Magalhães Alessandro Leonardo Alvares, Morais Otaliba Libânio de
Secretaria Municipal de Saúde de Aparecida de Goiânia. R. Gervásio Pinheiro, Residencial Solar Central Park. 74968-500 Aparecida de Goiânia GO Brasil.
Departamento de Saúde Coletiva, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás. Goiânia GO Brasil.
Cien Saude Colet. 2017 Jun;22(6):2049-2062. doi: 10.1590/1413-81232017226.16632016.
Admissions for ambulatory care sensitive conditions (ACSCs) represent a useful indicator of assess to and the effectiveness of primary health care. This article examined rates of admissions for ACSCs and the main causes of admissions in intra-urban areas of the municipality of Goiânia, capital of the State of Goiás. An ecological study was conducted to determine rates of admissions in Goiânia's seven health districts between 2008 and 2013 using data from Hospital Admission Authorization forms obtained from the municipality's Hospital Information System. Admissions were georeferenced throughout the seven health districts. Age-adjusted rates of admissions for ACSCs were calculated and the most common causes of admissions were identified for each age group. A 95% confidence interval was calculated as a measure of precision of the rates. The average overall rate of admissions for ACSCs was 155.5 per 10,000 population. Rates were highest in the Southern District and lowest in the Southwest District. Rates were highest in the youngest and oldest age groups. The Northwest District showed the highest rates in nine groups of causes, notably chronic non-communicable diseases among adults. Our findings showed that there are major differences in rates across health districts, pointing to shortfalls in primary health coverage, quality problems and an inadequate care model in districts with high coverage.
门诊医疗敏感疾病（ACSCs）的住院率是评估初级卫生保健可及性和有效性的一个有用指标。本文研究了戈亚斯州首府戈亚尼亚市城区内ACSCs的住院率及主要住院原因。利用从该市医院信息系统获取的医院入院授权表数据，开展了一项生态研究，以确定2008年至2013年戈亚尼亚七个卫生区的住院率。住院信息在七个卫生区内进行了地理定位。计算了ACSCs年龄调整后的住院率，并确定了每个年龄组最常见的住院原因。计算了95%置信区间作为住院率精度的衡量指标。ACSCs的总体平均住院率为每10000人口155.5例。南区住院率最高，西南区最低。最年轻和最年长年龄组的住院率最高。西北区在九类病因中住院率最高，尤其是成年人中的慢性非传染性疾病。我们的研究结果表明，各卫生区的住院率存在重大差异，这表明初级卫生保健覆盖存在不足、存在质量问题以及高覆盖率地区的护理模式不完善。
