More Doctors Program and the tendency of hospitalizations for Ambulatory Care sensitive conditions in Sergipe, Brazil, from 2014 to 2019

• Autor(a) principal: Santana, Bárbara Nascimento
• Data de Publicação: 2022
• Outros Autores: Cavalcante Filho, João Batista, Nunes, Marco Antonio Prado
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/25619
• 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.

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.