THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | preprint |
Idioma: | eng |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/2560 |
Resumo: | Objective: to assess the effect of changes on Primary Care policies on the trend in hospitalization rates for Ambulatory Conditions Sensitive to Primary Care in the city of Rio de Janeiro, Brazil. Study design: It´s an ecological study with data from Brazilian National Health Information System. Methods: We performed interrupted time series analysis, comparing 3 different periods due to primary care policies in Brazil: 2008-2009; 2010-2017, and 2018-2019. Dataset included total ACSC and rates for 19 groups of conditions. Results: There was a non-significant increasing trend in baseline admissions. The reform impacted (policy #1) the change in trend, causing it to reduce in the period significantly. However, the change in the PNAB (policy #2) did not change the trend but reduced the rate of decline. Trends and differences among periods vary due to the ACSC group. Conclusion: Primary care is sensitive to changes in public health policies. The hospitalization rate for ambulatory care-sensitive conditions is an indicator that reflects the changes and the adaptability of the organization of the health service network to guarantee universal coverage and to attend to the population's demand. |
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THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZILPrimary Health CareTime SeriesHospitalizationPublic Health PolicyEpidemiological MethodsHealth ServicesObjective: to assess the effect of changes on Primary Care policies on the trend in hospitalization rates for Ambulatory Conditions Sensitive to Primary Care in the city of Rio de Janeiro, Brazil. Study design: It´s an ecological study with data from Brazilian National Health Information System. Methods: We performed interrupted time series analysis, comparing 3 different periods due to primary care policies in Brazil: 2008-2009; 2010-2017, and 2018-2019. Dataset included total ACSC and rates for 19 groups of conditions. Results: There was a non-significant increasing trend in baseline admissions. The reform impacted (policy #1) the change in trend, causing it to reduce in the period significantly. However, the change in the PNAB (policy #2) did not change the trend but reduced the rate of decline. Trends and differences among periods vary due to the ACSC group. Conclusion: Primary care is sensitive to changes in public health policies. The hospitalization rate for ambulatory care-sensitive conditions is an indicator that reflects the changes and the adaptability of the organization of the health service network to guarantee universal coverage and to attend to the population's demand.SciELO PreprintsSciELO PreprintsSciELO Preprints2021-06-30info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/256010.1590/SciELOPreprints.2560enghttps://preprints.scielo.org/index.php/scielo/article/view/2560/4418Copyright (c) 2021 Raphael Mendonça Guimarães, Laís Pimenta Ribeiro, Aline Gonçalves Pereira, Leonardo Graeverhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGuimarães, Raphael Mendonça Ribeiro, Laís PimentaPereira, Aline GonçalvesGraever, Leonardoreponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-06-28T21:05:39Zoai:ops.preprints.scielo.org:preprint/2560Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-06-28T21:05:39SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL |
title |
THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL |
spellingShingle |
THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL Guimarães, Raphael Mendonça Primary Health Care Time Series Hospitalization Public Health Policy Epidemiological Methods Health Services |
title_short |
THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL |
title_full |
THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL |
title_fullStr |
THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL |
title_full_unstemmed |
THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL |
title_sort |
THE EFFECT OF PRIMARY CARE POLICY CHANGES ON HOSPITALIZATION FOR AMBULATORY CARE SENSITIVE CONDITIONS: NOTES FROM BRAZIL |
author |
Guimarães, Raphael Mendonça |
author_facet |
Guimarães, Raphael Mendonça Ribeiro, Laís Pimenta Pereira, Aline Gonçalves Graever, Leonardo |
author_role |
author |
author2 |
Ribeiro, Laís Pimenta Pereira, Aline Gonçalves Graever, Leonardo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Guimarães, Raphael Mendonça Ribeiro, Laís Pimenta Pereira, Aline Gonçalves Graever, Leonardo |
dc.subject.por.fl_str_mv |
Primary Health Care Time Series Hospitalization Public Health Policy Epidemiological Methods Health Services |
topic |
Primary Health Care Time Series Hospitalization Public Health Policy Epidemiological Methods Health Services |
description |
Objective: to assess the effect of changes on Primary Care policies on the trend in hospitalization rates for Ambulatory Conditions Sensitive to Primary Care in the city of Rio de Janeiro, Brazil. Study design: It´s an ecological study with data from Brazilian National Health Information System. Methods: We performed interrupted time series analysis, comparing 3 different periods due to primary care policies in Brazil: 2008-2009; 2010-2017, and 2018-2019. Dataset included total ACSC and rates for 19 groups of conditions. Results: There was a non-significant increasing trend in baseline admissions. The reform impacted (policy #1) the change in trend, causing it to reduce in the period significantly. However, the change in the PNAB (policy #2) did not change the trend but reduced the rate of decline. Trends and differences among periods vary due to the ACSC group. Conclusion: Primary care is sensitive to changes in public health policies. The hospitalization rate for ambulatory care-sensitive conditions is an indicator that reflects the changes and the adaptability of the organization of the health service network to guarantee universal coverage and to attend to the population's demand. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/2560 10.1590/SciELOPreprints.2560 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/2560 |
identifier_str_mv |
10.1590/SciELOPreprints.2560 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/2560/4418 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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reponame:SciELO Preprints instname:SciELO instacron:SCI |
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SciELO |
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SCI |
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SCI |
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SciELO Preprints |
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SciELO Preprints |
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SciELO Preprints - SciELO |
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scielo.submission@scielo.org |
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