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圣保罗瓜鲁柳斯市门诊护理敏感疾病住院治疗的社会决定因素

Social determinants of hospitalizations for ambulatory care sensitive conditions in Guarulhos, São Paulo.

作者信息

Melo Maykon Diego, Egry Emiko Yoshikawa

机构信息

School of Nursing, University of São Paulo, São Paulo, SP, Brazil.

School of Nursing, Department of Nursing in Collective Health Care, University of São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2014 Aug;48 Spec No:129-36. doi: 10.1590/S0080-623420140000600019. Epub 2014 Aug 1.

DOI:10.1590/S0080-623420140000600019
PMID:25517846
Abstract

The study goals present an overview of Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in Guarulhos, SP, from 2008 to 2012. This is an ecological study based on secondary data obtained from the Brazilian Hospital Information System, and supported by the Praxical Theory of Intervention of Collective Health Nursing. Applied descriptive statistics for analysis. It was observed that Guarulhos shows an upward trend in hospitalizations by ACSC (20% increase), the most frequent causes of heart failure (11.8%), cerebrovascular disease (10.6%) and angina (9.7%), most frequently in the age group ≥ 65years old, for both sexes. The results are similar to other Brazilian studies, but their analysis should extrapolate the biological limits and the supply of healthcare resources, focusing on the social determinants of the health-disease process.

摘要

本研究旨在概述2008年至2012年期间圣保罗州瓜鲁柳斯市门诊医疗敏感疾病(ACSC)的住院情况。这是一项基于从巴西医院信息系统获得的二手数据的生态学研究,并得到集体健康护理干预实践理论的支持。采用描述性统计进行分析。研究发现,瓜鲁柳斯市ACSC住院人数呈上升趋势(增加了20%),最常见的病因是心力衰竭(11.8%)、脑血管疾病(10.6%)和心绞痛(9.7%),男女最常见于≥65岁年龄组。研究结果与巴西其他研究相似,但其分析应推断生物极限和医疗资源供应情况,重点关注健康-疾病过程的社会决定因素。

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Sao Paulo Med J. 2017 May-Jun;135(3):270-276. doi: 10.1590/1516-3180.2016.0344250217.