Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil

Cadernos de Saúde Pública

Suzana Costa Carvalho¹  Eduardo Mota¹  Inês Dourado¹  Rosana Aquino¹  Carlos Teles¹  Maria Guadalupe Medina¹ 

关键词: Hospitalization;    Primary Health Care;    Family Health Strategy;    Child Health;    Hospitalização;    Atenção Primária à Saúde;    Estratégia Saúde da Família;    Saúde da Criança;    Hospitalización;    Atención Primaria de Salud;    Estrategia de Salud Familiar;    Salud del Niño;   

DOI  :  10.1590/0102-311X00069014

来源: SciELO

【 摘 要 】

Admissions due to primary health care sensitive conditions from 1999 to 2009 among children < 5 years old were analyzed for municipalities in Pernambuco State, Brazil. Using data from the Brazilian Unified National Health System's Hospital Information System, a negative binomial regression was applied to estimate rate ratio (RR) and 95%CI for the effect on primary health care sensitive condition rates (admissions/10,000 inhabitants) of the Family Health Program (FHP) coverage (%), some demographic variables and living conditions. Hospitalizations due to primary health care sensitive conditions represented 44.1% of 861,628 admissions and the rate declined from 557.6 to 318.9 (-42.8%), a reduction three times greater than the rate due to all other causes. Increased FHP coverage was protective against primary health care sensitive conditions (RR = 0.94; 95%CI: 0.89-0.99). A decline in hospitalizations due to primary health care sensitive conditions indicated improvements in health status and may be associated with the consolidation of primary health care. Studies on access and quality of primary health care in relation to child morbidity and hospitalizations are needed.

【 授权许可】

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