联邦区因门诊护理敏感条件和初级卫生保健覆盖导致的老年死亡率。
Elderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District.
机构信息
Universidade de Brasília. Brasília, Distrito Federal, Brazil.
出版信息
Rev Bras Enferm. 2022 Dec 16;76(1):e20220170. doi: 10.1590/0034-7167-2022-0170. eCollection 2022.
OBJECTIVES
To describe the mortality coefficients of elderly due to primary care sensitive conditions, from 2008 to 2018, and determine its association with the coverage of the Primary Health Care (Family Health Strategy and Basic Care models) in the Federal District.
METHODS
Ecological time series of mortality in Federal District elderly, from 2008 to 2018. The Poisson regression model was applied, considering as significant those with p<0.05, with a CI of 95%.
RESULTS
There were 70,503 deaths. There was a decrease in the risk of death of elders due to cardiovascular diseases and diabetes. Higher primary care coverage decreased the chance of death by sensitive conditions, both in Basic Care (OR: 0.994, CI: 0.990-0.998) and in the Family Health Strategy (OR: 0.997, CI: 0.995-0.999).
CONCLUSIONS
Primary Care coverage was associated with a lower chance of death of the elderly due to Ambulatory Care Sensitive Conditions, especially in Basic Care.
目的
描述 2008 年至 2018 年老年人因初级保健敏感条件导致的死亡率，并确定其与联邦区初级保健（家庭健康策略和基本保健模式）覆盖范围的关系。
方法
2008 年至 2018 年联邦区老年人的死亡率的生态时间序列。应用泊松回归模型，置信区间为 95%，p<0.05 被认为具有统计学意义。
结果
共有 70503 人死亡。心血管疾病和糖尿病导致老年人死亡的风险降低。更高的初级保健覆盖率降低了因敏感条件导致的老年人死亡的机会，包括在基本保健（OR：0.994，CI：0.990-0.998）和家庭健康策略（OR：0.997，CI：0.995-0.999）。
结论
初级保健覆盖率与老年人因门诊保健敏感条件导致的死亡机会降低相关，尤其是在基本保健中。
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