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[巴西南里奥格兰德州阿雷格里港初级保健敏感疾病住院治疗趋势及相关因素]

[Trends in hospitalization for primary care-sensitive conditions and associated factors in Porto Alegre, Rio Grande do Sul, Brazil].

作者信息

da Costa Juvenal Soares Dias, Pattussi Marcos Pascoal, Morimoto Tissiani, de Arruda Jocinei Santos, Bratkowski Gabriela Rodrigues, Sopelsa Mariani, Fritzen Janaina Soder, do Canto Vaneza de Andrade da Fontoura, Marques Maximiliano Chagas

机构信息

Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, Brasil,

出版信息

Cien Saude Colet. 2016 Apr;21(4):1289-96. doi: 10.1590/1413-81232015214.15042015.

DOI:10.1590/1413-81232015214.15042015
PMID:27076027
Abstract

An ecological study was conducted to analyze trends in hospitalization for primary care-sensitive conditions linking the results to the investments in health and coverage of the Family Health Strategy in Porto Alegre, between 1998 and 2012. The causes of hospitalization for primary care-sensitive conditions were based on the national list provided by the Ministry of Health. The data were obtained from the Hospital Information System of the Unified Health System (SUS). Standardized rates were created and investments increased by 27%, though investments in primary care increased by 83%. The expansion of coverage by the Family Health Strategy was almost fourfold, though it remained below the recommended values. There was no change in the trend of hospitalization for primary care-sensitive conditions. The analysis did not make it possible to establish if patients who were hospitalized for primary care-sensitive conditions had access to the Family Health Strategy or not, suggesting the need to incorporate data of place of origin in the information system. Studies using the Hospital Information System contribute to its enhancement, fomenting the assessment, management and design of health policies.

摘要

开展了一项生态研究,以分析1998年至2012年间,将初级保健敏感疾病住院治疗趋势的结果与阿雷格里港家庭健康战略的健康投资及覆盖范围联系起来。初级保健敏感疾病的住院原因基于卫生部提供的国家清单。数据来自统一卫生系统(SUS)的医院信息系统。创建了标准化率,投资增加了27%,尽管初级保健投资增加了83%。家庭健康战略的覆盖范围扩大了近四倍,尽管仍低于推荐值。初级保健敏感疾病的住院趋势没有变化。该分析无法确定因初级保健敏感疾病住院的患者是否能够获得家庭健康战略,这表明需要在信息系统中纳入原籍地数据。使用医院信息系统的研究有助于其改进,促进卫生政策的评估、管理和设计。

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