Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil.
Einstein (Sao Paulo). 2021 Aug 2;19:eGS5817. doi: 10.31744/einstein_journal/2021GS5817. eCollection 2021.
To analyze the expenses of hospitalizations for ambulatory care sensitive conditions in the Health Regional Offices of the State of São Paulo.
An ecological, retrospective cohort, with analysis of hospital admissions for ambulatory care sensitive conditions in the state of São Paulo, from 2014 to 2018, compiled by the Hospital Information System. Data were extracted using the Tabwin application and analyzed using descriptive statistics.
There was a 14.49% reduction in the amount spent on hospitalizations for ambulatory care sensitive conditions. There were reductions in the frequency of hospitalizations (-1.26) and hospital stay (-0.54), and an increase in the occurrence of deaths (8.02). The Regional Offices of Barretos, Taubaté and Araraquara showed an increase in expenses in the period, by 37.86%, 15.38% and 3.78%, respectively, while all other Regional Offices showed a reduction; in that, the most significant were in Bauru (-31.90%), São João da Boa Vista (-26.18%), Presidente Prudente (-21.00%) and São Paulo (-19.17%). The value of hospitalizations for ambulatory care sensitive conditions showed a strong and positive correlation with the variables frequency and hospital stay.
The results pointed to a difference in the amounts spent on hospitalizations for ambulatory care sensitive conditions in the Regional Offices, although there was no difference in the frequency and duration of these hospitalizations. The expansion of Primary Health Care resources is a possible element for reducing the frequency and spending on hospitalizations for ambulatory care sensitive conditions; nonetheless, it is necessary to consider other factors, such as social determinants and the organization of health services.
分析圣保罗州卫生区域办事处门诊医疗敏感条件住院费用。
这是一项生态回顾性队列研究，对 2014 年至 2018 年圣保罗州门诊医疗敏感条件住院情况进行了分析，数据来源于医院信息系统。使用 Tabwin 应用程序提取数据，并进行描述性统计分析。
门诊医疗敏感条件住院费用减少了 14.49%。住院频率（-1.26）和住院时间（-0.54）减少，死亡人数（8.02）增加。巴雷图斯、陶巴特和阿雷拉瓜拉卫生区域办事处的费用在该期间分别增加了 37.86%、15.38%和 3.78%，而其他所有卫生区域办事处的费用都有所减少；其中，降幅最大的是包鲁（-31.90%）、圣若昂达博阿维斯塔（-26.18%）、保利斯塔（-21.00%）和圣保罗（-19.17%）。门诊医疗敏感条件住院费用与频率和住院时间这两个变量呈强正相关。
结果表明，各卫生区域办事处门诊医疗敏感条件住院费用存在差异，尽管这些住院的频率和持续时间并无差异。扩大初级卫生保健资源可能是减少门诊医疗敏感条件住院频率和费用的一个因素；然而，还需要考虑其他因素，如社会决定因素和卫生服务的组织。
