Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy

Detalhes bibliográficos
Autor(a) principal: Fernandes, Viviane Braga Lima
Data de Publicação: 2009
Outros Autores: Caldeira, Antônio Prates, Faria, Anderson Antônio de, Rodrigues Neto, João Felício
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32717
Resumo: OBJECTIVE: To identify variables associated with hospitalizations sensitive to primary care. METHODS: A hospital morbidity survey was conducted using a random sample of 660 patients hospitalized in clinical and surgical wards of hospitals that had service agreements with the Brazilian National Health System (SUS), in the municipality of Montes Claros, Southeastern Brazil, between 2007 and 2008. Interviews were held with patients and members of their families using a specific form, and the patients' medical files were investigated. The definition of conditions considered sensitive to primary care was based on the Ministry of Health's list. Associations shown by socioeconomic and health variables in relation to hospitalizations sensitive to primary care were analyzed using bivariate and multiple logistic regression analyses. RESULTS: The percentage of hospitalizations sensitive to primary care in the study group was 38.8% (n = 256). The variables that remained statistically associated with conditions considered sensitive to primary care were: previous hospitalization (OR = 1.62; 95% CI: 1.51;2.28); regular visits to healthcare units (OR = 2.20; 95% CI: 1.44;3.36); low schooling level (OR = 1.50; 95% CI: 1.02;2.20); health checks not performed by the family health team (OR = 2.48; 95% CI: 1.64;3.74); hospitalization requested by physicians who were not part of the family health team (OR = 2.25; 95% CI: 1.03;4.94); and age greater than or equal to 60 years (OR = 2.12; 95% CI: 1.45;3.09). CONCLUSIONS: The variables associated with hospitalizations sensitive to primary care are particularly those relating to patients, such as age, schooling level and previous hospitalization, but regular health checks outside of the Family Health Strategy doubled the likelihood of hospitalization.
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spelling Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy Internaciones sensibles en la atención primaria como indicador de evaluación de la Estrategia Salud de la Familia Internações sensíveis na atenção primária como indicador de avaliação da Estratégia Saúde da Família Programa Saúde da FamíliaEquipe de Assistência ao PacienteAtenção Primária à Saúde^i1^srecursos humaHospitalizaçãoInquéritos de MorbidadeAvaliação de Serviços de SaúdeFamily Health ProgramPatient Care TeamPrimary Health Care^i2^smanpoHospitalizationMorbidity SurveysHealth Services Evaluation OBJECTIVE: To identify variables associated with hospitalizations sensitive to primary care. METHODS: A hospital morbidity survey was conducted using a random sample of 660 patients hospitalized in clinical and surgical wards of hospitals that had service agreements with the Brazilian National Health System (SUS), in the municipality of Montes Claros, Southeastern Brazil, between 2007 and 2008. Interviews were held with patients and members of their families using a specific form, and the patients' medical files were investigated. The definition of conditions considered sensitive to primary care was based on the Ministry of Health's list. Associations shown by socioeconomic and health variables in relation to hospitalizations sensitive to primary care were analyzed using bivariate and multiple logistic regression analyses. RESULTS: The percentage of hospitalizations sensitive to primary care in the study group was 38.8% (n = 256). The variables that remained statistically associated with conditions considered sensitive to primary care were: previous hospitalization (OR = 1.62; 95% CI: 1.51;2.28); regular visits to healthcare units (OR = 2.20; 95% CI: 1.44;3.36); low schooling level (OR = 1.50; 95% CI: 1.02;2.20); health checks not performed by the family health team (OR = 2.48; 95% CI: 1.64;3.74); hospitalization requested by physicians who were not part of the family health team (OR = 2.25; 95% CI: 1.03;4.94); and age greater than or equal to 60 years (OR = 2.12; 95% CI: 1.45;3.09). CONCLUSIONS: The variables associated with hospitalizations sensitive to primary care are particularly those relating to patients, such as age, schooling level and previous