Internações por condições sensíveis a atenção primária (ICSAP): discutindo limites à utilização deste indicador na avaliação da Atenção Básica em Saúde - DOI: 10.3395/reciis.v7i2.779pt

Desigualdades intraurbanas de taxas de internações por condições sensíveis à atenção primária na região central do Brasil

“…Studies conducted both inside and outside Brazil have shown that epidemiological indicators built upon ACSCs data, such as the rates of admission examined in this article, provide a quick and simple way of monitoring and evaluating access to and the effectiveness of primary health care services provided by universal public health systems such as the SUS [24][25][26][27][28][29] . Despite their usefulness, other studies have suggested that the use of ACSCs as indicators is limited due to the following reasons: (i) they do not consider the severity of a patient's medical condition and the fragility of the individual; (ii) they do not consider specific patient characteristics and differences in admission criteria between different hospital services; (iii) they do not directly consider the socioeconomic profile of a given population, level of education and cultural characteristics 1,3,[30][31][32][33][34] . Our findings show that the average rate of admissions for ACSCs in Goiânia in the period 2008 to 2013 was 152.7 per 10,000 population and that rates were highest among the zero to nine years and 60 years and over age groups.…”

“…Studies undertaken in Brazil, for example, have shown rates of between 143.3 and 149.6 per 10,000 population 4,5 : 14.5 per 1,000 population in the State of Rio Grande do Sul; 10.8 per 1,000 population in the State of São Paulo 26,30 ; and 154.0 per 10,000 population in Belo Horizonte, capital of the State of Minas Gerais 35 . However, the results of the present study differ from those found by studies carried out in Italy and Spain, which reported rates of 26.1 per 10,000 population 7 and 11 per 1,000 population, respectively 13 .…”

Tendências das internações por condições cardiovasculares sensíveis à atenção primária à saúde no município de Senador Canedo, Goiás, 2001-2016*

“…1,2 An indicator much used to evaluate the extent to which primary health care is resolutive is the rate of hospitalizations for ambulatory care-sensitive conditions (HACSC). 3 High HACSC rates can be related to shortcomings in primary health care, both with regard to preventing the development of ACSC and also in relation to their management. 1,4,5 Promotion, prevention, cure and rehabilitation actions on the primary health care level are capable, in the short and medium term, of achieving a reduction in the number of HACSC.…”

“…13 The need therefore exists to evaluate access to primary health care and its effectiveness by means of systematized studies of HACSC. 3 The objective of this study was to analyze trends in the rates of SUS hospitalizations attributed to ACSCC in the municipality of Senador Canedo, GO, between January 2001 and December 2016.…”

A hipertensão arterial como condição sensível à atenção primária: possibilidade de avaliação e planejamento em saúde

“…Há que se considerar ainda, que por vezes, as taxas maiores de ICSAP em mulheres estão associadas pelo fato de que mulheres buscam e utilizam mais serviços de saúde do que os homens, tanto para fins preventivos quanto para procedimentos e tratamentos, fato este relacionado a condições culturais e socioeconômicas, mas também pelo papel social exercido pelas mulheres de cuidadora da família e pelo hábito de cuidar de sua própria saúde (BATISTA et al, 2012;PINHEIRO et al, 2002). (SANTOS et al, 2013;LÓPEZ et al, 2007). Por isso, a ocorrência de ICSAP guarda estreita relação com a idade, sendo observados maiores taxas de internações nos extremos de idade, justificado pelas condições fisiológicas particulares de cada extremo (BURGDORF;SUNDMACHER, 2014;JACKSON;TOBIAS, 2001;CALDEIRA et al, 2011;NESCON, 2012).…”