Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions

Detalhes bibliográficos
Autor(a) principal: Moretti, Patrícia Garmus de Souza
Data de Publicação: 2016
Outros Autores: Fedosse, Elenir
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Fisioterapia e Pesquisa
Texto Completo: https://www.revistas.usp.br/fpusp/article/view/124951
Resumo: The Family Health Strategy is the preferred admittance of the Brazilian Unified Health System (SUS) and relies on Family Health Support Centers (FHSC) to reduce referrals to secondary care, as it seeks to reduce Ambulatory Care Sensitive Conditions (ACSC). This study analyzed the growth of FHSC and its impact on the number of ACSC. This is an exploratory, descriptive and quantitative study, conducted between 1998 and 2016, based on the database of the Department of Primary Care of the Brazilian Unified Health System (SUS). An expansion of the family health teams all over Brazil was identified: 40,490 teams were established in 5,483 municipalities, covering 64.2% of the population. The number of FHSC at the Northeast and the population coverage was higher in relation to other regions. The highest decrease of ACSC occurred in the Midwest, which has a minor number of FHSC established. The Northeast had the highest number and coverage of FHSC; however, a proportional reduction of ACSC did not happen. The largest number or FHSC coverage has still not influenced the reduction rate of ACSC in the most vulnerable populations within the context of social determinants.
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spelling Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions Núcleos de Apoio à Saúde da Família: impactos nas internações por causas sensíveis à atenção básica Centros de Apoyo a la Salud de la Familia: impactos en las hospitalizaciones por causas sensibles a la atención primaria The Family Health Strategy is the preferred admittance of the Brazilian Unified Health System (SUS) and relies on Family Health Support Centers (FHSC) to reduce referrals to secondary care, as it seeks to reduce Ambulatory Care Sensitive Conditions (ACSC). This study analyzed the growth of FHSC and its impact on the number of ACSC. This is an exploratory, descriptive and quantitative study, conducted between 1998 and 2016, based on the database of the Department of Primary Care of the Brazilian Unified Health System (SUS). An expansion of the family health teams all over Brazil was identified: 40,490 teams were established in 5,483 municipalities, covering 64.2% of the population. The number of FHSC at the Northeast and the population coverage was higher in relation to other regions. The highest decrease of ACSC occurred in the Midwest, which has a minor number of FHSC established. The Northeast had the highest number and coverage of FHSC; however, a proportional reduction of ACSC did not happen. The largest number or FHSC coverage has still not influenced the reduction rate of ACSC in the most vulnerable populations within the context of social determinants. A Estratégia Saúde da Família é a porta de entrada preferencial do Sistema Único de Saúde (SUS) e conta com os Núcleos de Apoio à Saúde da Família (NASF) para redução de encaminhamentos à atenção secundária, buscando diminuição das Internações por Condições Sensíveis à Atenção Básica (ICSAB). Este estudo analisou o crescimento dos NASF e seus impactos no número de ICSAB. Trata-se de um estudo exploratório, descritivo e quantitativo, realizado entre 1998 e 2016, baseado no banco de dados do Departamento de Atenção Básica do SUS. Constatou-se expansão das equipes de saúde da família no Brasil: 40.490 foram implantadas em 5.483 municípios, cobrindo 64,2% da população. Os números dos NASF no Nordeste e a cobertura populacional foram maiores em relação às demais regiões. Ocorreu maior queda de ICSAB na região Centro-Oeste, que possui menor número de NASF implantados. O Nordeste contou com o maior número e cobertura de NASF, no entanto, não se concretizou redução proporcional de ICSAB. O maior número ou cobertura de NASF ainda não impactou na redução de taxas de ICSAB em populações mais vulneráveis dentro do contexto de determinantes sociais. La Estrategia Salud de la Familia es la clave de entrada preferencial al Sistema Única de Salud (SUS) y cuenta con los Centros de Apoyo a la Salud de la Familia (CASF) para reducir los casos a la atención secundaria, buscando disminuir las Hospitalizaciones por Causas Sensibles a la Atención Primaria (HCSAP). En este texto se evalúa el crecimiento de los CASF y sus impactos en la cantidad de HCSAP. Se trata de un estudio exploratorio, descriptivo y cuantitativo, llevado a cabo entre 1998 y 2016, empleando la base de datos del Departamento de Atención Básica del SUS. Se verificó que hubo una expansión de los equipos profesionales