Carvalho Suzana Costa, Mota Eduardo, Dourado Inês, Aquino Rosana, Teles Carlos, Medina Maria Guadalupe
Cad Saude Publica. 2015 Apr;31(4):744-54. doi: 10.1590/0102-311x00069014.
Admissions due to primary health care sensitive conditions from 1999 to 2009 among children < 5 years old were analyzed for municipalities in Pernambuco State, Brazil. Using data from the Brazilian Unified National Health System's Hospital Information System, a negative binomial regression was applied to estimate rate ratio (RR) and 95%CI for the effect on primary health care sensitive condition rates (admissions/10,000 inhabitants) of the Family Health Program (FHP) coverage (%), some demographic variables and living conditions. Hospitalizations due to primary health care sensitive conditions represented 44.1% of 861,628 admissions and the rate declined from 557.6 to 318.9 (-42.8%), a reduction three times greater than the rate due to all other causes. Increased FHP coverage was protective against primary health care sensitive conditions (RR = 0.94; 95%CI: 0.89-0.99). A decline in hospitalizations due to primary health care sensitive conditions indicated improvements in health status and may be associated with the consolidation of primary health care. Studies on access and quality of primary health care in relation to child morbidity and hospitalizations are needed.
对巴西伯南布哥州各城市1999年至2009年间5岁以下儿童因初级卫生保健敏感疾病导致的住院情况进行了分析。利用巴西统一国家卫生系统医院信息系统的数据，应用负二项回归来估计家庭健康计划（FHP）覆盖率（%）、一些人口统计学变量和生活条件对初级卫生保健敏感疾病发生率（每10000居民住院人数）的影响的率比（RR）和95%置信区间（CI）。因初级卫生保健敏感疾病导致的住院占861628例住院病例的44.1%，发病率从557.6降至318.9（-42.8%），下降幅度是所有其他原因导致的发病率下降幅度的三倍。FHP覆盖率的提高对初级卫生保健敏感疾病具有保护作用（RR = 0.94；95%CI：0.89 - 0.99）。因初级卫生保健敏感疾病导致的住院人数下降表明健康状况有所改善，可能与初级卫生保健的巩固有关。需要开展关于初级卫生保健的可及性和质量与儿童发病率及住院情况之间关系的研究。
