Primary health care quality and hospitalizations for ambulatory care sensitive conditions in the public health system in Porto Alegre, Brazil

Abstract

Better quality of health care services, in a setting of overwhelmingly low quality services not adapted to the care of chronic conditions, did not influence the rate of avoidable hospitalizations, while social and demographic characteristics, especially non-white ethnicity and lesser schooling, indicate that social inequities play a predominant role in health outcomes.

Risco de interpretação falaciosa das internações por condições sensíveis à atenção primária em contextos locais, Itaboraí, Rio de Janeiro, Brasil, 2006-2011

“…However, the authors confirmed the indicator's applicability for comparing different regions or to make regional comparisons, as long as health insurance coverage was considered and allowed the identification of possible differences in provision of primary health care services. Gonçalves et al 30 , using a validated instrument for evaluation of primary health care -PCATool Brazil -in a cohort study in Porto Alegre, Rio Grande do Sul State, found that improvement in the supply of public healthcare services did not influence the admissions rate for PCSCs in a context of previously limited services supply. Finally, a study in Espírito Santo State, Brazil, using bivariate analysis, found a positive association between coverage of the FHP/FHS and admissions for PCSCs.…”

“…The study was motivated by the observation of high admissions rates for PCSCs in ered by the SUS, and explore the impact of closing a hospital on admissions rates for PCSCs, thereby contributing to an on-going debate on the indiscriminate use of this indicator for inferences on the expansion and quality of primary care 28,29,30 . The target period is 2006 to 2011, when coverage by the FHP/FHS in the municipality varied irregularly from approximately 65% to 71% (Índice de Desempenho do Sistema Único de Saúde.…”

Oferta e utilização de teleconsultorias para Atenção Primária à Saúde no Programa Telessaúde Brasil Redes

“…A fonte dessa heterogeneidade tem como causas, entre outras, deficiências na formação profissional, déficits estruturais e baixa incorporação tecnológica. [7][8][9][10] A situação se repete na atenção secundária, com o agravante da insuficiência de pontos de atenção.…”

Internações Por Condições Sensíveis À Atenção Primária À Saúde Decorrentes Das Doenças Cardiovasculares

“…[17][18][19][20][21][22] Nevertheless, authors suggest caution in considering that, even with the established reduction of ICSAP, it is possible to find other determining factors besides the increase of primary care coverage and the ESF. [23][24] In fact, our study found a relationship between the ESF coverage and the increase in the number of registered hypertensive patients and the monitored ones in Mato Grosso do Sul, with no significant results regarding the reduction of harm and mortality due to hypertension in the State, 4 since the proportion of people with monitored hypertension when compared to the number of estimated in all groupings still does not reach the majority of patients (<50%).…”