Hospitalizations due to primary care sensitive conditions in a population of older adults in the state of Rio Grande do Norte from 2008 to 2016

Abstract

Objective : To identify hospitalizations to primary care sensitive conditions among older adults in the state of Rio Grande do Norte, Brazil. Method : An ecological study using information from the Hospitalization Information System of the Unified Health System was carried out. Mortality rate, permanence and costs resulting from hospitalization in the period from 2008 to 2016 were analyzed according to residence, age and sex. Results : The greatest proportions of hospitalizations were due to bacterial pneumonias and gastroenteritis. Illnesses that could be prevented by immunization had the longest average stay (on average 17 days); the highest admission rates were among men and for the over 80 age group, both in the period 2008-2010. In the period 2014-2016, hospitalizations for primary care sensitive conditions (or HPCSC) corresponded to 30.90% of all hospitalizations and 16.36% of the hospitalization expenses of the state. The average cost per HPCSC was R$970.54 during the same three-year period. Conclusion : In Rio Grande do Norte, hospitalizations due to primary care sensitive conditions among older adults is decreasing, although it is still an important cause of hospitalization and public health spending.

Elderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District

“…Death by Ambulatory Care Sensitive Conditions progressively decreased in the period of 2008 to 2018, in the Federal District. Other studies presented similar results ( 15 ) , as one carried out in Santa Catarina from 2008 to 2015 ( 16 ) , and another from Rio Grande do Sul, carried out from 2008 to 2016 ( 17 ) . However, in Finland, the death of elders due to Ambulatory Care Sensitive Conditions increased, when all causes were compared ( 18 ) .…”

Mortalidade de idosos por causas sensíveis e cobertura de Atenção Primária no Distrito Federal

“…A mortalidade por condições sensíveis à APS apresentou queda progressiva no período de 2008 a 2018, no Distrito Federal. Outros estudos mostraram resultados semelhantes (15) , como em Santa Catarina, no período de 2008 a 2015 (16) ; e no Rio Grande do Norte, de 2008 a 2016 (17) . Porém, na Finlândia, foi mostrado aumento da mortalidade de idosos por causas sensíveis à atenção ambulatorial, comparando-se com todas as causas (18) .…”

Avoidable hospitalizations of the elderly in the state of Ceará: a descriptive ecological study

“…A ocorrência de ICSAP em idosos, além de outros fatores, pode estar relacionada às limitações de acesso mais comuns nessa população, como dificuldade de locomoção e transporte e alto grau de dependência. Com o aumento da expectativa de vida e o envelhecimento populacional, os problemas de saúde que mais acometem essa população são as doenças crônicas e/ou doenças de longa duração, exigindo ações mais onerosas e com uso de tecnologias mais complexas 20 .…”