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

Detalhes bibliográficos
Autor(a) principal: Suzana Costa Carvalho
Data de Publicação: 2015
Outros Autores: Eduardo Mota, Inês Dourado, Rosana Aquino, Carlos Teles, Maria Guadalupe Medina
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5855
Resumo: 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.
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spelling Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast BrazilHospitalizationPrimary Health CareFamily Health StrategyChild HealthAdmissions 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.Se analizaron las hospitalizaciones por condiciones sensibles a la atención primaria entre 1999-2009 en niños < 5 años en municipios de Pernambuco, Brasil. Se aplicó una regresión binomial negativa a los datos del Sistema de Información Hospitalaria del SUS para estimar la razón de tasas (RT) y un IC95% de los efectos sobre la tasa de hospitalizaciones por condiciones sensibles (hospitalizaciones/10.000 habitantes) de la cobertura (%) del Programa de Salud de la Familia (PSF), variables demográficas y de condiciones de vida. Del total de 861.628 admisiones, un 44,1% eran hospitalizaciones por condiciones sensibles. La tasa varió de 557,6 a 318,9 (-42,8%), reducción tres veces mayor que la tasa por todas las otras causas. Una mayor cobertura del PSF fue protectora contra hospitalizaciones por condiciones sensibles (RT = 0,94; 95%IC: 0,89-0,99). La disminución de hospitalizaciones por condiciones sensibles indica una mejoría de condiciones de salud y puede estar asociada con el PSF. Se señala la necesidad de estudiar el acceso y la calidad de la atención primaria de salud, en relación con la morbilidad y hospitalizaciones.Analisaram-se as internações por condições sensíveis à atenção primária de 1999-2009 em crianças < 5 anos, em municípios de Pernambuco, Brasil. Com dados do SIH/SUS, aplicou-se regressão binomial negativa para estimar razão de taxas e IC95% do efeito sobre a taxa de internações por condições sensíveis à atenção primária (internações/10.000 habitantes) da cobertura (%) do Programa Saúde da Família (PSF), variáveis demográficas e de condições de vida. Do total de 861.628 internações, 44,1% foram por condições sensíveis à atenção primária. A taxa variou de 557,6 para 318,9 (-42,8%), redução 3 vezes maior que da taxa de internação por todas as outras causas. Maior cobertura do PSF teve efeito protetor contra internações por condições sensíveis à atenção primária (razão de taxa = 0,94; IC95%: 0,89-0,99). A diminuição de internações por condições sensíveis indicou melhoria na situação de saúde e pode estar associada à consolidação do PSF. Há necessidade de estudar acesso e qualidade da atenção primária à saúde em relação à morbidade e hospitalizações.Reports in Public HealthCadernos de Saúde Pública2015-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5855Reports in Public Health; Vol. 31 No. 4 (2015): AprilCadernos de Saúde Pública; v. 31 n. 4 (2015): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5855/12249https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5855/12250Suzana Costa CarvalhoEduardo MotaInês DouradoRosana AquinoCarlos TelesMaria Guadalupe Medinainfo:eu-repo/semantics/openAccess2024-03-06T15:28:58Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5855Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:42.144023Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
spellingShingle Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
Suzana Costa Carvalho
Hospitalization
Primary Health Care
Family Health Strategy
Child Health
title_short Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_full Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_fullStr Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_full_unstemmed Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_sort Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
author Suzana Costa Carvalho
author_facet Suzana Costa Carvalho
Eduardo Mota
Inês Dourado
Rosana Aquino
Carlos Teles
Maria Guadalupe Medina
author_role author
author2 Eduardo Mota
Inês Dourado
Rosana Aquino
Carlos Teles
Maria Guadalupe Medina
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Suzana Costa Carvalho
Eduardo Mota
Inês Dourado
Rosana Aquino
Carlos Teles
Maria Guadalupe Medina
dc.subject.por.fl_str_mv Hospitalization
Primary Health Care
Family Health Strategy
Child Health
topic Hospitalization
Primary Health Care
Family Health Strategy
Child Health
description 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.
publishDate 2015
dc.date.none.fl_str_mv 2015-04-01
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://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5855
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5855
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5855/12249
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5855/12250
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 31 No. 4 (2015): April
Cadernos de Saúde Pública; v. 31 n. 4 (2015): Abril
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
_version_ 1821325551115173888

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