Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions

Detalhes bibliográficos
Autor(a) principal: Monahan, Laura J.
Data de Publicação: 2013
Outros Autores: Calip, Gregory S., Novo, Patricia M., Sherstinsky, Mark, Casiano, Mildred, Mota, Eduardo, Dourado, Maria Inês Costa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/14928
Resumo: Texto completo: acesso restrito. p. 175–185
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spelling Monahan, Laura J.Calip, Gregory S.Novo, Patricia M.Sherstinsky, MarkCasiano, MildredMota, EduardoDourado, Maria Inês CostaMonahan, Laura J.Calip, Gregory S.Novo, Patricia M.Sherstinsky, MarkCasiano, MildredMota, EduardoDourado, Maria Inês Costa2014-05-06T17:41:03Z20132210-6006http://repositorio.ufba.br/ri/handle/ri/14928v. 3, n. 3Texto completo: acesso restrito. p. 175–185In seeking to provide universal health care through its primary care-oriented Family Health Program, Brazil has attempted to reduce hospitalization rates for preventable illnesses such as childhood gastroenteritis. We measured rates of Primary Care-sensitive Hospitalizations and evaluated the impact of the Family Health Program on pediatric gastroenteritis trends in high-poverty Northeast Brazil. We analyzed aggregated municipal-level data in time-series between years 1999–2007 from the Brazilian health system payer database and performed qualitative, in-depth key informant interviews with public health experts in municipalities in Bahia. Data were sampled for Bahia’s Salvador microregion, a population of approximately 14 million. Gastroenteritis hospitalization rates among children aged less than 5 years were evaluated. Declining hospitalization rates were associated with increasing coverage by the PSF (P = 0.02). After multivariate adjustment for garbage collection, sanitation, and water supply, evidence of this association was no longer significant (P = 0.28). Qualitative analysis confirmed these findings with a framework of health determinants, proximal causes, and health system effects. The PSF, with other public health efforts, was associated with decreasing gastroenteritis hospitalizations in children. Incentives for providers and more patient-centered health delivery may contribute to strengthening the PSF’s role in improving primary health care outcomes in Brazil.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2014-05-06T17:41:03Z No. of bitstreams: 1 1-s2.0-S2210600613000397-main.pdf: 2822112 bytes, checksum: 6bab680da48b3a1ae2ea58eaf3fd618f (MD5)Made available in DSpace on 2014-05-06T17:41:03Z (GMT). No. of bitstreams: 1 1-s2.0-S2210600613000397-main.pdf: 2822112 bytes, checksum: 6bab680da48b3a1ae2ea58eaf3fd618f (MD5) Previous issue date: 2013http://dx.doi.org/10.1016/j.jegh.2013.03.002reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAFamily Health Program (Programa Saúde da Família, (PSF)National Unified Health System (Sistema Único de Saúde, (SUS)Pediatric gastroenteritisPrimary careImpact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditionsJ Epidemiol Glob Healthinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINAL1-s2.0-S2210600613000397-main.pdf1-s2.0-S2210600613000397-main.pdfapplication/pdf2822112https://repositorio.ufba.br/bitstream/ri/14928/1/1-s2.0-S2210600613000397-main.pdf6bab680da48b3a1ae2ea58eaf3fd618fMD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/14928/2/license.txt0d4b811ef71182510d2015daa7c8a900MD52TEXT1-s2.0-S2210600613000397-main.pdf.txt1-s2.0-S2210600613000397-main.pdf.txtExtracted texttext/plain40608https://repositorio.ufba.br/bitstream/ri/14928/3/1-s2.0-S2210600613000397-main.pdf.txtc132bc024c0e882a2d24e89e01b944f2MD53ri/149282022-07-05 14:03:03.966oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:03Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions
dc.title.alternative.pt_BR.fl_str_mv J Epidemiol Glob Health
title Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions
spellingShingle Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions
Monahan, Laura J.
Family Health Program (Programa Saúde da Família, (PSF)
National Unified Health System (Sistema Único de Saúde, (SUS)
Pediatric gastroenteritis
Primary care
title_short Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions
title_full Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions
title_fullStr Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions
title_full_unstemmed Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions
title_sort Impact of the Family Health Program on gastroenteritis in children in Bahia, Northeast Brazil: an analysis of primary care-sensitive conditions
author Monahan, Laura J.
author_facet Monahan, Laura J.
Calip, Gregory S.
Novo, Patricia M.
Sherstinsky, Mark
Casiano, Mildred
Mota, Eduardo
Dourado, Maria Inês Costa
author_role author
author2 Calip, Gregory S.
Novo, Patricia M.
Sherstinsky, Mark
Casiano, Mildred
Mota, Eduardo
Dourado, Maria Inês Costa
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Monahan, Laura J.
Calip, Gregory S.
Novo, Patricia M.
Sherstinsky, Mark
Casiano, Mildred
Mota, Eduardo
Dourado, Maria Inês Costa
Monahan, Laura J.
Calip, Gregory S.
Novo, Patricia M.
Sherstinsky, Mark
Casiano, Mildred
Mota, Eduardo
Dourado, Maria Inês Costa
dc.subject.por.fl_str_mv Family Health Program (Programa Saúde da Família, (PSF)
National Unified Health System (Sistema Único de Saúde, (SUS)
Pediatric gastroenteritis
Primary care
topic Family Health Program (Programa Saúde da Família, (PSF)
National Unified Health System (Sistema Único de Saúde, (SUS)
Pediatric gastroenteritis
Primary care
description Texto completo: acesso restrito. p. 175–185
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2014-05-06T17:41:03Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/14928
dc.identifier.issn.none.fl_str_mv 2210-6006
dc.identifier.number.pt_BR.fl_str_mv v. 3, n. 3
identifier_str_mv 2210-6006
v. 3, n. 3
url http://repositorio.ufba.br/ri/handle/ri/14928
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1016/j.jegh.2013.03.002
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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