Óbitos, internações e custos das doenças crônicas não transmissíveis no estado de Goiás no período de 2006 a 2012
Autor(a) principal: | |
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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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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/3369ark:/38995/00130000052jwThe 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 |
dc.identifier.dark.fl_str_mv |
ark:/38995/00130000052jw |
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. ark:/38995/00130000052jw |
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 |
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