hospitalization, but regular health checks outside of the Family Health Strategy doubled the likelihood of hospitalization. RESUMEN OBJETIVO: Identificar variables asociadas a internaciones sensibles al cuidado primario. MÉTODOS: Pesquisa de morbilidad hospitalaria realizada con muestra aleatoria de 660 pacientes internados en enfermerías de clínica médica y quirúrgica de hospitales conveniados con el Sistema Único de Salud, en Montes Claros, Sureste de Brasil, de 2007 a 2008. Fueron realizadas entrevistas con los pacientes y sus familiares utilizando formulario propio y pesquisa a los prontuarios. La definición de las condiciones consideradas sensibles al cuidado primario se basó en la lista del Ministerio de la Salud de Brasil. La asociación entre variables socioeconómicas y de salud con las internaciones sensibles fue analizada utilizándose análisis bivariados y de regresión logística múltiple. RESULTADOS: El porcentaje de internaciones sensibles al cuidado primario en el grupo estudiado fue de 38,8% (n=256). Las variables que se mantuvieron estadísticamente asociadas con las condiciones sensibles al cuidado primario fueron: internación previa (OR=1,62; IC 95%: 1,51;2,28), visitas regulares a unidades de salud (OR=2,20; IC 95%: 1,44;3,36), baja escolaridad (OR=1,50; IC 95%: 1,02;2,20), control de salud no realizado por equipo de salud de la familia (OR=2,48; IC 95%; 1,64;3,74), internación solicitada por médicos que no actúan en el equipo de salud de la familia (OR=2,25; IC 95%: 1,03;4,94) y edad igual o superior a 60 años (OR=2,12; IC 95%: 1,45;3,09). CONCLUSIONES: Las variables asociadas a las internaciones sensibles son sobretodo propias del paciente, como edad, escolaridad e internaciones previas, pero el control regular de la salud fuera de la Estrategia de Salud de la Familia duplica la probabilidad de internación. OBJETIVO: Identificar variáveis associadas a internações sensíveis ao cuidado primário. MÉTODOS: Inquérito de morbidade hospitalar realizado com amostra aleatória de 660 pacientes internados em enfermarias de clínica médica e cirúrgica de hospitais conveniados com o Sistema Único de Saúde, em Montes Claros, MG, de 2007 a 2008. Foram realizadas entrevistas com os pacientes e seus familiares utilizando formulário próprio e pesquisa aos prontuários. A definição das condições consideradas sensíveis ao cuidado primário baseou-se na lista do Ministério da Saúde. A associação entre variáveis socioeconômicas e de saúde com as internações sensíveis foi analisada utilizando-se análises bivariadas e de regressão logística múltipla. RESULTADOS: O percentual de internações sensíveis ao cuidado primário no grupo estudado foi de 38,8% (n=256). As variáveis que se mantiveram estatisticamente associadas com as condições sensíveis ao cuidado primário foram: internação prévia (OR=1,62; IC 95%: 1,51;2,28), visitas regulares a unidades de saúde (OR=2,20; IC 95%: 1,44;3,36), baixa escolaridade (OR=1,50; IC 95%: 1,02;2,20), controle de saúde não realizado por equipe de saúde da família (OR=2,48; IC 95%: 1,64;3,74), internação solicitada por médicos que não atuam na equipe de saúde da família (OR=2,25; IC 95%: 1,03;4,94) e idade igual ou superior a 60 anos (OR=2,12; IC 95%: 1,45;3,09). CONCLUSÕES: As variáveis associadas às internações sensíveis são sobretudo próprias do paciente, como idade, escolaridade e internações prévias, mas o controle regular da saúde fora da Estratégia de Saúde da Família duplica a probabilidade de internação. Universidade de São Paulo. Faculdade de Saúde Pública2009-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3271710.1590/S0034-89102009005000080Revista de Saúde Pública; Vol. 43 No. 6 (2009); 928-936 Revista de Saúde Pública; Vol. 43 Núm. 6 (2009); 928-936 Revista de Saúde Pública; v. 43 n. 6 (2009); 928-936 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32717/35163https://www.revistas.usp.br/rsp/article/view/32717/35164Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFernandes, Viviane Braga LimaCaldeira, Antônio PratesFaria, Anderson Antônio deRodrigues Neto, João Felício2012-07-09T02:16:21Zoai:revistas.usp.br:article/32717Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T02:16:21Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy
Internaciones sensibles en la atención primaria como indicador de evaluación de la Estrategia Salud de la Familia
Internações sensíveis na atenção primária como indicador de avaliação da Estratégia Saúde da Família
title Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy
spellingShingle Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy
Fernandes, Viviane Braga Lima
Programa Saúde da Família
Equipe de Assistência ao Paciente
Atenção Primária à Saúde^i1^srecursos huma
Hospitalização
Inquéritos de Morbidade
Avaliação de Serviços de Saúde
Family Health Program
Patient Care Team
Primary Health Care^i2^smanpo
Hospitalization
Morbidity Surveys
Health Services Evaluation
title_short Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy
title_full Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy
title_fullStr Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy
title_full_unstemmed Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy
title_sort Hospitalizations sensitive to primary care as an evaluation indicator for the Family Health Strategy
author Fernandes, Viviane Braga Lima
author_facet Fernandes, Viviane Braga Lima
Caldeira, Antônio Prates
Faria, Anderson Antônio de
Rodrigues Neto, João Felício
author_role author
author2 Caldeira, Antônio Prates
Faria, Anderson Antônio de
Rodrigues Neto, João Felício
author2_role author
author
author
dc.contributor.author.fl_str_mv Fernandes, Viviane Braga Lima
Caldeira, Antônio Prates
Faria, Anderson Antônio de
Rodrigues Neto, João Felício
dc.subject.por.fl_str_mv Programa Saúde da Família
Equipe de Assistência ao Paciente
Atenção Primária à Saúde^i1^srecursos huma
Hospitalização
Inquéritos de Morbidade
Avaliação de Serviços de Saúde
Family Health Program
Patient Care Team
Primary Health Care^i2^smanpo
Hospitalization
Morbidity Surveys
Health Services Evaluation
topic Programa Saúde da Família
Equipe de Assistência ao Paciente
Atenção Primária à Saúde^i1^srecursos huma
Hospitalização
Inquéritos de Morbidade
Avaliação de Serviços de Saúde
Family Health Program
Patient Care Team
Primary Health Care^i2^smanpo
Hospitalization
Morbidity Surveys
Health Services Evaluation
description OBJECTIVE: To identify variables associated with hospitalizations sensitive to primary care. METHODS: A hospital morbidity survey was conducted using a random sample of 660 patients hospitalized in clinical and surgical wards of hospitals that had service agreements with the Brazilian National Health System (SUS), in the municipality of Montes Claros, Southeastern Brazil, between 2007 and 2008. Interviews were held with patients and members of their families using a specific form, and the patients' medical files were investigated. The definition of conditions considered sensitive to primary care was based on the Ministry of Health's list. Associations shown by socioeconomic and health variables in relation to hospitalizations sensitive to primary care were analyzed using bivariate and multiple logistic regression analyses. RESULTS: The percentage of hospitalizations sensitive to primary care in the study group was 38.8% (n = 256). The variables that remained statistically associated with conditions considered sensitive to primary care were: previous hospitalization (OR = 1.62; 95% CI: 1.51;2.28); regular visits to healthcare units (OR = 2.20; 95% CI: 1.44;3.36); low schooling level (OR = 1.50; 95% CI: 1.02;2.20); health checks not performed by the family health team (OR = 2.48; 95% CI: 1.64;3.74); hospitalization requested by physicians who were not part of the family health team (OR = 2.25; 95% CI: 1.03;4.94); and age greater than or equal to 60 years (OR = 2.12; 95% CI: 1.45;3.09). CONCLUSIONS: The variables associated with hospitalizations sensitive to primary care are particularly those relating to patients, such as age, schooling level and previous hospitalization, but regular health checks outside of the Family Health Strategy doubled the likelihood of hospitalization.
publishDate 2009
dc.date.none.fl_str_mv 2009-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32717
10.1590/S0034-89102009005000080
url https://www.revistas.usp.br/rsp/article/view/32717
identifier_str_mv 10.1590/S0034-89102009005000080
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32717/35163
https://www.revistas.usp.br/rsp/article/view/32717/35164
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 43 No. 6 (2009); 928-936
Revista de Saúde Pública; Vol. 43 Núm. 6 (2009); 928-936
Revista de Saúde Pública; v. 43 n. 6 (2009); 928-936
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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