Assistência pública de saúde no contexto da transição demográfica brasileira: exigências atuais e futuras

Mendes, Antônio da Cruz Gouveia; Sá, Domício Aurélio de; Miranda, Gabriella Morais Duarte; Lyra, Tereza Maciel; Tavares, Ricardo Antônio Wanderley

doi:10.1590/s0102-311x2012000500014

Cited by 94 publications

(97 citation statements)

References 14 publications

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“…However, few countries have an aging process as fast as that of Brazil (1,2). Besides changes in the population´s age structure, a transition is also occurring in patterns of disability, morbidity, and mortality, redefining the national epidemiological profile (1,3).This epidemiological transition is mainly characterized by a shift in the prevalence of infectious and parasitic diseases to more chronic diseases, which predominantly affect the elderly (3,4).…”

Section: Introductionmentioning

confidence: 99%

Potentially Inappropriate Medication Use Among Older Hospitalized Patients in a Brazilian General Hospital

Silva

Pereira

Soares

et al. 2016

Infarma

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Potentially inappropriate medication use among elderly patients from a Brazilian general hospital Uso de medicamentos potencialmente inadequados entre idosos em um hospital geral brasileiro ABSTRACTThe aim of this study was to determine the profile of the pharmacotherapy used by hospitalized elderly. A cross-sectional study was conducted at a Brazilian charitable general hospital. Drug prescriptions for hospitalized elderly patients (age≥60 years), dated from May to September 2010, were the source of data for this study and retrospectively analyzed (n=1,783). Polypharmacy (use of 5 or more drugs) and potentially inappropriate medications (PIMs -according to the Beers Criteria) were identified. Associations between sex, age, admission for cardiovascular disease or hospital stay and polypharmacy or PIM prescription were studied using univariate analysis (Pearson's Chi-square test). The association between polypharmacy and PIM prescription was also evaluated. A total of 204 elderly were hospitalized (mean age = 75 years) during the study period. The most commonly prescribed drugs acted on the cardiovascular system (29%) and the alimentary tract and metabolism (26%). Around 90% of the elderly were submitted to polypharmacy and 59% had, at least, one prescription of PIMs. A hospital stay of five days or more was associated with polypharmacy and PIM prescription. This study revealed a worrying drug utilization profile of high PIM use and polypharmacy practice. There is a need to implement strategies to improve geriatric prescribing.

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Section: Introductionmentioning

confidence: 99%

Potentially Inappropriate Medication Use Among Older Hospitalized Patients in a Brazilian General Hospital

Silva

Pereira

Soares

et al. 2016

Infarma

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“…Esta diminuição está relacionada com fatores relativos ao financiamento do SUS, ao avanço e aprimoramento da atenção básica e à transição do modelo de sistema de saúde no Brasil (RIBEIRO, 2009;MENDES et al, 2012). De qualquer maneira, esta queda enviesa a comparação da proporção de municípios com AIH de laqueadura tubária em relação ao total de municípios da região com capacidade hospitalar potencial entre 2006 e 2013.…”

Section: Municípios Com Serviços Credenciados Para Realização De Laquunclassified

Esterilização cirúrgica feminina no Brasil, 2000 a 2006: aderência à lei de planejamento familiar e demanda frustrada¹

Caetano

2014

Rev. bras. estud. popul.

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“…The public health system has expanded primarily through the creation of Primary Health Care Service (Atenção Primária à Saúde -APS) units, located closer to the population and with lower costs 2 . Despite the undeniable progress achieved since the creation of SUS, health services still present problems related to quality and effectiveness 3 .…”

Section: Introductionmentioning

confidence: 99%

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

Costa

Teixeira

Moraes

et al. 2017

Rev. bras. epidemiol.

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ABSTRACT:Objective: To verify the hospitalization trend for primary care sensitive-conditions in Pelotas, Rio Grande do Sul, Brazil from 1998 to 2012. Methods: An ecological study compared hospitalizations rates of the city of Pelotas with the rest of state of Rio Grande do Sul. Analysis was conducted using direct standardization of rates, coefficients were stratified by sex and the Poisson regression was used. Results: Hospitalizations for sensitive conditions decreased in Pelotas and Rio Grande do Sul. In Pelotas, a 63.8% decrease was detected in the period observed, and there was a 43.1% decrease in the state of Rio Grande do Sul. Poisson regression coefficients showed a decrease of 7% in Pelotas and of 4% in the rest of Rio Grande do Sul each year. Conclusion: During the study period, several changes were introduced in the Brazilian Unified Health System ("Sistema Único de Saúde") that may have influenced the results, including changes in administration, health funding, and a complete reworking of primary care through the creation of the Family Health Strategy program ("Estratégia Saúde da Família"). . Since its creation, SUS underwent several modifications such as changes in its organizational structure, funding, primary care models, and the implementation of assorted measures, increasing the need for adequate programs and health actions evaluation 4 . An alternative to primary care evaluation is monitoring the hospitalization rates for primary care-sensitive conditions (HPCSC). Primary care-sensitive conditions are a set of 20 groups of diseases for which treatment at the right time could reduce or eliminate the risk of hospitalization, both by preventing their emergence and by adequately handling the condition 5 . Thus, proper coverage at the primary care level can decrease admission rates as services become more effective. A health care system that could adequately handle diseases prone to ambulatory control would present an appropriate effectiveness level 6,7 . In the same way, studies have shown that primary health care provision can be crucial for improving health condition in the population 8,9 . The Brazilian Ministry of Health (Ministério da Saúde) has published a list of primary care-sensitive diseases in Decree n. 221 of April 17, 2008, in which it is proposed that such indicator would evaluate the effectiveness level of the system and/or of hospital care 10 , thus acknowledging its importance. Based on this list, several inquiries have analyzed the behavior of HPCSC. An ecological study showed that HPCSC decreased by 24% between 1999 and 2007 in Brazil. Such decrease was also observed when comparing this group of

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Assistência pública de saúde no contexto da transição demográfica brasileira: exigências atuais e futuras

Cited by 94 publications

References 14 publications

Potentially Inappropriate Medication Use Among Older Hospitalized Patients in a Brazilian General Hospital

Potentially Inappropriate Medication Use Among Older Hospitalized Patients in a Brazilian General Hospital

Esterilização cirúrgica feminina no Brasil, 2000 a 2006: aderência à lei de planejamento familiar e demanda frustrada¹

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

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