Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/12204 |
Resumo: | Multimorbity (MM), a simultaneous presence of two or more chronic diseases in the same individual, presents high prevalence and is related to important negative outcomes, especially in the elderly. Although frequent, the studies about MM are scarce. The aims of this study are to evaluate the presence of MM and associated factors, the presence of clusters/networking of morbidities and to analyze the potential effect of continuity of care in primary care (CCPC) in health services use among elderly people. Thus, we conducted the cross-sectional, population-based study using data from the National Health Survey (PNS-2013), with the analysis of 11,177 elderly people from all Brazilian states. MM was evaluated by the patient's self report, questionnaire for depression and anthropometric measurements, being categorized by three cut points: ≥2 physical and/or mental morbidities (MM2), ≥3 physical and/or mental morbidities (MM3) and ≥2 morbidities being at least one mental morbidity (MMpm). CCPC was analyzed by the presence of regular care source. The use of health services was analysed according to the demand for health services ≥15 days, medical consultation ≥12 months and hospitalization ≥1 year. Higher prevalence of MM was observed (MM2: 58.6%, MM3: 36.4%, MMpm: 12.2%). High blood pressure was the more frequent disease (50.6%), followed by back problems, high cholesterol and obesity. Hypertension/high cholesterol was teh par of higher occurrence (16.9%). In the adjusted analysis, being female and living in the South region was associated with all categories of MM. Independent of cutoff point, we observed elevated use of health services in the three categories analyzed. CCPC was present in 36.5%, being higher in women (37.78% vs. 34.95%). Less hospitalization was observed in people with MM2 and CCPC compared to those without CCPC, a fact also observed in MM3. Prevalence of MM in Brazilian series with high association with females and living in the South region. Our studies demonstrate that CCPC is an important component of care in elderly patients with multimorbity, aiming to reduce hospitalizations. Other studies are needed to clarify the different forms of CCPC that affect and strengthen services in health services. The Unified Health System should prioritize the care of the elderly with MM. |
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Jardim, Paulo César Brandão Veigahttp://lattes.cnpq.br/2292209583823133Sousa, Ana Luiza Limahttp://lattes.cnpq.br/6578713509935374Jardim, Paulo César Brandão VeigaSousa, Ana Luiza LimaMendonça, Claunara SchillingThumé, ElaineTrindade, Thiago Gomeshttp://lattes.cnpq.br/0635277135921573Batista, Sandro Rogério Rodrigues2022-07-22T11:35:06Z2022-07-22T11:35:06Z2019-08-22BATISTA, S. R. R. Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde. 2019. 147 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2019.http://repositorio.bc.ufg.br/tede/handle/tede/12204Multimorbity (MM), a simultaneous presence of two or more chronic diseases in the same individual, presents high prevalence and is related to important negative outcomes, especially in the elderly. Although frequent, the studies about MM are scarce. The aims of this study are to evaluate the presence of MM and associated factors, the presence of clusters/networking of morbidities and to analyze the potential effect of continuity of care in primary care (CCPC) in health services use among elderly people. Thus, we conducted the cross-sectional, population-based study using data from the National Health Survey (PNS-2013), with the analysis of 11,177 elderly people from all Brazilian states. MM was evaluated by the patient's self report, questionnaire for depression and anthropometric measurements, being categorized by three cut points: ≥2 physical and/or mental morbidities (MM2), ≥3 physical and/or mental morbidities (MM3) and ≥2 morbidities being at least one mental morbidity (MMpm). CCPC was analyzed by the presence of regular care source. The use of health services was analysed according to the demand for health services ≥15 days, medical consultation ≥12 months and hospitalization ≥1 year. Higher prevalence of MM was observed (MM2: 58.6%, MM3: 36.4%, MMpm: 12.2%). High blood pressure was the more frequent disease (50.6%), followed by back problems, high cholesterol and obesity. Hypertension/high cholesterol was teh par of higher occurrence (16.9%). In the adjusted analysis, being female and living in the South region was associated with all categories of MM. Independent of cutoff point, we observed elevated use of health services in the three categories analyzed. CCPC was present in 36.5%, being higher in women (37.78% vs. 34.95%). Less hospitalization was observed in people with MM2 and CCPC compared to those without CCPC, a fact also observed in MM3. Prevalence of MM in Brazilian series with high association with females and living in the South region. Our studies demonstrate that CCPC is an important component of care in elderly patients with multimorbity, aiming to reduce hospitalizations. Other studies are needed to clarify the different forms of CCPC that affect and strengthen services in health services. The Unified Health System should prioritize the care of the elderly with MM.Multimorbidade (MM), ou seja, a presença síncrona de duas ou mais condições crônicas num mesmo indivíduo, apresenta alta prevalência e está relacionada com importantes desfechos negativos em saúde, notadamente em idosos. Embora frequente, são escassos os estudos no cenário brasileiro sobre esse