Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Rev Rene (Online) |
Texto Completo: | http://periodicos.ufc.br/rene/article/view/42091 |
Resumo: | Objective: to evaluate the costs of hospitalizations for ambulatory care sensitive conditions in the 2008-2015 time series. Methods: ecological study with records of the Hospital Information System. The sample was composed of records of admissions for diagnoses of the Brazilian List hospitalizations for ambulatory care sensitive conditions. Polynomial regressions were used to analyze the temporal trend of rates. Results: there was a decrease in the rates per 10,000 inhabitants (67.38 to 51.99) (r2=0.9783; p<0.001). The most costly causes were asthma, heart failure, cystitis, and pneumonia. There was a decreasing trend in hospitalizations (β=-2.15; p<0.001) and expenditures (β=-2243.24; p=0.169). Conclusion: the diagnosis asthma caused greater expenses, while inflammatory disease of the cervix reached caused lower expenses. In the time series, there was a trend towards reduction of expenses evidenced by the difference between the highest cost in 2009 and the lowest in 2015. |
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Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015Custos com Internações por Condições Sensíveis à Atenção Primária: séries temporais 2008-2015Primary Health Care; Basic Health Services; Health Care Quality, Access, and Evaluation; Hospital Information Systems; Ecological Studies.Atenção Primária à Saúde; Serviços Básicos de Saúde; Qualidade, Acesso e Avaliação da Assistência à Saúde; Sistemas de Informação Hospitalar; Estudos Ecológicos.Objective: to evaluate the costs of hospitalizations for ambulatory care sensitive conditions in the 2008-2015 time series. Methods: ecological study with records of the Hospital Information System. The sample was composed of records of admissions for diagnoses of the Brazilian List hospitalizations for ambulatory care sensitive conditions. Polynomial regressions were used to analyze the temporal trend of rates. Results: there was a decrease in the rates per 10,000 inhabitants (67.38 to 51.99) (r2=0.9783; p<0.001). The most costly causes were asthma, heart failure, cystitis, and pneumonia. There was a decreasing trend in hospitalizations (β=-2.15; p<0.001) and expenditures (β=-2243.24; p=0.169). Conclusion: the diagnosis asthma caused greater expenses, while inflammatory disease of the cervix reached caused lower expenses. In the time series, there was a trend towards reduction of expenses evidenced by the difference between the highest cost in 2009 and the lowest in 2015.Objetivo: avaliar os custos com Internações por Condições Sensíveis à Atenção Primária, ponderando as séries temporais de 2008-2015. Métodos: estudo ecológico que se utilizou dos registros do Sistema de Informação Hospitalar. Amostra composta pelos registros de internações de diagnósticos incluídos na Lista Brasileira de Internações por Condições Sensíveis à Atenção Primária. Regressões polinomiais foram utilizadas para análise da tendência temporal das taxas ao longo do período. Resultados: houve decréscimo nas taxas por 10.000 habitantes (67.38 a 51.99) (r2=0,9783; p<0,001). As causas mais onerosas foram: asma, insuficiência cardíaca, cistite e pneumonia. Evidenciou-se tendência de redução das internações (β=-2,15; p<0,001) e dispêndios médios (β=-2243,24; p=0,169). Conclusão: o diagnóstico asma obteve maior consumo, enquanto que a doença inflamatória do colo do útero atingiu menor quantitativo. Na série temporal, observou-se tendência de redução de gastos evidenciada pela diferença entre o maior custo no ano de 2009 e o menor, em 2015.Universidade Federal do Ceará2020-02-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontextoapplication/pdfapplication/pdfhttp://periodicos.ufc.br/rene/article/view/4209110.15253/2175-6783.20202142091Rev Rene; Vol 21 (2020): Rev Rene; e42091Rev Rene; v. 21 (2020): Rev Rene; e420912175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCporenghttp://periodicos.ufc.br/rene/article/view/42091/100005http://periodicos.ufc.br/rene/article/view/42091/100004Copyright (c) 2020 Rev Renehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSousa, Maria Evely Ferreira deSousa, Eduardo Carvalho de Melo, Geórgia Alcântara AlencarCarvalho, Rhanna Emanuela Fontenelle Lima de Silva, Maria Rocineide Ferreira da Pereira, Francisco Gilberto Fernandes2021-05-11T16:45:42Zoai:periodicos.ufc:article/42091Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2021-05-11T16:45:42Rev Rene (Online) - Universidade Federal do Ceará (UFC)false |
dc.title.none.fl_str_mv |
Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015 Custos com Internações por Condições Sensíveis à Atenção Primária: séries temporais 2008-2015 |
title |
Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015 |
spellingShingle |
Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015 Sousa, Maria Evely Ferreira de Primary Health Care; Basic Health Services; Health Care Quality, Access, and Evaluation; Hospital Information Systems; Ecological Studies. Atenção Primária à Saúde; Serviços Básicos de Saúde; Qualidade, Acesso e Avaliação da Assistência à Saúde; Sistemas de Informação Hospitalar; Estudos Ecológicos. |
title_short |
Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015 |
title_full |
Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015 |
title_fullStr |
Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015 |
title_full_unstemmed |
Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015 |
title_sort |
Hospitalization costs for Ambulatory Care Sensitive Conditions: time Series 2008-2015 |
author |
Sousa, Maria Evely Ferreira de |
author_facet |
Sousa, Maria Evely Ferreira de Sousa, Eduardo Carvalho de Melo, Geórgia Alcântara Alencar Carvalho, Rhanna Emanuela Fontenelle Lima de Silva, Maria Rocineide Ferreira da Pereira, Francisco Gilberto Fernandes |
author_role |
author |
author2 |
Sousa, Eduardo Carvalho de Melo, Geórgia Alcântara Alencar Carvalho, Rhanna Emanuela Fontenelle Lima de Silva, Maria Rocineide Ferreira da Pereira, Francisco Gilberto Fernandes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Sousa, Maria Evely Ferreira de Sousa, Eduardo Carvalho de Melo, Geórgia Alcântara Alencar Carvalho, Rhanna Emanuela Fontenelle Lima de Silva, Maria Rocineide Ferreira da Pereira, Francisco Gilberto Fernandes |
dc.subject.por.fl_str_mv |
Primary Health Care; Basic Health Services; Health Care Quality, Access, and Evaluation; Hospital Information Systems; Ecological Studies. Atenção Primária à Saúde; Serviços Básicos de Saúde; Qualidade, Acesso e Avaliação da Assistência à Saúde; Sistemas de Informação Hospitalar; Estudos Ecológicos. |
topic |
Primary Health Care; Basic Health Services; Health Care Quality, Access, and Evaluation; Hospital Information Systems; Ecological Studies. Atenção Primária à Saúde; Serviços Básicos de Saúde; Qualidade, Acesso e Avaliação da Assistência à Saúde; Sistemas de Informação Hospitalar; Estudos Ecológicos. |
description |
Objective: to evaluate the costs of hospitalizations for ambulatory care sensitive conditions in the 2008-2015 time series. Methods: ecological study with records of the Hospital Information System. The sample was composed of records of admissions for diagnoses of the Brazilian List hospitalizations for ambulatory care sensitive conditions. Polynomial regressions were used to analyze the temporal trend of rates. Results: there was a decrease in the rates per 10,000 inhabitants (67.38 to 51.99) (r2=0.9783; p<0.001). The most costly causes were asthma, heart failure, cystitis, and pneumonia. There was a decreasing trend in hospitalizations (β=-2.15; p<0.001) and expenditures (β=-2243.24; p=0.169). Conclusion: the diagnosis asthma caused greater expenses, while inflammatory disease of the cervix reached caused lower expenses. In the time series, there was a trend towards reduction of expenses evidenced by the difference between the highest cost in 2009 and the lowest in 2015. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-02-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://periodicos.ufc.br/rene/article/view/42091 10.15253/2175-6783.20202142091 |
url |
http://periodicos.ufc.br/rene/article/view/42091 |
identifier_str_mv |
10.15253/2175-6783.20202142091 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
http://periodicos.ufc.br/rene/article/view/42091/100005 http://periodicos.ufc.br/rene/article/view/42091/100004 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Rev Rene https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Rev Rene https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal do Ceará |
publisher.none.fl_str_mv |
Universidade Federal do Ceará |
dc.source.none.fl_str_mv |
Rev Rene; Vol 21 (2020): Rev Rene; e42091 Rev Rene; v. 21 (2020): Rev Rene; e42091 2175-6783 1517-3852 reponame:Rev Rene (Online) instname:Universidade Federal do Ceará (UFC) instacron:UFC |
instname_str |
Universidade Federal do Ceará (UFC) |
instacron_str |
UFC |
institution |
UFC |
reponame_str |
Rev Rene (Online) |
collection |
Rev Rene (Online) |
repository.name.fl_str_mv |
Rev Rene (Online) - Universidade Federal do Ceará (UFC) |
repository.mail.fl_str_mv |
rene@ufc.br|| |
_version_ |
1797174733845823488 |