Internações hospitalares por causas sensíveis à atenção primária no Distrito Federal, 2008

Abstract

OBJECTIVE:To analyze hospitalization rates due to ambulatory care-sensitive conditions. METHODS:The study used data from the Hospital Database of the Brazilian National Health System corresponding to the Federal District in the year of 2008. The main diagnosis for hospitalization was analyzed based on the International Classifi cation of Diseases, and absolute frequency, proportion and coeffi cient were calculated according to causes, age groups and sex. RESULTS:The ambulatory care-sensitive conditions (ACSC) represented approximately 20% of the hospital admissions in the National Health System. The most frequent conditions were: gastroenteritis (2.4%), heart failure (2.3%), and kidney and urinary tract infection (2.1%). The following aspects were verifi ed: signifi cant hospitalization rates due to ACSC in the infant group (< 1 year of age), an important reduction in the following age groups (1 to 29 years), and a gradual increase until the more advanced ages. Compared to men, hospitalization rates were slightly higher among young women (20 to 29 years) and lower among women older than 49 years. CONCLUSIONS:Hospitalizations due to ACSC represented 19.5% of all hospital admissions in the Federal District (2008), and the main causes of hospitalizations were gastroenteritis, heart failure and kidney and urinary tract infection. The effectiveness of primary health care in preventing these events in the Federal District is discussed.

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

“…Generally speaking, the positive association between admissions for PCSCs and age extremes in this study has also been identified in other studies 9,10 . Among younger individuals, this highlights the higher admissions rates for PCSCs in the 1 to 4 year age bracket, compared to infants (< 1 year).…”

“…Heart failure was identified as the second leading cause of admissions for PCSCs in the country, with 16.8 per 10,000 inhabitants in 2006 2 . Heart failure was also identified as the second cause of admissions for PCSCs in a study in the Federal District (Brasilia), with 14.4 admissions per 10,000 inhabitants in 2008, mainly in males and in the 60 and older age bracket 10 . A study from 1995 to 2004 in Pelotas, Rio Grande do Sul State, found that heart failure was the leading cause of admissions for PCSCs in males during eight of the ten years studied 17 .…”

“…In order to better understand admissions for PCSCs, Brazilian and international studies have frequently focused on their characterization and the identification of associated socio-demographic and healthcare-related variables 3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18 . Brazil has also seen analytical ecological studies that have associated the decline in admissions for PCSCs with the expansion of primary care by the Family Health Strategy (FHS) 19,20 , as well as descriptive studies on the correlation between the decline in the rates or proportions of admissions for PCSCs and the strategy's expansion in more limited geographic areas 21,22,23 .…”

Hospitalizações por condições sensíveis à atenção primária em Pelotas: 1998 a 2012

“…However, the average hospitalization rate was 157.6 for each 10,000 males but 165.1 per 10,000 females, i.e., values lower than those observed in Pelotas in 2012 19 . Nonetheless, admission rates in Pelotas were still lower than those found in the states of Campo Grande, Mato Grosso do Sul 20 , and in the Federal District 21 . Analysis by age and causes of admission shows that HPCSC were higher among those under 1 year and points to a decline in other age groups.…”

Condições sensíveis à Atenção Primária no Brasil: uma revisão integrativa da literatura

“…A condução dos serviços da APS é condição essencial para que gestores possam, nos diversos âmbitos do sistema de saúde, conduzir os serviços por meio de medidas e tomada de decisão adequadas (27,41) . (25) . Além disso, o pacto pela saúde propõe superar a fragmentação das políticas e programas de saúde, por meio da estruturação de redes de maneira solidária e regionalizada de ações e serviços para melhor qualificação do processo de gestão, e tendo a APS como centro dessa rede (4) .…”