Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470 |
Resumo: | The study's objectives were to describe hospital admissions for primary care sensitive conditions (PCSCs) among residents of Itaboraí, a municipality in Rio de Janeiro State, Brazil, with a high rate of such admissions, to identify associated factors, and to explore the impact from closing a hospital. The ultimate aim was to contribute to the debate on the indicator's indiscriminate use for inferences on the expansion and quality of primary care. The study was based on data from the Hospital Information System of the Brazilian Unified National Health System. Associations between admissions for PCSCs and demographic and hospital-related variables were analyzed with the χ2 test. Logistic regression models verified the year-by-year behavior of admissions for PCSCs. The most frequent admissions were for heart failure, asthma, gastroenteritis, chronic obstructive pulmonary disease, and diabetes mellitus. The odds of hospital admissions were higher in males, brown individuals, at age extremes, and in private and charity hospitals. The trend in the admissions rates for PCSCs over the years was influenced by the closing of a hospital, suggesting caution in attributing changes in admissions rates to quality improvement in primary care. |
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Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011Risco de interpretação falaciosa das internações por condições sensíveis à atenção primária em contextos locais, Itaboraí, Rio de Janeiro, Brasil, 2006-2011HospitalizationPrimary Health CareQuality of Health CareHospitalizaçãoAtenção Primária à SaúdeQualidade da Assistência à SaúdeThe study's objectives were to describe hospital admissions for primary care sensitive conditions (PCSCs) among residents of Itaboraí, a municipality in Rio de Janeiro State, Brazil, with a high rate of such admissions, to identify associated factors, and to explore the impact from closing a hospital. The ultimate aim was to contribute to the debate on the indicator's indiscriminate use for inferences on the expansion and quality of primary care. The study was based on data from the Hospital Information System of the Brazilian Unified National Health System. Associations between admissions for PCSCs and demographic and hospital-related variables were analyzed with the χ2 test. Logistic regression models verified the year-by-year behavior of admissions for PCSCs. The most frequent admissions were for heart failure, asthma, gastroenteritis, chronic obstructive pulmonary disease, and diabetes mellitus. The odds of hospital admissions were higher in males, brown individuals, at age extremes, and in private and charity hospitals. The trend in the admissions rates for PCSCs over the years was influenced by the closing of a hospital, suggesting caution in attributing changes in admissions rates to quality improvement in primary care.Este artículo tiene por objetivo caracterizar los internamientos por condiciones sensibles a la atención primaria (ICSAP) entre residentes de Itaboraí, un municipio con elevadas tasas de estos internamientos en el Estado de Río de Janeiro, Brasil, identificar factores asociados y explorar el impacto sobre ellas del cierre de un hospital, alimentando el debate sobre el uso indiscriminado del indicador para inferencias acerca de la expansión y calidad de la atención primaria. El estudio se basó en datos del Sistema de Información Hospitalaria del Sistema Único de Salud. Asociación entre la ocurrencia de ICSAP con variables demográficas e inherentes a los hospitales fueron analizadas con el test χ2. Modelos de regresión logística averiguaron el comportamiento de los ICSAP año a año. Los internamientos más frecuentes fueron por insuficiencia cardíaca, asma, gastroenteritis, enfermedad pulmonar obstructiva crónica y diabetes mellitus. Sus oportunidades de ocurrencia fueron mayores en el sexo masculino, mestizos, en los extremos de edad y en hospitales privados y filantrópicos. La evolución de las tasas de ICSAP en el transcurso de los años fue influenciada por el cierre de un hospital, sugiriendo cautela en su atribución a la mejora de la calidad de la atención primaria.Este artigo objetiva caracterizar as internações por condições sensíveis à atenção primária (ICSAP), identificar fatores associados e explorar o impacto sobre elas do fechamento de um hospital, entre residentes de Itaboraí, um município com elevadas taxas de ICSAP no Estado do Rio de Janeiro, Brasil, alimentando o debate sobre o uso indiscriminado do indicador para inferências acerca da expansão e qualidade da atenção primária. O estudo foi baseado em dados do Sistema de Informações Hospitalares do Sistema Único de Saúde. Associações entre a ocorrência de ICSAP com variáveis demográficas e inerentes aos hospitais