Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012

Detalhes bibliográficos
Autor(a) principal: Lima, Helen de
Data de Publicação: 2013
Tipo de documento: Tese
Idioma: por
Título da fonte: Repositório Institucional da UFG
Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/3369
Resumo: The aim of this study was to analyze the prevalence and distribution of mortality hospitalizations and costs for non-communicable chronic diseases (cardiovascular diseases, cancer, chronic respiratory diseases and diabetes mellitus ) in the State of Goiás, from 2006-2012 about the epidemiological dimension and proposed strategic actions. Methodological procedures included descriptive statistics with frequency analysis, absolute and percentage, and frequency conversion rate of deaths per 10 000 inhabitants, for all of the municipalities and their distribution in the large and small regions of health. We used the databases of deaths and hospitalizations from national health information by selecting admissions frequently occurring above 100 in 2011, according to the International Classification of Diseases (ICD-10). Copied these databases. It was created an environment tab, using TabWin Exploratory Analysis applicative, version 3.6. The process of extracting the data consisted in taking some filters so that the extracted data were only and exclusively of non-communicable chronic diseases and disabled residents in the state of Goiás and only during the selected period. The findings show that, for the variable death, the most frequent cause was the circulatory system diseases. Struck both sexes in the age groups in their extreme stratification. These diseases are also prevalent when analyzing hospital admissions, and the majority occur in women. When assessing the cost of hospital admissions, there is a growing expense, in general, for all causes. The large region health, the Midwest has the highest death rates and higher expenses, R$ 182.84 million in the period. The causes cancer affects men more than 60 years of age or above with the death rate was 3.6 cases per 10 000 inhabitants. Chronic respiratory diseases and diabetes mellitus occur respectively in men aged 70 and above and women 50 years of age or above. The study also revealed that, for large region health, death rates had great variation. The highest rate corresponds to the large region Midwest, which has characteristics of great development. The study revealed the presence of significant and diverse death rate in the large regions of health. The findings indicate the need for consideration of the possibilities and limits of punctual interventions, compensatory cyclical character, and the importance of intersectoral interventions, integral for amending the conditions of life of the whole population. It also demonstrates the importance of the adoption of public policies and intersectoral actions guided by the community – based approach, amplifying the reach of intervention of public agencies in the prevention and control of NCDs, one of the large, if not the biggest, challenge for the public health of the XXI century.
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spelling Leles, Cláudio Rodrigueshttp://lattes.cnpq.br/6740286066154410Leles, Cláudio RodriguesMarcelo, Vânia CristinaItria, AlexanderCosta, Paulo Sérgio Sucasas daSilva, Érica Tatiane dahttp://lattes.cnpq.br/2832263958839732Lima, Helen de2014-10-17T20:38:40Z2013-09-17LIMA, Helen de. Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012. 2013. 158 f .Tese (Doutorado em Ciências da Saúde). Universidade Federal de Goiás, Goiânia, 2013.http://repositorio.bc.ufg.br/tede/handle/tede/3369The aim of this study was to analyze the prevalence and distribution of mortality hospitalizations and costs for non-communicable chronic diseases (cardiovascular diseases, cancer, chronic respiratory diseases and diabetes mellitus ) in the State of Goiás, from 2006-2012 about the epidemiological dimension and proposed strategic actions. Methodological procedures included descriptive statistics with frequency analysis, absolute and percentage, and frequency conversion rate of deaths per 10 000 inhabitants, for all of the municipalities and their distribution in the large and small regions of health. We used the databases of deaths and hospitalizations from national health information by selecting admissions frequently occurring above 100 in 2011, according to the International Classification of Diseases (ICD-10). Copied these databases. It was created an environment tab, using TabWin Exploratory Analysis applicative, version 3.6. The process of extracting the data consisted in taking some filters so that the extracted data were only and exclusively of non-communicable chronic diseases and disabled residents in the state of Goiás and only during the selected period. The findings show that, for the variable death, the most frequent cause was the circulatory system diseases. Struck both sexes in the age groups in their extreme stratification. These diseases are also prevalent when analyzing hospital admissions, and the majority occur in women. When assessing the cost of hospital admissions, there is a growing expense, in general, for all causes. The large region health, the Midwest has the highest death rates and higher expenses, R$ 182.84 million in the period. The causes cancer