More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/25619 |
Resumo: | The study aimed to analyze the evolution of the rates of hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in Sergipe and its municipalities between 2014 to 2019, correlating these admissions with the percentage of doctors from the More Doctors Program (MDP) in the Family Health Strategy’s (FHS) teams and correlating the participation in the program with the Human Development Index (HDI) of the municipalities. The results obtained showed that, after dividing the municipalities in the state into groups according to the percentage of physicians by the MDP in the FHS teams, a downward trend was observed in the admissions for ACSC in all 3 groups formed, but the dimension of this drop was greater in the group with the highest percentage of physicians in the More Doctors Program. In addition, using Spearman's correlation, there was a negative correlation in 2014 and 2015 between Sergipe’s municipalities with the lowest HDI and a higher percentage of physicians by More Doctors in the FHS teams, and a positive correlation from 2016 to 2019 between municipalities with higher HDI and higher rates of hospitalizations for ACSC. These findings suggest that the MDP may have influenced this reduction in hospitalization rates, but that this assessment deserves to be deepened by further studies. It was also verified little literature about the MDP in Sergipe, which demonstrates the need for this program to be better evaluated through other variables. |
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More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019El Programa Más Médicos y las hospitalizaciones por Ambulatory Care sensitive conditions en Sergipe, Brasil, de 2014 a 2019O Programa Mais Médicos e a tendência das internações por condições sensíveis à Atenção Primária em Sergipe, Brasil, 2014 a 2019Distribución de médicosAtención primaria de saludHospitalizacionEstrategia de salud de la FamiliaSistema único de salud.Distribuição de médicosAtenção primária à saúdeHospitalizaçãoEstratégia de saúde da famíliaSistema único de saúde.Physicians distributionPrimary health careHospitalizationFamily health strategyUnified health system.The study aimed to analyze the evolution of the rates of hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in Sergipe and its municipalities between 2014 to 2019, correlating these admissions with the percentage of doctors from the More Doctors Program (MDP) in the Family Health Strategy’s (FHS) teams and correlating the participation in the program with the Human Development Index (HDI) of the municipalities. The results obtained showed that, after dividing the municipalities in the state into groups according to the percentage of physicians by the MDP in the FHS teams, a downward trend was observed in the admissions for ACSC in all 3 groups formed, but the dimension of this drop was greater in the group with the highest percentage of physicians in the More Doctors Program. In addition, using Spearman's correlation, there was a negative correlation in 2014 and 2015 between Sergipe’s municipalities with the lowest HDI and a higher percentage of physicians by More Doctors in the FHS teams, and a positive correlation from 2016 to 2019 between municipalities with higher HDI and higher rates of hospitalizations for ACSC. These findings suggest that the MDP may have influenced this reduction in hospitalization rates, but that this assessment deserves to be deepened by further studies. It was also verified little literature about the MDP in Sergipe, which demonstrates the need for this program to be better evaluated through other variables.El estudio tuvo como objetivo analizar la evolución de las tasas de hospitalizaciones por Ambulatory Care Sensitive Conditions (ACSC) en Sergipe y sus municipios en el período de 2014 a 2019, correlacionando estos ingresos con el porcentaje de médicos del Programa Mais Médicos (PMM) en los equipos de la Estratégia de Saúde da Família (ESF) y correlacionar la participación en el programa con el Índice de Desarrollo Humano (IDH) de los municipios. Los resultados obtenidos mostraron que, después de dividir los municipios del estado en grupos según el porcentaje de médicos por el PMM en los equipos de la ESF, se observó una tendencia a reducción de los ingresos por ACSC en todos los 3 grupos formados, pero la dimensión de este descenso fue mayor en el grupo con mayor porcentaje de médicos en el programa. Además, utilizando la correlación de Spearman, hubo una correlación negativa en 2014 y 2015 entre los municipios de Sergipe con el IDH más bajo y un porcentaje más alto de médicos por el PMM en los equipos de la ESF, y una correlación positiva de 2016 a 2019 entre los municipios con IDH más alto y tasas de hospitalizaciones por ACSC más altas. Estos resultados sugieren que el PMM puede haber influido en esta reducción de las tasas de hospitalización, pero que esta evaluación merece ser profundizada en más estudios. También hubo poca literatura sobre el PMM en Sergipe, lo que demostró la necesidad de que este programa sea mejor evaluado mediante otras variables.O estudo objetivou analisar a evolução das taxas de Internações por Condições Sensíveis à Atenção Primária em Sergipe e seus municípios no período de 2014 a 2019 correlacionando essas internações com o percentual de médicos pelo Programa Mais Médicos nas equipes da Estratégia de Saúde da Família e correlacionando a participação no programa com o Índice de Desenvolvimento Humano dos municípios. Os resultados obtidos demonstraram que, após a divisão das municipalidades do estado em grupos de acordo com o percentual de médicos pelo PMM nas equipes da ESF, observou-se tendência de queda nas taxas de ICSAP nos 3 grupos formados e a dimensão dessa queda