Características da atenção básica associadas ao risco de internar por condições sensíveis à atenção primária: revisão sistemática da literatura

Nedel, Fúlvio Borges; Facchini, Luiz Augusto; Martín, Miguel; Navarro, Albert

doi:10.5123/s1679-49742010000100008

Cited by 62 publications

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“…8 The authors found no consistent results for associations between the care model (closer to or further away from the principles of primary health care) and the risk of hospitalization for ACSC. 8 Elias & Magajewski 5 analyzed the association between the adequacy of primary care and rates of hospitalization due to ACSC in the state of Santa Catarina. The authors classifi ed the primary health care of the selected municipalities as adequate or inadequate, according to coverage and quality criteria, and described the trends in rates of hospitalization due to ACSC through the SUS in these municipalities.…”

Section: Discussionmentioning

confidence: 54%

“…8 Preventive consultations (sporadic or not), vaccines and ongoing child health care were associated, in various studies, with lower risk of hospitalization due to ACSC. 8 The authors found no consistent results for associations between the care model (closer to or further away from the principles of primary health care) and the risk of hospitalization for ACSC. 8 Elias & Magajewski 5 analyzed the association between the adequacy of primary care and rates of hospitalization due to ACSC in the state of Santa Catarina.…”

Section: Discussionmentioning

confidence: 99%

“…5,8,9 Through a literature review on hospitalizations for ACSC and the exposure to at least one characteristic of primary health care (18 articles in the past 13 years) it has been found that most studies pointed to a protective association of variables of structure, process and performance of primary care services, in relation to the risk of hospitalizations due to ACSC. 8 Preventive consultations (sporadic or not), vaccines and ongoing child health care were associated, in various studies, with lower risk of hospitalization due to ACSC. 8 The authors found no consistent results for associations between the care model (closer to or further away from the principles of primary health care) and the risk of hospitalization for ACSC.…”

Section: Discussionmentioning

confidence: 99%

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Internações hospitalares por causas sensíveis à atenção primária no Distrito Federal, 2008

Junqueira

Duarte

2012

Rev. Saúde Pública

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OBJECTIVE:To analyze hospitalization rates due to ambulatory care-sensitive conditions. METHODS:The study used data from the Hospital Database of the Brazilian National Health System corresponding to the Federal District in the year of 2008. The main diagnosis for hospitalization was analyzed based on the International Classifi cation of Diseases, and absolute frequency, proportion and coeffi cient were calculated according to causes, age groups and sex. RESULTS:The ambulatory care-sensitive conditions (ACSC) represented approximately 20% of the hospital admissions in the National Health System. The most frequent conditions were: gastroenteritis (2.4%), heart failure (2.3%), and kidney and urinary tract infection (2.1%). The following aspects were verifi ed: signifi cant hospitalization rates due to ACSC in the infant group (< 1 year of age), an important reduction in the following age groups (1 to 29 years), and a gradual increase until the more advanced ages. Compared to men, hospitalization rates were slightly higher among young women (20 to 29 years) and lower among women older than 49 years. CONCLUSIONS:Hospitalizations due to ACSC represented 19.5% of all hospital admissions in the Federal District (2008), and the main causes of hospitalizations were gastroenteritis, heart failure and kidney and urinary tract infection. The effectiveness of primary health care in preventing these events in the Federal District is discussed.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Internações hospitalares por causas sensíveis à atenção primária no Distrito Federal, 2008

Junqueira

Duarte

2012

Rev. Saúde Pública

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“…12 Studies about the factors that may be associated with avoidable hospitalizations are rarer in Brazil and are generally limited to describing the variables that were most linked to the risk of hospitalization for these conditions. 13 The studies seeking to understand access to and quality of the care provided to patients for these causes are rare, despite this type of evaluation being considered fundamental to define public health policies.…”

Section: Introductionmentioning

confidence: 99%

Assessment of access to primary health care among children and adolescents hospitalized due to avoidable conditions

Ferrer

Grisi

2016

Rev. Assoc. Med. Bras.