affects men more than 60 years of age or above with the death rate was 3.6 cases per 10 000 inhabitants. Chronic respiratory diseases and diabetes mellitus occur respectively in men aged 70 and above and women 50 years of age or above. The study also revealed that, for large region health, death rates had great variation. The highest rate corresponds to the large region Midwest, which has characteristics of great development. The study revealed the presence of significant and diverse death rate in the large regions of health. The findings indicate the need for consideration of the possibilities and limits of punctual interventions, compensatory cyclical character, and the importance of intersectoral interventions, integral for amending the conditions of life of the whole population. It also demonstrates the importance of the adoption of public policies and intersectoral actions guided by the community – based approach, amplifying the reach of intervention of public agencies in the prevention and control of NCDs, one of the large, if not the biggest, challenge for the public health of the XXI century.O objetivo deste trabalho foi analisar a prevalência e distribuição da mortalidade, das internações e dos custos por doenças crônicas não transmissíveis (doenças do aparelho circulatório, câncer, doenças respiratórias crônicas e diabetes mellitus) no Estado de Goiás, no período de 2006 a 2012 no tocante a dimensão epidemiológica e a propostas de ações estratégicas. Os procedimentos metodológicos incluíram estatística descritiva com análise de frequência, absoluta e percentual, e conversão da frequência em taxa de óbitos para cada 10 mil habitantes, para o conjunto de municípios e a distribuição destes nas macrorregiões e microrregiões de saúde. Foram utilizadas as bases de dados de óbitos e de internações hospitalares dos sistemas nacionais de informação em saúde, selecionando-se as internações com frequência de ocorrência acima de 100 no ano de 2011, segundo a Classificação Internacional de Doenças (CID-10). Copiadas essas bases de dados, criou-se um ambiente de tabulação, com o uso do aplicativo de Análise Exploratório TabWin, versão 3.6. O processo de extração dos dados consistiu em assumir alguns filtros de forma que os dados extraídos fossem únicos e exclusivamente de doenças crônicas não transmissíveis e os enfermos residentes no Estado de Goiás e apenas no período selecionado. Os achados demonstram que, para a variável óbito, a causa de maior ocorrência foi doenças do aparelho circulatório. Acometeu ambos os sexos nas faixas etárias em seus extremos de estratificação. Esses agravos também predominam quando da análise das internações, sendo a maior ocorrência em mulheres. Ao avaliar o custo das internações, observa-se um crescente gasto, de forma geral, para todas as causas. A macrorregião de saúde, Centro Oeste, tem as maiores taxas de óbitos e os maiores gastos, R$ 182,84 milhões, no período. A causa câncer acomete mais homens de 60 anos de idade ou acima com taxa de óbito de 3.6 casos por 10 mil habitantes. As doenças respiratórias crônicas e o diabetes mellitus ocorrem, respectivamente, em homens de 70 anos ou acima e mulheres de 50 anos de idade ou acima. O estudo revelou ainda que, por macrorregião de saúde, as taxas de óbito tiveram grande variação. A maior taxa corresponde à macrorregião Centro Oeste, que tem característica de grande desenvolvimento. O estudo evidenciou a presença relevante e diversificada de taxa de óbitos nas microrregiões de saúde. As conclusões indicam a necessidade de ponderação acerca das possibilidades e limites das intervenções pontuais, de caráter conjuntural e compensatório, bem como a relevância de intervenções intersetoriais, integrais que visem modificar as condições de vida do conjunto da população. Demonstra ainda a importância da adoção de políticas públicas e ações intersetoriais orientadas pela abordagem de base comunitária amplificando a capilaridade de intervenção dos órgãos públicos na prevenção e controle das DCNT um dos grandes, senão o maior, desafio para a saúde pública do século XXI.Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2014-10-17T12:52:33Z No. of bitstreams: 2 Tese - Helen de Lima 2013.pdf: 9777714 bytes, checksum: cc6650482217d50ed3a20d235b2fe54a (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Jaqueline Silva (jtas29@gmail.com) on 2014-10-17T20:38:40Z (GMT) No. of bitstreams: 2 Tese - Helen de Lima 2013.pdf: 9777714 bytes, checksum: cc6650482217d50ed3a20d235b2fe54a (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2014-10-17T20:38:40Z (GMT). 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dc.title.por.fl_str_mv Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
title Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
spellingShingle Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
Lima, Helen de
Doenças crônicas não transmissíveis
Mortalidade
Internação
Custo
Política de saúde
Epidemiologia
Non-communicable diseases
Mortality
Hospitalization
Cost
Politics health
Epidemiology
CIENCIAS DA SAUDE
title_short Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
title_full Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
title_fullStr Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
title_full_unstemmed Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
