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

Ceccon, Roger Flores; Meneghel, Stela Nazareth; Viecili, Paulo Ricardo Nazário

doi:10.1590/1809-4503201400040014

Cited by 27 publications

(22 citation statements)

References 25 publications

(41 reference statements)

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“…25 A study conducted in Brazil on hospitalizations owing to primary care sensitive conditions found that FHS has contributed to progress in addressing certain health conditions; however, the same investigation highlighted the need for health team training and better targeting of actions. 26 Another national study this time conducted between 2011 and 2012, found that despite high antenatal coverage, only one fifth of women attending the services received adequate care in terms of minimum procedures recommended by the Health Ministry. According to the same study, less than 50% of pregnant women had the recommended two blood tests for syphilis during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Sífilis gestacional e congênita e sua relação com a cobertura da Estratégia Saúde da Família, Goiás, 2007-2014: um estudo ecológico*

Nunes¹,

Zara²,

Rocha³

et al. 2018

Epidemiologia e Serviços de Saúde

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Section: Discussionmentioning

confidence: 99%

Sífilis gestacional e congênita e sua relação com a cobertura da Estratégia Saúde da Família, Goiás, 2007-2014: um estudo ecológico*

Nunes¹,

Zara²,

Rocha³

et al. 2018

Epidemiologia e Serviços de Saúde

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“…Some empirical evidence has already been raised about the importance of FHS showing a robust impact on reducing infant mortality [26–28] and decreasing hospitalizations due to conditions sensitive to primary care [29–31]. Related to antenatal care FHS has contributed to scale up the coverage and to promote an equal access to adequate care [32, 33].…”

Section: Introductionmentioning

confidence: 99%

Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil

Andrade

Noronha

Barbosa

et al. 2017

Int J Equity Health

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BackgroundPrenatal care coverage is still not universal or adequately provided in many low and middle income countries. One of the main barriers regards the presence of socioeconomic inequalities in prenatal care utilization. In Brazil, prenatal care is supplied for the entire population at the community level as part of the Family Health Strategy (FHS), which is the main source of primary care provided by the public health system. Brazil has some of the greatest income inequalities in the world, and little research has been conducted to investigate prenatal care utilization of FHS across socioeconomic groups. This paper addresses this gap investigating the socioeconomic and regional differences in the utilization of prenatal care supplied by the FHS in the state of Minas Gerais, Brazil.MethodsData comes from a probabilistic household survey carried out in 2012 representative of the population living in urban areas in the state of Minas Gerais. The sample size comprises 1,420 women aged between 13 and 45 years old who had completed a pregnancy with a live born in the last five years prior to the survey. The outcome variables are received prenatal care, number of antenatal visits, late prenatal care, antenatal tests, tetanus immunization and low birthweight. A descriptive analysis and logistic models were estimated for the outcome variables.ResultsThe coverage of prenatal care is almost universal in catchment urban areas of FHT of Minas Gerais state including both antenatal visits and diagnostic procedures. Due to this high level of coverage, socioeconomic inequalities were not observed. FHS supplied care for around 80% of the women without private insurance and 90% for women belonging to lower socioeconomic classes. Women belonging to lower socioeconomic classes were at least five times more likely to receive antenatal visits and any of the antenatal tests by the FHS compared to those belonging to the highest classes. Moreover, FHS was effective in reducing low birthweight. Women who had prenatal care through FHS were 40% less likely to have a child with low birthweight.ConclusionThis paper presents strong evidence that FHS promotes equity in antenatal care in Minas Gerais, Brazil.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-016-0503-9) contains supplementary material, which is available to authorized users.

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“…It is noted that the assistance provided by the primary health care units without family health strategy is still focused on the biomedical model. There are reports in the literature about the relationship between the expansion of coverage and access to primary care and the expansion of family health teams with the reduction of hospitalizations due to ambulatory care sensitive conditions (13) . However, there are also reports that do not confirm such a correlation between the expansion of the family health strategy and the reduction of hospitalizations due to sensitive conditions (10) .…”

Section: Discussionmentioning

confidence: 99%

Continuing education and its interfaces with ambulatory care sensitive conditions

Silva¹,

Friedrich²,

Farah³

et al. 2018

Rev Rene

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Objective: to understand the process of continuing education by primary health care nurses and their interfaces with ambulatory care sensitive conditions. Methods: a qualitative study was carried out with 14 nurses from health units. To collect the data, we used semi-structured interviews and the analysis was carried out through dialectical hermeneutics. Results: two categories emerged: Assistance in primary health care and hospital admissions -which pointed out that the major cause of hospitalizations is related to chronic diseases, and that most of them were preventable; Education: a tool to deal with ambulatory care sensitive conditionswhere continuing education is recognized as a tool to interfere in the occurrence of these hospitalizations, but the practices carried out are closer to continuing education. Conclusion: nurses have developed educational processes that are closer to continuing education. The relationship between continuing education and ambulatory care sensitive conditions is still incipient.Objetivo: compreender o processo de educação permanente realizado pelos enfermeiros da atenção primária à saúde e suas interfaces com as condições sensíveis à atenção primária. Métodos: estudo qualitativo, realizado com 14 enfermeiros de unidades de saúde. Para captação dos dados, utilizou-se entrevista semiestruturada e análise por meio da hermenêutica dialética. Resultados: emergiram duas categorias: Assistência na atenção primária à saúde e internações hospitalares -apontou que a maior causa de internações está relacionada a doenças crônicas, e que grande parte delas poderia ser evitada; Educação: ferramenta para lidar com as condições sensíveis à atenção primária -a educação permanente é reconhecida como ferramenta para interferir na ocorrência dessas hospitalizações, porém as práticas realizadas aproximam-se mais da educação continuada. Conclusão: os enfermeiros desenvolvem processos educativos que se aproximam mais da educação continuada. A relação entre educação permanente e condições sensíveis a atenção primária ainda é incipiente.

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

Cited by 27 publications

References 25 publications

Sífilis gestacional e congênita e sua relação com a cobertura da Estratégia Saúde da Família, Goiás, 2007-2014: um estudo ecológico*

Sífilis gestacional e congênita e sua relação com a cobertura da Estratégia Saúde da Família, Goiás, 2007-2014: um estudo ecológico*

Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil

Continuing education and its interfaces with ambulatory care sensitive conditions

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