Internações por condições sensíveis à atenção primária: a construção da lista brasileira como ferramenta para medir o desempenho do sistema de saúde (Projeto ICSAP - Brasil)
Maria Elmira Alfradique,Palmira de Fátima Bonolo,Inês Dourado,Maria Fernanda Lima-Costa,James Macinko,Claunara Schilling Mendonça,Veneza Berenice de Oliveira,Luis Fernando Rolim Sampaio,Carmen de Simoni,Maria Aparecida Turci +9 more
Reads0
Chats0
TLDR
The steps undertaken to construct and validate a list for Brazil include 20 groups of diagnostic conditions that represented 28.3% of a total of 2.8 million hospitalizations in the National Unified Health System in 2006.Abstract:
Ambulatory care sensitive hospitalizations are a set of conditions for which access to effective primary care can reduce the likelihood of hospitalization. These hospitalizations have been used as an indicator of primary care performance in several countries and in three Brazilian states, but there is little consensus on which conditions should be included in this indicator. This paper presents a description of the steps undertaken to construct and validate a list for Brazil. The final list includes 20 groups of diagnostic conditions that represented 28.3% of a total of 2.8 million hospitalizations in the National Unified Health System in 2006. Gastroenteritis and complications, congestive heart failure, and asthma represented 44.1% of all ambulatory care sensitive hospitalizations. From 2000 to 2006, ambulatory care sensitive hospitalizations decreased by 15.8%, and this reduction was more significant than that observed in all other hospitalizations. The article concludes with potential applications and limitations of the proposed Brazilian list.read more
Citations
More filters
Journal ArticleDOI
Impact of primary health care on mortality from heart and cerebrovascular diseases in Brazil: a nationwide analysis of longitudinal data.
TL;DR: Comprehensive and community based primary health care programmes, such as the FHP in Brazil, acting through cardiovascular disease prevention, care, and follow-up can contribute to decreased cardiovascular disease morbidity and mortality in a developing country such as Brazil.
Journal ArticleDOI
Major Expansion Of Primary Care In Brazil Linked To Decline In Unnecessary Hospitalization
James Macinko,Inês Dourado,Rosana Aquino,Palmira de Fátima Bonolo,Maria Fernanda Lima-Costa,Maria Guadalupe Medina,Eduardo Luiz Andrade Mota,Veneza Berenice de Oliveira,Maria Aparecida Turci +8 more
TL;DR: This study finds that during 1999-2007, hospitalizations in Brazil for ambulatory care-sensitive chronic diseases, including cardiovascular disease, stroke, and asthma, fell at a rate that was statistically significant and almost twice the rate of decline in hospitalizations for all other causes.
Journal ArticleDOI
The Influence of Primary Care and Hospital Supply on Ambulatory Care–Sensitive Hospitalizations Among Adults in Brazil, 1999–2007
James Macinko,Veneza Berenice de Oliveira,Maria Aparecida Turci,Frederico C. Guanais,Palmira de Fátima Bonolo,Maria Fernanda Lima-Costa +5 more
TL;DR: These results highlight the contribution of the FHP to improved health system performance and reflect the complexity of the health reform processes under way in Brazil.
Journal ArticleDOI
The Family Health Strategy: expanding access and reducinghospitalizations due to ambulatory care sensitive conditions (ACSC).
TL;DR: In this article, an estudo do tipo ecologico de series temporais com dados secundarios referentes ao numero de equipes implantadas de saude da familia and as ICSAB no SUS de 2001 a 2016.
Journal ArticleDOI
Effect of 10-valent pneumococcal vaccine on pneumonia among children, Brazil.
Eliane Terezinha Afonso,Ruth Minamisava,Ana Luiza Bierrenbach,Juan Jose Cortez Escalante,Airlane Pereira Alencar,Carla Magda S Domingues,Otaliba L. Morais-Neto,Cristiana M. Toscano,Ana Lucia Andrade +8 more
TL;DR: Assessment of rates of hospitalization among children 2–24 months of age who had pneumonia from all causes in Brazil from January 2005 through August 2011 found that 1 year after introduction of PCV10, hospitalizations of children for pneumonia were reduced.
References
More filters
Journal ArticleDOI
Impact Of Socioeconomic Status On Hospital Use In New York City
John Billings,Lisa V. Zeitel,Joanne Lukomnik,Timothy S. Carey,Arthur E. Blank,Laurie S. Newman +5 more
TL;DR: The research suggests that lack of timely and effective outpatient care may lead to higher hospitalization rates in low-income areas, and for certain conditions identified as ambulatory care sensitive, hospitalizations rates were higher inLow- Income areas than they were in higher- income areas where appropriate outpatient care was more readily available.
Journal ArticleDOI
The ecology of medical care
TL;DR: The current discussions about medical care appear largely concerned with two questions: is the burgeoning harvest of new knowledge fostered by immense public investment in medical research being delive...
Journal ArticleDOI
Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland.
TL;DR: It is suggested that patients who are uninsured or who have Medicaid coverage have higher rates of hospitalization for conditions that can often be treated out of hospital or avoided altogether.
Journal ArticleDOI
Evaluation of the impact of the Family Health Program on infant mortality in Brazil, 1990–2002
TL;DR: The Family Health Program is associated with reduced IMR, suggesting it is an important, although not unique, contributor to declining infant mortality in Brazil, and existing secondary datasets provide an important tool for evaluation of the effectiveness of health services.
Journal ArticleDOI
The Role of Provider Continuity in Preventing Hospitalizations
James M. Gill,Arch G. Mainous +1 more
TL;DR: Continuity of care with a provider is associated with a decreased future likelihood of hospitalization in the Delaware Medicaid population, which suggests that policies that encourage patients to concentrate their care withA single provider may lead to lower hospitalization rates and possibly lower health care costs.