title_sort Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
author Lima, Helen de
author_facet Lima, Helen de
author_role author
dc.contributor.advisor1.fl_str_mv Leles, Cláudio Rodrigues
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/6740286066154410
dc.contributor.referee1.fl_str_mv Leles, Cláudio Rodrigues
dc.contributor.referee2.fl_str_mv Marcelo, Vânia Cristina
dc.contributor.referee3.fl_str_mv Itria, Alexander
dc.contributor.referee4.fl_str_mv Costa, Paulo Sérgio Sucasas da
dc.contributor.referee5.fl_str_mv Silva, Érica Tatiane da
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/2832263958839732
dc.contributor.author.fl_str_mv Lima, Helen de
contributor_str_mv Leles, Cláudio Rodrigues
Leles, Cláudio Rodrigues
Marcelo, Vânia Cristina
Itria, Alexander
Costa, Paulo Sérgio Sucasas da
Silva, Érica Tatiane da
dc.subject.por.fl_str_mv Doenças crônicas não transmissíveis
Mortalidade
Internação
Custo
Política de saúde
Epidemiologia
topic Doenças crônicas não transmissíveis
Mortalidade
Internação
Custo
Política de saúde
Epidemiologia
Non-communicable diseases
Mortality
Hospitalization
Cost
Politics health
Epidemiology
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv Non-communicable diseases
Mortality
Hospitalization
Cost
Politics health
Epidemiology
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description The aim of this study was to analyze the prevalence and distribution of mortality hospitalizations and costs for non-communicable chronic diseases (cardiovascular diseases, cancer, chronic respiratory diseases and diabetes mellitus ) in the State of Goiás, from 2006-2012 about the epidemiological dimension and proposed strategic actions. Methodological procedures included descriptive statistics with frequency analysis, absolute and percentage, and frequency conversion rate of deaths per 10 000 inhabitants, for all of the municipalities and their distribution in the large and small regions of health. We used the databases of deaths and hospitalizations from national health information by selecting admissions frequently occurring above 100 in 2011, according to the International Classification of Diseases (ICD-10). Copied these databases. It was created an environment tab, using TabWin Exploratory Analysis applicative, version 3.6. The process of extracting the data consisted in taking some filters so that the extracted data were only and exclusively of non-communicable chronic diseases and disabled residents in the state of Goiás and only during the selected period. The findings show that, for the variable death, the most frequent cause was the circulatory system diseases. Struck both sexes in the age groups in their extreme stratification. These diseases are also prevalent when analyzing hospital admissions, and the majority occur in women. When assessing the cost of hospital admissions, there is a growing expense, in general, for all causes. The large region health, the Midwest has the highest death rates and higher expenses, R$ 182.84 million in the period. The causes cancer affects men more than 60 years of age or above with the death rate was 3.6 cases per 10 000 inhabitants. Chronic respiratory diseases and diabetes mellitus occur respectively in men aged 70 and above and women 50 years of age or above. The study also revealed that, for large region health, death rates had great variation. The highest rate corresponds to the large region Midwest, which has characteristics of great development. The study revealed the presence of significant and diverse death rate in the large regions of health. The findings indicate the need for consideration of the possibilities and limits of punctual interventions, compensatory cyclical character, and the importance of intersectoral interventions, integral for amending the conditions of life of the whole population. It also demonstrates the importance of the adoption of public policies and intersectoral actions guided by the community – based approach, amplifying the reach of intervention of public agencies in the prevention and control of NCDs, one of the large, if not the biggest, challenge for the public health of the XXI century.
publishDate 2013
dc.date.issued.fl_str_mv 2013-09-17
dc.date.accessioned.fl_str_mv 2014-10-17T20:38:40Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv LIMA, Helen de. Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012. 2013. 158 f .Tese (Doutorado em Ciências da Saúde). Universidade Federal de Goiás, Goiânia, 2013.
dc.identifier.uri.fl_str_mv http://repositorio.bc.ufg.br/tede/handle/tede/3369
identifier_str_mv LIMA, Helen de. Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012. 2013. 158 f .Tese (Doutorado em Ciências da Saúde). Universidade Federal de Goiás, Goiânia, 2013.
url http://repositorio.bc.ufg.br/tede/handle/tede/3369
dc.language.iso.fl_str_mv por
language por
dc.relation.program.fl_str_mv -1006864312617745310
dc.relation.confidence.fl_str_mv 600
600
600
600
dc.relation.department.fl_str_mv 1545772475950486338
dc.relation.cnpq.fl_str_mv 8765449414823306929
dc.relation.sponsorship.fl_str_mv -961409807440757778
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Goiás
dc.publisher.program.fl_str_mv Programa de Pós-graduação em Ciências da Saúde (FM)
dc.publisher.initials.fl_str_mv UFG
dc.publisher.country.fl_str_mv Brasil
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