As despesas Municipais em Saúde Impactam as Internações por Condições Sensíveis à Atenção Primária (ICSAP)? Uma Análise em Municípios de Minas Gerais

Santos, Lucas Maia dos; Gonçalves, Márcio Augusto; Charles, Cleopatra

doi:10.5585/rgss.v5i1.185

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…Nesse contexto, o Ministério da Saúde definiu as condições sensíveis à atenção primária como agrupamento de questões de saúde para os quais as adequadas intervenções da atenção primária tem como função minimizar o risco de internações hospitalares. Ações como prevenção, diagnóstico e tratamento precoce de doenças agudas; bem como controle e acompanhamento de doenças crônicas, devem ter como resultados a redução das Internações por Condições Sensíveis à Atenção Primária (ICSAP) (4)(5) .…”

Section: Introductionunclassified

Custos com Internações por Condições Sensíveis à Atenção Primária: séries temporais 2008-2015

Sousa

Melo

et al. 2020

Rev Rene

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RESUMOObjetivo: avaliar os custos com Internações por Condições Sensíveis à Atenção Primária, ponderando as séries temporais de 2008-2015. Métodos: estudo ecológico que se utilizou dos registros do Sistema de Informação Hospitalar. Amostra composta pelos registros de internações de diagnósticos incluídos na Lista Brasileira de Internações por Condições Sensíveis à Atenção Primária. Regressões polinomiais foram utilizadas para análise da tendência temporal das taxas ao longo do período. Resultados: houve decréscimo nas taxas por 10.000 habitantes (67.38 a 51.99) (r 2 =0,9783; p<0,001). As causas mais onerosas foram: asma, insuficiência cardíaca, cistite e pneumonia. Evidenciou-se tendência de redução das internações (β=-2,15; p<0,001) e dispêndios médios (β=-2243,24; p=0,169). Conclusão: o diagnóstico asma obteve maior consumo, enquanto que a doença inflamatória do colo do útero atingiu menor quantitativo. Na série temporal, observou-se tendência de redução de gastos evidenciada pela diferença entre o maior custo no ano de 2009 e o menor, em 2015.ABSTRACT Objective: to evaluate the costs of hospitalizations for ambulatory care sensitive conditions in the 2008-2015 time series. Methods: ecological study with records of the Hospital Information System. The sample was composed of records of admissions for diagnoses of the Brazilian List hospitalizations for ambulatory care sensitive conditions. Polynomial regressions were used to analyze the temporal trend of rates. Results: there was a decrease in the rates per 10,000 inhabitants (67.38 to 51.99) (r 2 =0.9783; p<0.001). The most costly causes were asthma, heart failure, cystitis, and pneumonia. There was a decreasing trend in hospitalizations (β=-2.15; p<0.001) and expenditures (β=-2243.24; p=0.169). Conclusion: the diagnosis asthma caused greater expenses, while inflammatory disease of the cervix reached caused lower expenses. In the time series, there was a trend towards reduction of expenses evidenced by the difference between the highest cost in 2009 and the lowest in 2015.

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Section: Introductionunclassified

Custos com Internações por Condições Sensíveis à Atenção Primária: séries temporais 2008-2015

Sousa

Melo

et al. 2020

Rev Rene

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Trend of hospitalizations for ambulatory care sensitive conditions and related aspects in Sergipe, 2010 to 2019

2022

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Objective: To analyze the trend of hospitalization rates for ambulatory care-sensitive conditions (HACSC) in Sergipe and its seven health regions between 2010 and 2019, correlating with financial investments in health and primary care, strategy coverage of family health, and the number of hospital beds. Methods: This is an ecological time-series study trend with secondary data from the Ministry of Health. The trend verification was done by segmented linear analysis and the correlation between the variables by Spearman's correlation. Results: HACSC in the state of Sergipe showed a trend towards stability. In the Nossa Senhora do Socorro region, an increasing rate trend was identified from 2010 to 2017 and a non-significant decreasing trend from 2017 to 2019, with a negative correlation with per capita investment in PHC. The Itabaiana region showed a trend of reduction in rates from 2010 to 2012, followed by a trend of growth in rates from 2012 to 2020, with no significant correlation with any of the variables. Conclusions: Monitoring HACSC rates and understanding their multifactorial influence are essential since this indicator is helpful in local situational diagnosis and contributes to planning actions.

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Hospitalizations for conditions sensitive to primary care: an integrative review of the Brazilian literature

Simão¹,

Magalhães²

2021

Revista Científica Multidisciplinar Núcleo do Conhecimento

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Hospitalizations for Conditions Sensitive to Primary Care have been used as an indicator of the quality of the first level of health care. The objective of this work is to analyze the national scientific production, aiming to identify notes referring to: types of data; health financing; social determinants of health and the articulation of Health Care Networks. This is an integrative literature review carried out in Medline, Lilacs and Scielo databases. After applying the inclusion and exclusion criteria, 39 works were selected for analysis. Results demonstrate the need for caution in the evaluation of secondary data of the indicator and the need to expand the use of complementary strategies that help in the identification of factors associated with hospitalization. Being the indicator of hospitalizations sensitive to primary care, strategic for the planning of actions and the correct use of health resources. A great association of avoidable hospitalizations with social determinants and conditions of health was identified, however, being this theme and the articulation, communication of the Health Care Network, with the smallest number of works developed. Thus, we can conclude that it is necessary to expand studies focused on these themes, aiming at pointing out actions and policies that contribute to the development and formation of participatory teams and to change the hegemonic paradigm of health work processes.

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As despesas Municipais em Saúde Impactam as Internações por Condições Sensíveis à Atenção Primária (ICSAP)? Uma Análise em Municípios de Minas Gerais

Cited by 4 publications

References 12 publications

Custos com Internações por Condições Sensíveis à Atenção Primária: séries temporais 2008-2015

Custos com Internações por Condições Sensíveis à Atenção Primária: séries temporais 2008-2015

Trend of hospitalizations for ambulatory care sensitive conditions and related aspects in Sergipe, 2010 to 2019

Hospitalizations for conditions sensitive to primary care: an integrative review of the Brazilian literature

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