de salud de la familia en Brasil: se crearon 40.490 en 5.483 municipios, llegando a la cobertura de 64,2% de la población de este país. La cantidad de los CASF en la región Nordeste del país y la cobertura a la población fueron más grandes que en las otras regiones. Ya el descenso en las HCSAP ha sido más grande en la región Centro-Oeste, que cuenta con menor cantidad de CASF creados. A pesar de que la región Nordeste tenga más cantidad y cobertura de CASF, no redujo proporcionalmente las HCSAP. La mayor cantidad o cobertura de los CASF no redujo las tasas de HCSAP en las poblaciones más vulnerables en el ámbito social. Universidade de São Paulo. Faculdade de Medicina2016-09-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/12495110.1590/1809-2950/14662023032016Fisioterapia e Pesquisa; Vol. 23 No. 3 (2016); 241-247Fisioterapia e Pesquisa; Vol. 23 Núm. 3 (2016); 241-247Fisioterapia e Pesquisa; v. 23 n. 3 (2016); 241-2472316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/fpusp/article/view/124951/121819https://www.revistas.usp.br/fpusp/article/view/124951/121820Copyright (c) 2016 Fisioterapia e Pesquisahttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessMoretti, Patrícia Garmus de SouzaFedosse, Elenir2023-05-26T14:23:05Zoai:revistas.usp.br:article/124951Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-05-26T14:23:05Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions
Núcleos de Apoio à Saúde da Família: impactos nas internações por causas sensíveis à atenção básica
Centros de Apoyo a la Salud de la Familia: impactos en las hospitalizaciones por causas sensibles a la atención primaria
title Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions
spellingShingle Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions
Moretti, Patrícia Garmus de Souza
title_short Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions
title_full Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions
title_fullStr Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions
title_full_unstemmed Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions
title_sort Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions
author Moretti, Patrícia Garmus de Souza
author_facet Moretti, Patrícia Garmus de Souza
Fedosse, Elenir
author_role author
author2 Fedosse, Elenir
author2_role author
dc.contributor.author.fl_str_mv Moretti, Patrícia Garmus de Souza
Fedosse, Elenir
description The Family Health Strategy is the preferred admittance of the Brazilian Unified Health System (SUS) and relies on Family Health Support Centers (FHSC) to reduce referrals to secondary care, as it seeks to reduce Ambulatory Care Sensitive Conditions (ACSC). This study analyzed the growth of FHSC and its impact on the number of ACSC. This is an exploratory, descriptive and quantitative study, conducted between 1998 and 2016, based on the database of the Department of Primary Care of the Brazilian Unified Health System (SUS). An expansion of the family health teams all over Brazil was identified: 40,490 teams were established in 5,483 municipalities, covering 64.2% of the population. The number of FHSC at the Northeast and the population coverage was higher in relation to other regions. The highest decrease of ACSC occurred in the Midwest, which has a minor number of FHSC established. The Northeast had the highest number and coverage of FHSC; however, a proportional reduction of ACSC did not happen. The largest number or FHSC coverage has still not influenced the reduction rate of ACSC in the most vulnerable populations within the context of social determinants.
publishDate 2016
dc.date.none.fl_str_mv 2016-09-09
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://www.revistas.usp.br/fpusp/article/view/124951
10.1590/1809-2950/14662023032016
url https://www.revistas.usp.br/fpusp/article/view/124951
identifier_str_mv 10.1590/1809-2950/14662023032016
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/124951/121819
https://www.revistas.usp.br/fpusp/article/view/124951/121820
dc.rights.driver.fl_str_mv Copyright (c) 2016 Fisioterapia e Pesquisa
https://creativecommons.org/licenses/by-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2016 Fisioterapia e Pesquisa
https://creativecommons.org/licenses/by-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
dc.source.none.fl_str_mv Fisioterapia e Pesquisa; Vol. 23 No. 3 (2016); 241-247
Fisioterapia e Pesquisa; Vol. 23 Núm. 3 (2016); 241-247
Fisioterapia e Pesquisa; v. 23 n. 3 (2016); 241-247
2316-9117
1809-2950
reponame:Fisioterapia e Pesquisa
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Fisioterapia e Pesquisa
collection Fisioterapia e Pesquisa
repository.name.fl_str_mv Fisioterapia e Pesquisa - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||revfisio@usp.br
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