][15][16][17] , while others show a clinically insufficient performance.…”

Section: Introductionmentioning

confidence: 99%

A qualidade da Atenção Primária à Saúde na Rocinha – Rio de Janeiro, Brasil, na perspectiva dos cuidadores de crianças e dos usuários adultos

Pinto

Harzheim

Hauser

et al. 2017

Ciênc. saúde coletiva

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Trends in hospitalization due to cardiovascular conditions sensitive to primary health care

Cited by 13 publications

References 24 publications

Internações por condições sensíveis à atenção primária no estado de Rondônia: estudo descritivo do período 2012-2016

Internações por condições sensíveis à atenção primária no estado de Rondônia: estudo descritivo do período 2012-2016

Structure and work process in primary care and hospitalizations for sensitive conditions

A qualidade da Atenção Primária à Saúde na Rocinha – Rio de Janeiro, Brasil, na perspectiva dos cuidadores de crianças e dos usuários adultos

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