tema. Os objetivos desse estudo são avaliar fatores associados à ocorrência de multimorbidade e o efeito da continuidade do cuidado na atenção primária (CCAP) sobre a utilização de serviços de saúde em idosos brasileiros. Dessa forma, conduzimos estudo transversal, de base populacional, utilizando dados da Pesquisa Nacional de Saúde (PNS-2013), com amostra de 11.177 idosos de todos os estados brasileiros. MM foi avaliada por meio de uma lista de 16 morbidades (físicas e mentais) aferidas por autorrelato, questionário padronizado (Patient Health Questionnaire – 9, para depressão) e aferição de medidas antropométricas para avaliação de índice de massa corporal e classificação de obesidade. MM foi categorizada segundos três pontos do corte: ≥2 morbidades físicas e/ou mentais (MM2), ≥3 morbidades físicas e/ou mentais (MM3) e ≥2 morbidades sendo pelo menos uma deles morbidade mental (MMpm). CCAP foi analisada pela presença de fonte regular de cuidado. O uso de serviços de saúde foi avaliado conforme a demanda por serviços de saúde ≥15 dias, consulta médica ≥12 meses e hospitalização ≥ 1 ano. Alta prevalência de MM foi observada (MM2: 58,6%, MM3: 36,4%, MMpm: 12,2%). Hipertensão arterial foi a morbidade mais frequente (50,6%) seguida por problemas de coluna, colesterol alto e obesidade. Hipertensão/colesterol alto foi a combinação de maior ocorrência (16,9%). Na análise ajustada, ser do sexo feminino e morar na região Sul mostrou associação com todas as categorias de MM. Independente de ponto de corte, indivíduos com MM apresentaram maior utilização de serviços de saúde nas 3 categorias analisadas. CCAP esteve presente em 36,5%, sendo maior em mulheres (37.78% vs. 34.95%). Menor ocorrência de hospitalização foi observado em pessoas com MM2 e CCAP comparado aqueles sem CCAP, fato também observado em MM3. A prevalência de MM em idosos brasileiros foi alta, especialmente em mulheres e moradores da região sul do país. Nosso estudo demostra que CCAP pode ser um importante componente no cuidado de idosos com multimorbidade, reduzindo a frequência de internações hospitalares. Outros estudos são necessários para entender como as diferentes formas de CCAP influenciam esses desfechos e também estratégias de potencializá-la nos serviços de saúde. O Sistema Único de Saúde deve priorizar o cuidado de pessoas idosas com multimorbidade.Submitted by Marlene Santos (marlene.bc.ufg@gmail.com) on 2022-07-21T21:17:48Z No. of bitstreams: 2 Tese - Sandro Rogério Rodrigues Batista - 2019.pdf: 3328315 bytes, checksum: 2b0f04f7557101ae0e4785cf43bfef40 (MD5) license_rdf: 805 bytes, checksum: 4460e5956bc1d1639be9ae6146a50347 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2022-07-22T11:35:06Z (GMT) No. of bitstreams: 2 Tese - Sandro Rogério Rodrigues Batista - 2019.pdf: 3328315 bytes, checksum: 2b0f04f7557101ae0e4785cf43bfef40 (MD5) license_rdf: 805 bytes, checksum: 4460e5956bc1d1639be9ae6146a50347 (MD5)Made available in DSpace on 2022-07-22T11:35:06Z (GMT). No. of bitstreams: 2 Tese - Sandro Rogério Rodrigues Batista - 2019.pdf: 3328315 bytes, checksum: 2b0f04f7557101ae0e4785cf43bfef40 (MD5) license_rdf: 805 bytes, checksum: 4460e5956bc1d1639be9ae6146a50347 (MD5) Previous issue date: 2019-08-22OutroporUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RG)Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessMultimorbidadeContinuidade do cuidadoAtenção primária à saúdeDoenças crônicasSistemas de saúdeMultimorbidityContinuity of carePrimary health careChronic diseasesHealth systemsCIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICAMultimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúdeMultimorbidity in Brazilian elderly: prevalence, patterns and morbidity networks, continuity of care and health services utilizationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis255005005005001911385reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.bc.ufg.br/tede/bitstreams/ed5324b9-2c19-47c9-99df-86ae7e5898f4/download8a4605be74aa9ea9d79846c1fba20a33MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.bc.ufg.br/tede/bitstreams/75f5d748-20cb-4e51-b7f4-22dfdd3c9fec/download4460e5956bc1d1639be9ae6146a50347MD52ORIGINALTese - Sandro Rogério Rodrigues Batista - 2019.pdfTese - Sandro Rogério Rodrigues Batista - 2019.pdfapplication/pdf3328315http://repositorio.bc.ufg.br/tede/bitstreams/41ea2287-222b-4172-a7fb-3ecf51b755d8/download2b0f04f7557101ae0e4785cf43bfef40MD53tede/122042022-07-22 08:35:06.59http://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NonCommercial-NoDerivatives 4.0 Internationalopen.accessoai:repositorio.bc.ufg.br:tede/12204http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2022-07-22T11:35:06Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)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 |
dc.title.pt_BR.fl_str_mv |
Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde |
dc.title.alternative.eng.fl_str_mv |
Multimorbidity in Brazilian elderly: prevalence, patterns and morbidity networks, continuity of care and health services utilization |
title |
Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde |
spellingShingle |
Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde Batista, Sandro Rogério Rodrigues Multimorbidade Continuidade do cuidado Atenção primária à saúde Doenças crônicas Sistemas de saúde Multimorbidity Continuity of care Primary health care Chronic diseases Health systems CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA |
title_short |
Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde |
title_full |
Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde |
title_fullStr |
Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde |
title_full_unstemmed |
Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde |
title_sort |
Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde |
author |
Batista, Sandro Rogério Rodrigues |
author_facet |
Batista, Sandro Rogério Rodrigues |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Jardim, Paulo César Brandão Veiga |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2292209583823133 |
dc.contributor.advisor-co1.fl_str_mv |
Sousa, Ana Luiza Lima |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/6578713509935374 |
dc.contributor.referee1.fl_str_mv |
Jardim, Paulo César Brandão Veiga |
dc.contributor.referee2.fl_str_mv |
Sousa, Ana Luiza Lima |
dc.contributor.referee3.fl_str_mv |
Mendonça, Claunara Schilling |
dc.contributor.referee4.fl_str_mv |
Thumé, Elaine |
dc.contributor.referee5.fl_str_mv |
Trindade, Thiago Gomes |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0635277135921573 |
dc.contributor.author.fl_str_mv |
Batista, Sandro Rogério Rodrigues |
contributor_str_mv |
Jardim, Paulo César Brandão Veiga Sousa, Ana Luiza Lima Jardim, Paulo César Brandão Veiga Sousa, Ana Luiza Lima Mendonça, Claunara Schilling Thumé, Elaine Trindade, Thiago Gomes |
dc.subject.por.fl_str_mv |
Multimorbidade Continuidade do cuidado Atenção primária à saúde Doenças crônicas Sistemas de saúde |
topic |
Multimorbidade Continuidade do cuidado Atenção primária à saúde Doenças crônicas Sistemas de saúde Multimorbidity Continuity of care Primary health care Chronic diseases Health systems CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA |
dc.subject.eng.fl_str_mv |
Multimorbidity Continuity of care Primary health care Chronic diseases Health systems |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA |
description |
Multimorbity (MM), a simultaneous presence of two or more chronic diseases in the same individual, presents high prevalence and is related to important negative outcomes, especially in the elderly. Although frequent, the studies about MM are scarce. The aims of this study are to evaluate the presence of MM and associated factors, the presence of clusters/networking of morbidities and to analyze the potential effect of continuity of care in primary care (CCPC) in health services use among elderly people. Thus, we conducted the cross-sectional, population-based study using data from the National Health Survey (PNS-2013), with the analysis of 11,177 elderly people from all Brazilian states. MM was evaluated by the patient's self report, questionnaire for depression and anthropometric measurements, being categorized by three cut points: ≥2 physical and/or mental morbidities (MM2), ≥3 physical and/or mental morbidities (MM3) and ≥2 morbidities being at least one mental morbidity (MMpm). CCPC was analyzed by the presence of regular care source. The use of health services was analysed according to the demand for health services ≥15 days, medical consultation ≥12 months and hospitalization ≥1 year. Higher prevalence of MM was observed (MM2: 58.6%, MM3: 36.4%, MMpm: 12.2%). High blood pressure was the more frequent disease (50.6%), followed by back problems, high cholesterol and obesity. Hypertension/high cholesterol was teh par of higher occurrence (16.9%). In the adjusted analysis, being female and living in the South region was associated with all categories of MM. Independent of cutoff point, we observed elevated use of health services in the three categories analyzed. CCPC was present in 36.5%, being higher in women (37.78% vs. 34.95%). Less hospitalization was observed in people with MM2 and CCPC compared to those without CCPC, a fact also observed in MM3. Prevalence of MM in Brazilian series with high association with females and living in the South region. Our studies demonstrate that CCPC is an important component of care in elderly patients with multimorbity, aiming to reduce hospitalizations. Other studies are needed to clarify the different forms of CCPC that affect and strengthen services in health services. The Unified Health System should prioritize the care of the elderly with MM. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-08-22 |
dc.date.accessioned.fl_str_mv |
2022-07-22T11:35:06Z |
dc.date.available.fl_str_mv |
2022-07-22T11:35:06Z |
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 |
BATISTA, S. R. R. Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde. 2019. 147 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2019. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/12204 |
identifier_str_mv |
BATISTA, S. R. R. Multimorbidade em idosos brasileiros: prevalência, agrupamentos e redes de morbidades, continuidade de cuidado e utilização de serviços de saúde. 2019. 147 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2019. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/12204 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
25 |
dc.relation.confidence.fl_str_mv |
500 500 500 500 |
dc.relation.department.fl_str_mv |
19 |
dc.relation.cnpq.fl_str_mv |
1138 |
dc.relation.sponsorship.fl_str_mv |
5 |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
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 |
dc.publisher.department.fl_str_mv |
Faculdade de Medicina - FM (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
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bitstream.checksum.fl_str_mv |
8a4605be74aa9ea9d79846c1fba20a33 4460e5956bc1d1639be9ae6146a50347 2b0f04f7557101ae0e4785cf43bfef40 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
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1798044322956836864 |