Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013

Abstract

IntroductionThe objective was to analyze whether socioeconomic factors related to the context and those related to the model of care—specifically the coverage of primary care by the Family Health Strategy (ESF)—had an impact on hospitalizations due to heart failure (HF) and stroke, in the State of São Paulo/Brazil between 1998 and 2013.MethodsA longitudinal ecological study involving 645 municipalities was conducted in the state of São Paulo/Brazil from 1998 to 2013, using the Hospital Information System (SIH–DataSUS database). The hospitalizations for primary care sensitive conditions: Stroke and heart failure (HF) that correspond to the International Classification of Diseases (ICD 10): I50, I63 to I67; I69, G45 to G46 were analyzed longitudinally during the period indicated regarding the percentage of people covered by the Family Health Program (PSF) adjusted for confounders (population size, gross domestic product -GDP and human development index- HDI).ResultsThere was a significant decrease in the number of hospitalizations for heart failure and stroke per 10000 (inhabitants) in the period (p <0.0001), with a significant relationship with increased proportion of ESF (p <0.0001), and this remained significant even when possible confounders (population size, GDP and HDI) were included in the model (p <0.0001).ConclusionsGDP per capita was close to or higher than that if many European countries, which shows the relevance of the study. The health care model based on the Family Health Strategy positively impacted hospitalization indicators for heart failure and stroke, indicating that this model is effective in the prevention of primary care sensitive conditions.

Performance of family health teams for tackling chronic diseases in a state of the Amazon

“…Although the coverage of the Family Health Strategy has been associated with a decrease in health inequities and admissions due to NCDs [16,21], there are still challenges for tackling NCDs in primary health care, such as fragmented organization care, limited use of protocols, and incipient longitudinal and integral care [22,23,39], which corroborate our findings.…”

Impact of Brazil's More Doctors Program on hospitalizations for primary care sensitive cardiovascular conditions

“…In particular, we focused on cerebrovascular disease and hypertension, which combined represent almost half of hospitalizations due to cardiovascular diseases in our study period. We selected these outcomes on the basis of the list of primary care sensitive conditions published by the MOH in 2008, as well as findings from earlier studies ( Cavalcante et al. 2018 ; Dantas et al.…”

“…2014 ; Rasella et al. 2010 ) with substantial reductions in hospitalizations for conditions sensitive to primary care ( Cavalcante et al. 2018 ; Macinko et al.…”

Longitudinalidade do cuidado na atenção primária: avaliação na perspectiva dos usuários

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