巴西佩洛塔斯初级保健敏感疾病的住院情况：1998年至2012年。
Hospitalizations for primary care-sensitive conditions in Pelotas, Brazil: 1998 to 2012.
作者信息
Costa Juvenal Soares Dias da, Teixeira Ana Maria Ferreira Borges, Moraes Mauricio, Strauch Eliane Schneider, Silveira Denise Silva da, Carret Maria Laura Vidal, Fantinel Everton
机构信息
Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal de Pelotas - Pelotas (RS), Brasil.
出版信息
Rev Bras Epidemiol. 2017 Apr-Jun;20(2):345-354. doi: 10.1590/1980-5497201700020014.
OBJECTIVE
: To verify the hospitalization trend for primary care sensitive-conditions in Pelotas, Rio Grande do Sul, Brazil from 1998 to 2012.
METHODS
: An ecological study compared hospitalizations rates of the city of Pelotas with the rest of state of Rio Grande do Sul. Analysis was conducted using direct standardization of rates, coefficients were stratified by sex and the Poisson regression was used.
RESULTS
: Hospitalizations for sensitive conditions decreased in Pelotas and Rio Grande do Sul. In Pelotas, a 63.8% decrease was detected in the period observed, and there was a 43.1% decrease in the state of Rio Grande do Sul. Poisson regression coefficients showed a decrease of 7% in Pelotas and of 4% in the rest of Rio Grande do Sul each year.
CONCLUSION
: During the study period, several changes were introduced in the Brazilian Unified Health System ("Sistema Único de Saúde") that may have influenced the results, including changes in administration, health funding, and a complete reworking of primary care through the creation of the Family Health Strategy program ("Estratégia Saúde da Família").
目的
验证1998年至2012年巴西南里奥格兰德州佩洛塔斯市初级保健敏感疾病的住院趋势。
方法
一项生态学研究比较了佩洛塔斯市与南里奥格兰德州其他地区的住院率。采用直接标准化率进行分析，系数按性别分层，并使用泊松回归。
结果
佩洛塔斯市和南里奥格兰德州因敏感疾病住院的人数均有所下降。在佩洛塔斯市，在所观察的时期内下降了63.8%，在南里奥格兰德州下降了43.1%。泊松回归系数显示，佩洛塔斯市每年下降7%，南里奥格兰德州其他地区每年下降4%。
结论
在研究期间，巴西统一卫生系统（“Sistema Único de Saúde”）进行了多项变革，这些变革可能影响了结果，包括管理、卫生资金方面的变化，以及通过创建家庭健康战略计划（“Estratégia Saúde da Família”）对初级保健进行的全面改革。
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