foi maior no grupo de maior percentual de médicos pelo programa. Além disso, pela correlação de Spearman, verificou-se uma correlação negativa em 2014 e 2015 entre os municípios sergipanos de menor IDH e um maior percentual de médicos pelo Mais Médicos nas equipes da ESF, e uma correlação positiva de 2016 a 2019 entre os municípios de maior IDH e maiores taxas de ICSAP. Esses achados sugerem que o PMM pode ter influenciado nessa redução das taxas de internações, mas que essa avaliação merece ser aprofundada por estudos posteriores. Também foi verificada parca literatura acerca do PMM em Sergipe o que demonstrou a necessidade desse programa ser melhor avaliado através de outras variáveis.Research, Society and Development2022-01-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2561910.33448/rsd-v11i2.25619Research, Society and Development; Vol. 11 No. 2; e24611225619Research, Society and Development; Vol. 11 Núm. 2; e24611225619Research, Society and Development; v. 11 n. 2; e246112256192525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/25619/22509Copyright (c) 2022 Bárbara Nascimento Santana; João Batista Cavalcante Filho; Marco Antonio Prado Nuneshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantana, Bárbara Nascimento Cavalcante Filho, João Batista Nunes, Marco Antonio Prado 2022-02-07T01:42:50Zoai:ojs.pkp.sfu.ca:article/25619Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:43:51.742637Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019 El Programa Más Médicos y las hospitalizaciones por Ambulatory Care sensitive conditions en Sergipe, Brasil, de 2014 a 2019 O Programa Mais Médicos e a tendência das internações por condições sensíveis à Atenção Primária em Sergipe, Brasil, 2014 a 2019 |
title |
More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019 |
spellingShingle |
More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019 Santana, Bárbara Nascimento Distribución de médicos Atención primaria de salud Hospitalizacion Estrategia de salud de la Familia Sistema único de salud. Distribuição de médicos Atenção primária à saúde Hospitalização Estratégia de saúde da família Sistema único de saúde. Physicians distribution Primary health care Hospitalization Family health strategy Unified health system. |
title_short |
More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019 |
title_full |
More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019 |
title_fullStr |
More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019 |
title_full_unstemmed |
More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019 |
title_sort |
More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019 |
author |
Santana, Bárbara Nascimento |
author_facet |
Santana, Bárbara Nascimento Cavalcante Filho, João Batista Nunes, Marco Antonio Prado |
author_role |
author |
author2 |
Cavalcante Filho, João Batista Nunes, Marco Antonio Prado |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Santana, Bárbara Nascimento Cavalcante Filho, João Batista Nunes, Marco Antonio Prado |
dc.subject.por.fl_str_mv |
Distribución de médicos Atención primaria de salud Hospitalizacion Estrategia de salud de la Familia Sistema único de salud. Distribuição de médicos Atenção primária à saúde Hospitalização Estratégia de saúde da família Sistema único de saúde. Physicians distribution Primary health care Hospitalization Family health strategy Unified health system. |
topic |
Distribución de médicos Atención primaria de salud Hospitalizacion Estrategia de salud de la Familia Sistema único de salud. Distribuição de médicos Atenção primária à saúde Hospitalização Estratégia de saúde da família Sistema único de saúde. Physicians distribution Primary health care Hospitalization Family health strategy Unified health system. |
description |
The study aimed to analyze the evolution of the rates of hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in Sergipe and its municipalities between 2014 to 2019, correlating these admissions with the percentage of doctors from the More Doctors Program (MDP) in the Family Health Strategy’s (FHS) teams and correlating the participation in the program with the Human Development Index (HDI) of the municipalities. The results obtained showed that, after dividing the municipalities in the state into groups according to the percentage of physicians by the MDP in the FHS teams, a downward trend was observed in the admissions for ACSC in all 3 groups formed, but the dimension of this drop was greater in the group with the highest percentage of physicians in the More Doctors Program. In addition, using Spearman's correlation, there was a negative correlation in 2014 and 2015 between Sergipe’s municipalities with the lowest HDI and a higher percentage of physicians by More Doctors in the FHS teams, and a positive correlation from 2016 to 2019 between municipalities with higher HDI and higher rates of hospitalizations for ACSC. These findings suggest that the MDP may have influenced this reduction in hospitalization rates, but that this assessment deserves to be deepened by further studies. It was also verified little literature about the MDP in Sergipe, which demonstrates the need for this program to be better evaluated through other variables. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-24 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/25619 10.33448/rsd-v11i2.25619 |
url |
https://rsdjournal.org/index.php/rsd/article/view/25619 |
identifier_str_mv |
10.33448/rsd-v11i2.25619 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/25619/22509 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 2; e24611225619 Research, Society and Development; Vol. 11 Núm. 2; e24611225619 Research, Society and Development; v. 11 n. 2; e24611225619 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052820274282496 |