Ambulatory care sensitive conditions hospitalization for emergencies rates in Colombia

González-Vélez, Abel E; Mejía, Claudia Carolina Colmenares; Padilla, Eduardo Low; Marín, Sandra Yadira Moreno; Bobadilla, Paola Andrea Rengifo; Sánchez, Juan Pablo Rueda; Isaza-Ruget, Mario A.

doi:10.11606/s1518-8787.2019053000563

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…On the other hand, relationships were found between FHS coverage and mortality rates due to CSPCs in the groups of diseases preventable by immunization and sensitive conditions; infectious gastroenteritis and complications; nutritional de ciencies; ear, nose, and throat infections; asthma; angina; epilepsy; kidney and urinary tract infections; infections of the skin and subcutaneous tissue; and gastrointestinal ulcers. Discussions of this topic should include that access to the health system can be an important barrier for men in the care of their chronic conditions, whereas they can be assisted when the malady is acute [13,17,18,20,21]. A study considered a reference correlated the increase in FHS coverage with the tendency to reduce mortality rates from preventable causes of people under 75 years of age in both sexes.…”

Section: Discussionmentioning

confidence: 99%

“…Given the magnitude of the effort, several indicators were developed to evaluate PHC, and the Ambulatory Care Sensitive Conditions created by the United States of America were the precursor. In our country, analyses of the conditions sensitive to primary care (CSPCs) have proven useful by government agencies and have been the subject of numerous studies [16][17][18]. CSPCs are de ned as diseases that can be controlled and reduced by means of accessible and effective PHC, which involves prevention and continuity of care.…”

Section: Introductionmentioning

confidence: 99%

“…There is robust evidence that male mortality rates are high and on the rise; that men have di culties in accessing health services, often created by themselves, as they present only when a problem becomes urgent or emergent; and that the morbidity and mortality rates due to CSPCs are useful to evaluate the resolvability, quality, and accessibility of PHC, though we do not have any study speci cally focussed on the male population. [17,18,20,21]. We believe that exploring the information associated with the mortality of men aged 20 to 59 years by causes that are preventable and speci c to the male population can make important advances in public health, both nationally and internationally, as it will help in the development and effectiveness of public policies that strengthen health care from the PHC level to the tertiary/quaternary.…”

Section: Introductionmentioning

confidence: 99%

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Male Mortality from Conditions Sensitive to Primary Care Under The Perspective of The National Men's Health Policy

Paula

Pelazza

Lima

et al. 2022

Preprint

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Background: To evaluate the trend of male mortality and its relationship with conditions sensitive to primary care (CSPCs), considering the coverage of the Family Health Strategy (FHS) and the implementation of the National Policy for Comprehensive Health Care of the Male (PNAISH).Methods: Ecological study of the time series of male deaths in the age group of 20 to 59 years, according to CSPC from 2009 to 2018 with data extraction from the Mortality Information System. The relationship between death rate due to CSPCs and FHS coverage was quantified by Spearman’s correlation. The trend in the number of deaths was adjusted by univariate quasi-Poisson regression models. Mortality trends were considered stationary (p > 0.05), declining (p < 0.05 and negative regression coefficient), or ascending (p < 0.05 and positive regression coefficient). Values of p < 0.05 were considered statistically significant.Results: CSPCs were responsible for 1,092,070 (19.2%) deaths in the 127 municipalities under study, a with year-on-year variation of -4.89% to 3.06% and showed no significant relationship with mean FHS coverage (r < 0.09; p < 0.160). PNAISH was implemented in 100% of the municipalities, and the FHS coverage showed a significant upward trend [95% CI; 1.03-1.09], with an annual average of 6%. The trend of deaths in the study groups due to CSPCs was generally stable (Exp (β) = 1.01; p > 0.593). Notably, deaths in specific groups increased over time: bacterial pneumonia, asthma, hypertension, epilepsy, kidney and urinary tract infections, and skin and subcutaneous tissue infections. The heart failure group showed a decreasing mortality rate (Exp (β) = 0.92; p = 0.008).Conclusions: The expansion of FHS coverage and the fact that PNAISH was implemented in all municipalities in the state of Goiás did not influence the rate of deaths due to CSPCs in general. The analysis of death trends due to CSPCs in general indicates stability in the investigated period. The present study, the first of its kind in country, allows an evaluation of actions related to PNAISH, confirming the need for urgent investments. It can serve as feedback to researchers and policy-makers on interventions in humans.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Male Mortality from Conditions Sensitive to Primary Care Under The Perspective of The National Men's Health Policy