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Introduction:Hospitalizations for ambulatory care-sensitive conditions (HACSC) are considered an indicator of the effectiveness of primary health care (PHC). High rates of HACSC represent problems in the access or the quality of health care. In Brazil, HACSC rates are high and there are few studies on the factors associated with it. Objective: To evaluate the access to PHC offered to children and adolescents hospitalized due to ACSC and analyze the conditioning factors. Method: Cross-sectional study with a quantitative and qualitative approach. Five hundred and one (501) users (guardians/caregivers) and 42 professionals of PHC units were interviewed over one year. Quantitative data were obtained using Primary Care Assessment Tool validated in Brazil (PCATool-Brazil), while qualitative data were collected by semi-structured interview. The independent variables were: age, maternal education, family income, type of diagnosis, and model of care offered, and the dependent variables were access and its components (accessibility and use of services). Results: Sixty-five percent (65.2%) of hospitalizations were ACSC. From the perspective of both users and professionals, access and its components presented low scores. Age, type of diagnosis, and model of care affected the results. Conclusion: The proportion of HACSC was high in this population. Access to services is inappropriate due to: barriers to access, appreciation of the emergency services, and attitude towards health needs. Professional attitudes and opinions reinforce inadequate ideas of users reflecting on the pattern of service use.

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“…8 The data relating to the 2008 to 2010 period demonstrate that the amount of hospitalizations attributable to DM in the SUS increased compared to the study conducted with the same methodology for the period from 1999 to 2001. 20,24 The complications of DM are among the Primary Care Sensitive Conditions (CSAP) and hospitalizations attributed to these complications constituted an indirect indicator of the effectiveness of the first level of healthcare, 25 given that DM has been recognized in national and international lists as a cause of hospitalization sensitive to the actions of primary care. 26 In Brazil, a recent study stated that optimization of the use of effective treatments within the scope of primary care would reduce hospitalizations attributable to cardiovascular complications associated with DM by up to 48%.…”

Section: Resultsmentioning

confidence: 99%

Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

Rosa

Nita²,

Rached³

et al. 2014

Rev. Assoc. Med. Bras.

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Objective: to estimate the number of hospitalizations attributable to diabetes mellitus (DM) and its complications within the public healthcare system in Brazil (SUS) and the mean cost paid per hospitalization. Methods: the official database from the Hospital Information System of the Unified Health System (SIH/SUS) was consulted from 2008 to 2010. The proportion of hospitalizations attributable to DM was estimated using attributable risk methodology. The mean cost per hospitalization corresponds to direct medical costs in nursing and intensive care, from the perspective of the SUS. Results: the proportion of hospitalizations attributable to DM accounted for 8.1% to 12.2% of total admissions in the period, varying according to use of maximum (self-reported with correction factor) or minimal (self-reported) DM prevalence. The hospitalization rate was 47 to 70.8 per 10.000 inhabitants per year. The mean cost per hospitalization varied from 1.302 Brazilian Reais (BRL) to 1,315 BRL. Assuming the maximum prevalence, hospitalizations were distributed as 10.3% as DM itself, 36.6% as chronic DM-associated complications and 53.1% as general medical conditions. Advancing age was accompanied by an increase in hospitalization rates and corresponding costs, and more pronounced in male patients. Conclusion: the results express the importance of DM in terms of the use of health care resources and demonstrate that studies of hospitalizations with DM as a primary diagnosis are not sufficient to assess the magnitude of the impact of this disease.

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Características da atenção básica associadas ao risco de internar por condições sensíveis à atenção primária: revisão sistemática da literatura

Cited by 62 publications

References 0 publications

Internações hospitalares por causas sensíveis à atenção primária no Distrito Federal, 2008

Internações hospitalares por causas sensíveis à atenção primária no Distrito Federal, 2008

Assessment of access to primary health care among children and adolescents hospitalized due to avoidable conditions

Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

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