Primary Health Care in the south of Santa Catarina: analysis of admissions for ambulatory care-sensitive conditions, in the 1999-2004 period

Revista Brasileira de Epidemiologia

Elias, Evelyn¹  Magajewski, Flávio¹ 

[1] Universidade do Sul de Santa Catarina

关键词: Family Health Program;    Quality of care;    Healthcare evaluation;    Ambulatory care-sensitive admissions;   

DOI  :  10.1590/S1415-790X2008000400011

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

INTRODUCTION:The reorientation of the health care model in Brazil is based on a strategyto structure a primary care network to cover the health needs of the populationthrough access to family health teams. The impact of primary care on the healthof the population can be assessed by tracking hospital admissions due to conditionssensitive to ambulatory care, an initiative that has been developed in recentyears in several countries and also in Brazil
OBJECTIVE: To analyze hospital admission trends for some conditions sensitiveto ambulatory care in the Association of Cities of the South End of Santa Catarina- AMESC, associating it to the quality of care offered by the Family HealthProgram-PSF
METHOD: An exploratory research with characteristics of an ecologicalstudy that qualified the primary care offered, based on a questionnaire directedto PSF professionals and information collected through national data information,defining two population groups: one assisted by services with a basic standardand another one assisted by services below this standard. Hospital admissionsfor some selected causes of these two populations were compared in the 1999-2004period, analyzing their trend and statistical association.
RESULTS: The statistical analysis suggested that there was a trend towardthe decline of admissions due to pneumonia in <5 y-o and >60 y-o in boththe population with appropriate basic and non-appropriate ambulatory care. Diabetesmellitus hospitalizations tended to decline in the population with adjustedbasic ambulatory care. Diarrhea rates tended to stabilize in both groups, butin the cities with appropriate care its magnitude was much smaller. Strokesincreased in cities with appropriate care, with a smooth linear decrease forthe population assisted in a non-appropriate way. For Acute Myocardial Infarction,for cities with appropriate care, as for the ones with non-appropriate care,the rates showed a trend toward increase, although a little smaller in the citieswith appropriate PSF
CONCLUSION: Some positive changes can be perceived in the developmentof admission rates due to ambulatory care-sensitive conditions, that can beassociated with the higher coverage and the best care received from the PSF.

Keywords:Family Health Program. Quality of care. Healthcare evaluation. Ambulatory care-sensitiveadmissions.

【 授权许可】

CC BY