Paula

Pelazza

Lima

et al. 2022

Preprint

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“…However, it is important to note that studies in other countries show a trend toward a reduction in HACSCs, although this reduction is less significant in the younger population, in which the main reasons for hospitalization are acute conditions 15 .…”

Section: Hacsc* Apv † (%) 95% CI ‡ Interpretationmentioning

confidence: 95%

Trend of the Hospitalizations Due to Ambulatory Care Sensitive Conditions in Pediatrics in Distrito Federal

Santos,

Andrade,

Stival

et al. 2022

Texto contexto - enferm.

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Objective: to analyze the trend of hospitalizations due to Ambulatory Care Sensitive Conditions in Pediatrics in Distrito Federal, during the 2008-2018 period. Method: a time series study conducted between 2008 and 2018 with data from Distrito Federal, Brazil, in the age group from 0 to 14 years old. The data were collected in the SUS Hospital Information System, and they were used to perform trend analyses of the most frequent groups. Results: there was a trend towards a significant increase in hospitalizations in the age group studied, with an annual percentage variation of 1.42% and a confidence interval between 0.05 and 2.81. Four groups of reasons for hospitalization and diagnoses were more frequent in the period, namely: bacterial pneumonias, infectious gastroenteritis and complications, pulmonary diseases, and asthma. Among the most frequent groups, considering the study period, there was a trend towards a significant increase in pulmonary diseases (15.71%; 12.40 and 19.12); a trend towards a significant reduction in infectious gastroenteritis and complications (-5.35%; -8.01 and 2.61); and a stationary trend in bacterial pneumonias (-0.43%; -3.80 and 3.07) and asthma (3.82%; 0.57 and 8.40). Conclusion: the results of this study can contribute to the planning, evaluation and monitoring of primary care actions, as this indicator aims at indirectly evaluating access and effectiveness of this care level. In this sense, considering the results of the trend analysis performed, it can be concluded that they do not yet reflect the expected results with the expansion of FHS coverage.

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“…There have been several trend analyses of ACSCs in different parts of the world. However, the results are far from universal, and the trends vary significantly by country and by specific condition [ 16 – 21 ].…”

Section: Introductionmentioning

confidence: 99%

Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years

Siddiqui

Fan

et al. 2021

BMC Health Serv Res

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Background This study aimed to determine to what extent an aging population and shift to chronic illness has contributed to emergency admissions at a tertiary care hospital over ten years. Methods This was a retrospective observational study performed using a database of all emergency admissions from the Emergency Department (ED) at a single tertiary hospital in Singapore during a ten-year period (January 1st, 2008 to December 31st, 2017). Emergency admissions were defined as ED visits with inpatient admission as the disposition. This study analyzed the trends of demographics, pre-existing comorbidities, chronic conditions or ambulatory care sensitive conditions (ACSC) of all patients who underwent emergency admissions in Singapore General Hospital. Results A total of 446,484 emergency records were included. For elderly patients, the proportions of them had pre-existing multimorbidity at the time of undergoing emergency admissions were found to be lower at the end the 10-year study period relative to the beginning of the study period. The proportions of emergency admissions whose ED primary diagnoses were categorized as chronic conditions and certain chronic ACSC including chronic obstructive pulmonary disease, congestive heart failure, diabetes complications, and epilepsy also decreased for elderly patients over the 10-year study period. Conclusions In Singapore, despite a rapidly aging population, there have been surprisingly lower proportions of chronic conditions, pre-existing comorbidities, and chronic ACSC among the elderly emergency admissions. This is possibly consistent with an overall improved management of the chronic conditions among the elderly population. Future studies should include similar studies at the national level and comparison with other healthcare settings in different countries.

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Ambulatory care sensitive conditions hospitalization for emergencies rates in Colombia

Cited by 7 publications

References 14 publications

Male Mortality from Conditions Sensitive to Primary Care Under The Perspective of The National Men's Health Policy

Male Mortality from Conditions Sensitive to Primary Care Under The Perspective of The National Men's Health Policy

Trend of the Hospitalizations Due to Ambulatory Care Sensitive Conditions in Pediatrics in Distrito Federal

Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years

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