Características organizativas de la atención primaria y hospitalización por los principales ambulatory care sensitive conditions

Bermúdez-Tamayo, Clara; Márquez-Calderón, Soledad; Águila, M.M. Rodríguez del; López, Eugenio Antonio Climent; Espinosa, J. Ortiz

doi:10.1016/s0212-6567(04)70798-2

Cited by 42 publications

(31 citation statements)

References 14 publications

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“…Other factors, like accessibility to the hospital, criteria adopted for hospitalization and health insurance coverage should also be considered for the analysis of hospitalizations for ACSC [28][29][30][31] . Besides, it is known that elderly people 32 , with low income and schooling 33 , are hospitalized more often, so this indicator increases in States in which the proportion of elder is higher.…”

Section: Discussionmentioning

confidence: 99%

Hospitalization due to conditions sensitive to primary care and expansion of the Family Health Program in Brazil: an ecological study

Ceccon

Meneghel

Viecili

2014

Rev. bras. epidemiol.

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ABSTRACT:Objective: To evaluate the relationship between hospitalization due to conditions that are sensitive to primary care and the population coverage by the Family Health Strategy (ESF) Units of the Brazilian Federation Units in the last decade. Methods: This is an ecological study that investigated preventable hospitalizations and coverage of primary health care in Brazil in the historic series from 1998 to 2006. Statistical analysis was performed using the Pearson correlation test and simple linear regression. Results: In the studied period, we found an association between population coverage and reduced ESF admissions for primary care sensitive conditions in Brazil (β = -28.78, p ≤ 0.01), which occurred in 38.4% of the Federation Units. Conclusion: There was a positive relationship between the expansion of ESF coverage and a decline in hospitalizations for ACSC in the country. The findings of this study help to evaluate the ESF and primary care in Brazil.

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Section: Discussionmentioning

confidence: 99%

Hospitalization due to conditions sensitive to primary care and expansion of the Family Health Program in Brazil: an ecological study

Ceccon

Meneghel

Viecili

2014

Rev. bras. epidemiol.

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“…Os autores analisaram no período um total de 93.660 registros hospitalares de municípios da área de referência do hospital, destes 9.085 (9,7%) correspondiam a ICSAP 17 .…”

Section: Metodologiaunclassified

“…Estudos evidenciam que altas taxas de ICSAP podem identificar populações mais vulneráveis e representar uma organização ineficaz do sistema de saúde, falhas na prevenção e no diagnóstico precoce 15,16,17 .…”

Section: Introductionunclassified

Internações por condições sensíveis à atenção primária em Campo Grande, Mato Grosso do Sul, Brasil, 2000 a 2009

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2012

Cad. Saúde Pública

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Este estudo analisou a correlação entre a evolução da cobertura do Estratégia Saúde da Família (ESF) e a taxa das internações por condições sensíveis à atenção primária (ICSAP), em Campo Grande, Mato Grosso do Sul, Brasil, no período de 2000 a 2009. O estudo de caráter ecológico foi conduzido utilizando-se os dados do Sistema de Informações Hospitalares (SIH), disponíveis no site do Departamento de Informática do SUS (DATASUS) e do Instituto Brasileiro de Geografia e Estatística (IBGE). Na análise estatística foram utilizados o coeficiente de correlação linear de Pearson e sua significância. Campo Grande apresentou correlação inversa seguindo a tendência do país de redução das referidas internações. Na apreciação por categorias de internações observou-se uma correlação direta com a tuberculose pulmonar, a angina pectoris e as doenças relacionadas ao pré-natal e parto. Os resultados sugerem que o aumento da cobertura do ESF tem contribuído para a queda nas taxas de internações por ICSAP.

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“…Since then, studies have been conducted using data from potentially avoidable hospitalizations, showing its close relation with the characteristics of the healthcare systems, especially with the politics of primary healthcare. [3][4][5][6][7] In Brazil, the first national list of HACSCs was created in 2007, having as its conceptual framework the model proposed by Caminal-Homar and Casanova-Matutano, adapted for the Brazilian context. 8 According to this model, it is assumed that, for some health conditions, opportune and good quality primary healthcare -through activities such as disease prevention; early diagnosis and timely treatment of acute conditions; and the control and monitoring of chronic diseases, 8 can avoid hospitalization or reduce its frequency.…”

Section: Introductionmentioning

confidence: 99%

Internações por condições sensíveis à atenção primária no hospital geral de uma microrregião de saúde do município de São Paulo, Brasil

Rehem

Ciosak²,

Egry³

2012

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Ambulatory Care Sensitive Conditions List was adopted in Brazil, to evaluate access and care effectiveness. This study aimed to present panoramic view of these hospitalizations in a General Hospital of São Paulo Municipality, Brazil. The methodology used was type ecological and exploratory. The data source was the Hospital Information System of Brazilian Unified Health System collected and a sample of hospitalizations. The results showed that there is a reduction tendency of this kind of hospitalizations and the most important cause during three years was bacterial pneumonia. There was predominance of women and patients older than 65 years old. In conclusion, the List is an important tool to evaluate access and effectiveness of Primary Care Services, but also it is relevant to know and evaluate the health network organization due to assure continuity of care to reach the principle of integrality of health care. DESCRIPTORS:Hospitalization. Primary health care. Evaluation. INTERNAÇÕES POR CONDIÇÕES SENSÍVEIS À ATENÇÃO INTERNAMIENTOS POR CONDICIONES SENSIBLES DE ATENCIÓN PRIMARIA EN SALUD: ESTUDIO EN HOSPITAL GENERAL DE LA CIUDAD DE SÃO PAULO, BRASILRESUMEN: El indicador Internamientos por Condiciones Sensibles a la Atención Primaria fue adoptada en Brasil para evaluación de los servicios de este nivel. Se objetivó presentar el panorama de estos internamientos en un Hospital de la ciudad de São Paulo, Brasil. Se realizó un estudio ecológico, exploratorio, cuya fuente fue el Sistema de Información Hospitalarios del Sistema Único de Salud y una muestra de expedientes de pacientes internados en este Hospital. Se utilizó la estadística descriptiva. Los internamientos por Condiciones Sensibles siguen la tendencia de reducción: siendo las neumonías bacterianas las mayores causas de internamiento; la frecuencia fue más alta para los mayores de 65 años de edad y para el sexo femenino. Las internaciones por condiciones sensibles, per sé, no son suficientes para evaluar la atención primaria pero permite evaluar la organización de la red de salud, para asegurar la continuidad del cuidado integral a los pacientes. DESCRIPTORES:Hospitalización. Atención primaria de salud. Evaluación.

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Características organizativas de la atención primaria y hospitalización por los principales ambulatory care sensitive conditions

Abstract: There is variability between towns in hospitalisation rates for the most common ACSC; b) the differences in hospitalisation rates for the ACSC studied are linked to organisational features of primary care, the size of the town and the distance from the hospital.

Cited by 42 publications

References 14 publications

Hospitalization due to conditions sensitive to primary care and expansion of the Family Health Program in Brazil: an ecological study

Hospitalization due to conditions sensitive to primary care and expansion of the Family Health Program in Brazil: an ecological study

Internações por condições sensíveis à atenção primária em Campo Grande, Mato Grosso do Sul, Brasil, 2000 a 2009

Internações por condições sensíveis à atenção primária no hospital geral de uma microrregião de saúde do município de São Paulo, Brasil

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