Rubinstein Adolfo, López Analía, Caporale Joaquín, Valanzasca Pilar, Irazola Vilma, Rubinstein Fernando
Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
J Ambul Care Manage. 2014 Jan-Mar;37(1):69-81. doi: 10.1097/JAC.0000000000000008.
Avoidable hospitalizations for ambulatory care sensitive conditions (AH-ACSCs) identify health problems that could be avoided by improving primary health care (PHC). On the basis of hospital discharges from Argentine public sector facilities, an expert panel convened to define a list of AH-ACSCs for children and adults. AH-ACSCs represented less than 30% of hospitalizations. Compared with country averages, poorer districts showed large differences in trends for adults but not for children. Despite that AH-ACSCs have demonstrated empirical validity to evaluate health system performance, its implementation to assess PHC in countries like Argentina, with pluralistic and fragmented health care systems, remains a big challenge.
可避免的门诊护理敏感疾病住院（AH - ACSC）可识别出通过改善初级卫生保健（PHC）可以避免的健康问题。基于阿根廷公共部门医疗机构的出院数据，一个专家小组召开会议，以确定儿童和成人的AH - ACSC清单。AH - ACSC占住院病例的比例不到30%。与全国平均水平相比，较贫困地区成人的趋势差异较大，但儿童并非如此。尽管AH - ACSC已被证明在评估卫生系统绩效方面具有实证有效性，但在像阿根廷这样拥有多元化和分散化医疗保健系统的国家，将其用于评估初级卫生保健仍然是一项巨大挑战。
