Overview of hospitalizations for ambulatory care sensitive conditions in Espirito Santo, Brazil, 2000 to 2014

• Autor(a) principal: Pazó, Rosalva Grobério
• Data de Publicação: 2017
• Outros Autores: Frauches, Diana de Oliveira, Molina, Maria del Carmen Bisi, Cade, Nagela Valadão
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/1546
• topic: Primary Health Care. Family Health Strategy. Quality Indicators; Health Care. Hospitalization.; Atención Primaria de Salud. Estrategia de Salud Familiar. Indicadores de Calidad de la Atención de Salud.Hospitalización.; Atenção Primária à Saúde. Estratégia Saúde da Família. Indicadores de Qualidade em Assistência à Saúde. Hospitalização.; Atenção Primária à Saúde; Estratégia Saúde da Família; Indicadores de Qualidade em Assistência à Saúde; Hospitalização

Objective: To describe the time series of hospitalizations due to ambulatory care sensitive conditions (ACSC) in Espirito Santo, from 2000 to 2014, according to sex, age, municipal size, regions and cause groups, and investigate the factors associated with the occurrence of these hospitalizations. Method: Ecological study of time series of ACSC hospitalizations occurred from 2000 to 2014. The analysis of the time series was performed by the Cochrane-Orcutt method, and for the multivariable regression analysis the negative binomial regression model was used. Results: ACSC hospitalizations decreased 28.79% in the period. The highest rates were observed among the elderly and children under five, and decreased more among the elderly and adults. The main groups of causes were gastroenteritis and complications, infection in the kidney and urinary tract, and heart failure. There was a reduction in the ACSC hospitalizations rates as the coverage rate of family health strategy increased (0.60, CI: 0.56-0.66), proportion of physicians (0.90, CI: 0.84-0,96), blacks (0.88, CI: 0.83-0.93) and people with high school education (0.87, CI: 0.76-0.99), while there was an increase of these hospitalizations with each increase in gross domestic product per capita, Gini index, urbanization rate, hospital beds and health insurance. Conclusion: The expansion and consolidation of family health strategy are important for the reduction of ACSC hospitalizations in the state among other factors, such as health resources and socioeconomic factors.