Factores asociados a la hospitalización por procesos sensibles a cuidados ambulatorios en los municipios

Abstract

Variability in admission rates for ASSC was not associated with primary care characteristics in the geographical area analyzed. Accessibility (measured as time to the hospital) was the only variable associated with higher rates in both men and women. Admission rates for ASSC among women were higher when unemployment rates were higher, and rates among men were higher in larger municipalities and in those with higher mortality.

Secondary Surge Capacity: A Framework for Understanding Long-Term Access to Primary Care for Medically Vulnerable Populations in Disaster Recovery

“…Elevated rates of ACSC visits signal primary care access issues within the population or service area. 55,58,94,103,104,109,110,112,113 Preventable ACSC hospitalization rates are higher among racial and ethnic minorities 108,117,118 , the less educated 100,113 , the poor and uninsured 53,100,118,119 , MUAs 120 , and Medicaid/Medicare beneficiaries 94,100,102,103,118,121 . Access barriers and discontinuity in care occurring before the disaster are exacerbated in the months following the disaster; propelling ACSC visits for untreated or poorly managed health complications among the among vulnerable populations.…”

Internações pediátricas por condições sensíveis à atenção primária em Montes Claros, Minas Gerais, Brasil

“…Diversos estudos têm apontado que as internações por Condições Sensíveis à Atenção Primária (CSAP) são um importante marcador de acesso aos serviços de saúde e da capacidade resolutiva deste nível de atenção. [1][2][3][4] Essas condições constituem um conjunto de diagnósticos para os quais os serviços de atenção primária oferecidos em tempo oportuno e de forma efetiva diminuiriam as chances de internação. [4][5][6] São diversas as ações da atenção primária à saúde que podem ajudar a reduzir os índices dessas internações na área da saúde infantil: a prevenção de algumas doenças que pode ser alcançada através das vacinas; o tratamento oportuno de agravos agudos, a exemplo das gastroenterites, que pode evitar as complicações da doença e o adequado controle de doenças crônicas, como a asma, que também podem reduzir as hospitalizações.…”

The Influence of Primary Care and Hospital Supply on Ambulatory Care–Sensitive Hospitalizations Among Adults in Brazil, 1999–2007

“…Ambulatory care-sensitive hospitalization rates have been associated with primary care access and quality in several countries, including Australia, Canada, Spain, and the United States. [4][5][6][7][8][9] However, these measures have rarely been used to study health system performance in lowand middle-income countries.…”