Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations

Detalhes bibliográficos
Autor(a) principal: Loureiro da Silva, Cristina
Data de Publicação: 2021
Outros Autores: Rocha, João Victor, Santana, Rui
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/120407
Resumo: Funding Information: The present publication was funded by Fundação Ciênciae Tecnologia, IP national support through CHRC (UIDP/04923/2020) and NOVA National School of Public Health. Publisher Copyright: © 2021, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
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spelling Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizationsan ecological study in PortugalAmbulatory care sensitive conditionsEconomic and financial crisisPotentially preventable admissionsTroika’s interventionHealth PolicySDG 3 - Good Health and Well-beingFunding Information: The present publication was funded by Fundação Ciênciae Tecnologia, IP national support through CHRC (UIDP/04923/2020) and NOVA National School of Public Health. Publisher Copyright: © 2021, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.Background: Hospitalisations for Ambulatory Care Sensitive Conditions (ACSC) cause harm to users and to health systems, as these events are potentially avoidable. In 2009, Portugal was hit by an economic and financial crisis and in 2011 it resorted to foreign assistance (“Memorandum of Understanding” (2011–2014)). The aim of this study was to analyse the association between the Troika intervention and hospitalisations for ACSC. Methods: We analysed inpatient data of all public NHS hospitals of mainland Portugal from 2007 to 2016, and identified hospitalisations for ACSC (pneumonia, chronic obstructive pulmonary disease, hearth failure, hypertensive heart disease, urinary tract infections, diabetes), according to the AHRQ methodology. Rates of hospitalisations for ACSC, the rate of enrollment in the employment center and average monthly earnings were compared among the pre-crisis, crisis and post-crisis periods to see if there were differences. A Spearman’s correlation between socioeconomic variables and hospitalisations was performed. Results: Among 8,160,762 admissions, 892,759 (10.94%) were classified as ACSC hospitalizations, for which 40% corresponded to pneumonia. The rates of total hospitalisations and hospitalisations for ACSC increased between 2007 and 2016, with the central and northern regions of the country presenting the highest rates. No correlations between socioeconomic variables and hospitalisation rates were found. Conclusions: During the period of economic and financial crisis based on Troika’s intervention, there was an increase in potentially preventable hospitalisations in Portugal, with disparities between the municipalities. The high use of resources from ACSC hospitalisations and the consequences of the measures taken during the crisis are factors that health management must take into account.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPRUNLoureiro da Silva, CristinaRocha, João VictorSantana, Rui2021-07-02T22:18:26Z2021-122021-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/120407eng1472-6963PURE: 32312787https://doi.org/10.1186/s12913-021-06475-4info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:02:57Zoai:run.unl.pt:10362/120407Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:44:21.430270Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
an ecological study in Portugal
title Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
spellingShingle Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
Loureiro da Silva, Cristina
Ambulatory care sensitive conditions
Economic and financial crisis
Potentially preventable admissions
Troika’s intervention
Health Policy
SDG 3 - Good Health and Well-being
title_short Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
title_full Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
title_fullStr Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
title_full_unstemmed Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
title_sort Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
author Loureiro da Silva, Cristina
author_facet Loureiro da Silva, Cristina
Rocha, João Victor
Santana, Rui
author_role author
author2 Rocha, João Victor
Santana, Rui
author2_role author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
RUN
dc.contributor.author.fl_str_mv Loureiro da Silva, Cristina
Rocha, João Victor
Santana, Rui
dc.subject.por.fl_str_mv Ambulatory care sensitive conditions
Economic and financial crisis
Potentially preventable admissions
Troika’s intervention
Health Policy
SDG 3 - Good Health and Well-being
topic Ambulatory care sensitive conditions
Economic and financial crisis
Potentially preventable admissions
Troika’s intervention
Health Policy
SDG 3 - Good Health and Well-being
description Funding Information: The present publication was funded by Fundação Ciênciae Tecnologia, IP national support through CHRC (UIDP/04923/2020) and NOVA National School of Public Health. Publisher Copyright: © 2021, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-02T22:18:26Z
2021-12
2021-12-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/120407
url http://hdl.handle.net/10362/120407
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1472-6963
PURE: 32312787
https://doi.org/10.1186/s12913-021-06475-4
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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