foram analisadas com o teste χ2. Modelos de regressão logística averiguaram o comportamento das ICSAP ano a ano. As internações mais frequentes foram por insuficiência cardíaca, asma, gastroenterites, doença pulmonar obstrutiva crônica e diabetes mellitus. Suas chances de ocorrência foram maiores para o sexo masculino, pardos, nos extremos de idade e em hospitais privados e filantrópicos. A evolução das taxas de ICSAP no decorrer dos anos foi influenciada pelo fechamento de um hospital, sugerindo cautela na sua atribuição à melhoria da qualidade da atenção primária.Reports in Public HealthCadernos de Saúde Pública2017-04-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470Reports in Public Health; Vol. 33 No. 3 (2017): MarchCadernos de Saúde Pública; v. 33 n. 3 (2017): Março1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470/13842https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470/13843https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470/13844https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470/13845Janaina Furtado BotelhoMargareth Crisóstomo Portelainfo:eu-repo/semantics/openAccess2024-03-06T15:29:19Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6470Revistahttps://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:2024-03-06T13:07:24.867999Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011 Risco de interpretação falaciosa das internações por condições sensíveis à atenção primária em contextos locais, Itaboraí, Rio de Janeiro, Brasil, 2006-2011 |
title |
Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011 |
spellingShingle |
Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011 Janaina Furtado Botelho Hospitalization Primary Health Care Quality of Health Care Hospitalização Atenção Primária à Saúde Qualidade da Assistência à Saúde |
title_short |
Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011 |
title_full |
Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011 |
title_fullStr |
Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011 |
title_full_unstemmed |
Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011 |
title_sort |
Risk of misinterpretation of trends in hospital admissions for primary care sensitive conditions in local contexts: Itaboraí, Rio de Janeiro State, Brazil, 2006-2011 |
author |
Janaina Furtado Botelho |
author_facet |
Janaina Furtado Botelho Margareth Crisóstomo Portela |
author_role |
author |
author2 |
Margareth Crisóstomo Portela |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Janaina Furtado Botelho Margareth Crisóstomo Portela |
dc.subject.por.fl_str_mv |
Hospitalization Primary Health Care Quality of Health Care Hospitalização Atenção Primária à Saúde Qualidade da Assistência à Saúde |
topic |
Hospitalization Primary Health Care Quality of Health Care Hospitalização Atenção Primária à Saúde Qualidade da Assistência à Saúde |
description |
The study's objectives were to describe hospital admissions for primary care sensitive conditions (PCSCs) among residents of Itaboraí, a municipality in Rio de Janeiro State, Brazil, with a high rate of such admissions, to identify associated factors, and to explore the impact from closing a hospital. The ultimate aim was to contribute to the debate on the indicator's indiscriminate use for inferences on the expansion and quality of primary care. The study was based on data from the Hospital Information System of the Brazilian Unified National Health System. Associations between admissions for PCSCs and demographic and hospital-related variables were analyzed with the χ2 test. Logistic regression models verified the year-by-year behavior of admissions for PCSCs. The most frequent admissions were for heart failure, asthma, gastroenteritis, chronic obstructive pulmonary disease, and diabetes mellitus. The odds of hospital admissions were higher in males, brown individuals, at age extremes, and in private and charity hospitals. The trend in the admissions rates for PCSCs over the years was influenced by the closing of a hospital, suggesting caution in attributing changes in admissions rates to quality improvement in primary care. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-20 |
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/6470 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470/13842 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470/13843 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470/13844 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6470/13845 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html text/html application/pdf 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. 33 No. 3 (2017): March Cadernos de Saúde Pública; v. 33 n. 3 (2017): Março 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 |
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1798943384213127168 |