Hospitalizaciones prevenibles mediante una atención primaria oportuna y efectiva

Homar, Josefina Caminal; Espinoza, Mónica; Ruiz, E. Sánchez; Larrosa, Manel; Poblet, Montserrat Bustins

doi:10.1016/s0212-6567(03)70653-2

Cited by 15 publications

(4 citation statements)

References 18 publications

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“…Other factors, like accessibility to the hospital, criteria adopted for hospitalization and health insurance coverage should also be considered for the analysis of hospitalizations for ACSC [28][29][30][31] . Besides, it is known that elderly people 32 , with low income and schooling 33 , are hospitalized more often, so this indicator increases in States in which the proportion of elder is higher.…”

Section: Discussionmentioning

confidence: 99%

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

Ceccon

Meneghel

Viecili

2014

Rev. bras. epidemiol.

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ABSTRACT:Objective: To evaluate the relationship between hospitalization due to conditions that are sensitive to primary care and the population coverage by the Family Health Strategy (ESF) Units of the Brazilian Federation Units in the last decade. Methods: This is an ecological study that investigated preventable hospitalizations and coverage of primary health care in Brazil in the historic series from 1998 to 2006. Statistical analysis was performed using the Pearson correlation test and simple linear regression. Results: In the studied period, we found an association between population coverage and reduced ESF admissions for primary care sensitive conditions in Brazil (β = -28.78, p ≤ 0.01), which occurred in 38.4% of the Federation Units. Conclusion: There was a positive relationship between the expansion of ESF coverage and a decline in hospitalizations for ACSC in the country. The findings of this study help to evaluate the ESF and primary care in Brazil.

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Section: Discussionmentioning

confidence: 99%

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

Ceccon

Meneghel

Viecili

2014

Rev. bras. epidemiol.

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“…La mayoría de estudios previos que analizan las diferentes variables o factores que pueden influir en la ocurrencia de ACSH son de tipo observacional ecológico sin información de poblaciones control que permitan un análisis comparativo. El presente trabajo complementa la información conocida con resultados relevantes al centrarse en una enfermedad prevalente ya que la IC abarca hasta el 24,8% de altas hospitalarias que corresponden a códigos de diagnóstico considerados ACSC 22 .…”

Section: Discussionunclassified

Análisis de la influencia del proceso asistencial de la atención primaria de salud sobre la ocurrencia de hospitalizaciones evitables por insuficiencia cardíaca

Moreno

Menéndez-Asenjo

Hernández³

et al. 2016

Atención Primaria

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“…The selection of diagnoses for ACSC was conducted according to the criteria defined in a previous study [19], where those selected in the American [2] and European [20] context were adapted to the Italian one. The selected ACSCs are reported in Table 1, classified according to two different strategies of prevention: early diagnoses and treatment of the condition (acute conditions -group 1); appropriate follow-up and good management of chronic disease (chronic conditions -group 2).…”

Section: Selection Of Diagnosesmentioning

confidence: 99%

Trends in avoidable hospitalization rates in Italy, 2001-2008

Rosano¹,

Belvis²,

Sferrazza³

et al. 2022

ebph

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Background: hospitalization for Ambulatory Care Sensitive Conditions (AC SC), also known as avoidable hospitalization (AH) has been proposed as effect measure of the accessibility and effectiveness of primary care. In the last years in developed countries, including Italy, hospitalization rates have decreased as well as the rates of AH. The decline of AH-rates could be just an effect of the general trend of hospitalization. The objective of our study was to examine the adjusted trend of AH rates and to test possible associations with measures of primary care (re)organization. Methods: hospital discharges from 2001 to 2008 were analyzed. Main outcome measures were hospitalization rates, both as inpatient and day hospital. ACSCs were grouped in acute conditions, preventable through early diagnoses and treatment and chronic conditions, preventable through good ongoing control and management. Expected time-series rates of AH, estimated on the hypothesis of same time trends of Total Hospitalization (TH), were compared with observed ones using a Chi Square test. Adjusted hospitalization rates were analyzed in conjunction with indicators of primary care. Results: in the studied period, in Italy, the TH rates declined with an average decrease of 19.6%, while the decrease for AH was 16.4%. The rates of AH adjusted for the trend of TH significantly decreased only for chronic conditions. Decreasing trend of AH was correlated with the impact of reorganization of primary care in associative forms. Conclusions: the presented methodology can be used to evaluate the real effectiveness of policies aimed at reducing hospitalization for ACSCs.

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Hospitalizaciones prevenibles mediante una atención primaria oportuna y efectiva

Abstract: Diagnostic codes included in each diagnostic category were congruent with the diseases identified. Interventions that could prevent hospitalisations due to ACSC are contemplated as role of PHC. Indicator validity to assess PHC effectiveness is maintained by both results.

Cited by 15 publications

References 18 publications

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

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

Análisis de la influencia del proceso asistencial de la atención primaria de salud sobre la ocurrencia de hospitalizaciones evitables por insuficiencia cardíaca

Trends in avoidable hospitalization rates in Italy, 2001-2008

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