Avelino Carolina Costa Valcanti, Goyatá Sueli Leiko Takamatsu, Nogueira Denismar Alves, Rodrigues Ludmila Barbosa Bandeira, Siqueira Sarah Maria Souza
Escola de Enfermagem, Universidade Federal de Alfenas, Alfenas, MG, Brasil,
Instituto de Ciências Exatas, Universidade Federal de Alfenas.
Cien Saude Colet. 2015 Apr;20(4):1285-93. doi: 10.1590/1413-81232015204.12382014.
The aim of the study was to evaluate the quality of primary health care based on avoidable hospitalizations of men and women of all ages, from 2008 to 2012 in Alfenas County in the south of Minas Gerais state. This was an ecological study based on data from the Hospital Information System (HIS). The medical diagnoses selected for the study were pneumonia, diabetes mellitus and diseases of the circulatory system. There was a predominance of elderly males diagnosed with pneumonia, with an average hospital stay of five days. Admission rates for diseases of the circulatory system and diabetes mellitus tended to remain stable during the study period. While for pneumonia there was a tendency of growth that reached a plateau in early March 2009, bringing the average rate up from 2.01 to 3.51. The data suggest that primary health care is poorly organized to meet these diagnoses, particularly for pneumonia.
该研究的目的是基于2008年至2012年米纳斯吉拉斯州南部阿尔费纳斯县所有年龄段男性和女性的可避免住院情况，评估初级卫生保健的质量。这是一项基于医院信息系统（HIS）数据的生态学研究。该研究选定的医学诊断为肺炎、糖尿病和循环系统疾病。诊断为肺炎的老年男性居多，平均住院天数为五天。在研究期间，循环系统疾病和糖尿病的入院率趋于稳定。而肺炎的发病率呈增长趋势，在2009年3月初达到平稳状态，平均发病率从2.01上升至3.51。数据表明，初级卫生保健在应对这些诊断方面组织不力，尤其是对于肺炎。
