Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , |
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. |
id |
RCAP_70c70c2fe9797e31f12b1fefd285601b |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/120407 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
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 |
|
_version_ |
1799138051014787072 |