因初级保健敏感疾病导致老年人住院的原因及其相关背景因素。

Causes for hospitalization of elderly individuals due to primary care sensitive conditions and its associated contextual factors.

作者信息

Soares Angela Maria de Medeiros, Mendes Tamires Carneiro de Oliveira, Lima Kenio Costa, Menezes Márcio Moreira de

机构信息

. Doutora em saúde coletiva pelo programa de pós-graduação em saúde coletiva da Universidade Federal do Rio Grande do Norte (PPGSCol-UFRN) do departamento de odontologia, professora substituta do departamento de Saúde Coletiva da UFRN, Natal, RN, Brasil.

Doutora em saúde coletiva pelo programa de pós-graduação em saúde coletiva da Universidade Federal do Rio Grande do Norte (PPGSCol-UFRN) do departamento de odontologia, Natal, RN, Brasil.

出版信息

Rev Assoc Med Bras (1992). 2019 Sep 12;65(8):1086-1092. doi: 10.1590/1806-9282.65.8.1086.

DOI:10.1590/1806-9282.65.8.1086

PMID:31531606

Abstract

OBJECTIVE

The objective of this study was to analyze the hospitalizations of the elderly for conditions sensitive to primary care (ICSAP) and associated contextual factors, referring to elderly people aged 60 and over, living in municipalities in the Northeast region.

METHODS

Characterized as being an ecological study using data from the Hospital Information System (SIH) and the Basic Attention Information System (SIAB) referring to elderly people aged 60 and over.

RESULTS

The total hospitalization rate was 527,524, with the highest number due to heart failure, followed by cerebrovascular diseases, and infectious gastroenteritis. Analyzing the ICSAP rates with the contextual factors, all were significant. Regarding the coverage of basic care, a similarity occurred between them, and for the rate of the number of consultations among the elderly, despite the greater number of these in the municipalities with higher hospitalization rates, there was no significant difference between them.

CONCLUSION

We conclude that the contextual factors interfere in the conditions of this hospitalization, necessitating, besides the improvement of primary care, an improvement in the living conditions of the elderly population.

摘要