Hospitalizações por condições cardiovasculares sensíveis à atenção primária em municípios goianos

Abstract

OBJECTIVE:To analyze rates of hospitalization due to primary care-sensitive cardiovascular conditions. METHODS:This ecological study on 237 municipalities in the state of Goiás, Central-West Brazil, between 2000 and, used data from the Hospital Information System and the Primary Care Information System. The hospitalization rates were calculated as the ratio between the number of hospitalizations due to cardiovascular conditions and the population over the age of 40 years. The data were evaluated over the three-year periods A (2000)(2001)(2002), B (2003-2005) and C (2006-2008), according to sex, age group, population size, whether the individual belonged to the metropolitan region, healthcare macroregion, distance from the state capital, living conditions index and coverage within the Family Health Strategy. The potential population coverage of the Family Health Strategy was calculated in accordance with Ministry of Health guidelines. The variability of the rates was evaluated using the t test and ANOVA. RESULTS:A total of 253,254 hospitalizations (17.2%) occurred due to primary care-sensitive cardiovascular conditions. The hospitalization rates diminished between the three-year periods: A (213.5, SD = 104.6), B (199.7, SD = 96.3) and C (150.2, SD = 76.1), with differences from A to C and from B to C (p < 0.001). Municipal population size did not infl uence the behavior of the rates. Municipalities near the state capital and those in the metropolitan area presented higher rates (p < 0.001). At all percentiles of the Life and Health Conditions Index, there were decreases in the rates (p < 0.001), except at percentile 1. Decreases were also observed in all the macroregions except for the northeastern region of the state. The reduction in rates was independent of the Family Health Strategy coverage. CONCLUSION:The rates of hospitalization due to primary care-sensitive cardiovascular conditions decreased in these municipalities, independent of the Family Health Strategy coverage.

Hospitalizations for Ambulatory Care Sensitive Noncommunicable Diseases of the Circulatory System

“…In agreement with the findings of other studies, [10][11][12] this study also shows that hospitalizations were more frequent among women in the case of most of the diseases under study, except hospitalizations for CD, which were more frequent among men. A hospital-based study, 13 conducted in a city in Paraná addressing ACSC hospitalizations among women, reports that 49.42% of the hospitalizations in the study group were caused by ACSC.…”

“…1 An ecological study 12 conducted in the state of Goiás, Brazil with 221 cities verified a decrease in the average rates of hospitalizations caused by ambulatory care sensitive heart conditions between 2000 and 2008, in both sexes in towns outside of the metropolitan area with less than 50,000 inhabitants. Decreased hospitalization rates took place regardless of the FHS coverage; however, in towns with low FHS coverage, a decrease was perceived between the initial and final period of analysis, while for cities with medium and high coverage, the decrease took place between the first and third periods, as well as between the second and third periods (p<0.04).…”

Internações por diabetes mellitus e a Estratégia Saúde da Família, Paraná, Brasil, 2000 a 2012

“…The implementation of multidisciplinary intervention programs at basic health units can promote the adoption of health practices among people with diabetes, as pointed by a study conducted in a municipality in northwestern Paraná 29 . In general terms, PHC must be associated with the improvement in decision-making as to drug prescriptions, to additional exam requests and to other assessments, including improvement in glycemic control, decrease in consultations with specialists and in search for emergency services 30 .…”

Sistema De Informação Em Saúde: Gestão E Assistência No Sistema Único De Saúde

“…Observou-se, nesse estudo, que as taxas de hospitalizações diminuíram independentemente da cobertura da Saúde da Família (15) . O SIAB, utilizado em outra pesquisa aliado ao Sistema de Cadastro Nacional de Portadores de Hipertensão e Diabetes (SIS/HIPERDIA), realizou a análise situacional em saúde e/ou produção de informações para o planejamento da assistência e a resolutividade das ações de saúde (16) . Assim, diante da contextualização desta revisão, até o momento enfatizou-se como o SIH-SUS tem contribuído para o desenvolvimento das pesquisas científicas.…”