| Revista: | Revista de saude publica |
| Base de datos: | |
| Número de sistema: | 000535916 |
| ISSN: | 0034-8910 |
| Autors: | Lisboa, Lívia Anniele Sousa1 Queiroz, Rejane Christine de Sousa1 Thomaz, Erika Bárbara Abreu Fonseca1 Silva, Núbia Cristina da2 Rocha, Thiago Augusto Hernandes3 Vissoci, João Ricardo Nickenig4 Staton, Catherine Ann4 Lein, Adriana4 Simões, Vanda Maria Ferreira1 Thumé, Elaine5 Facchini, Luiz Augusto6 |
| Institucions: | 1Universidade Federal do Maranhão, Programa de Pos graduação em Saúde Pública, São Luís. Brasil 2Universidade Federal de Minas Gerais, Observatório de Recursos Humanos em Saúde, Belo Horizonte, Minas Gerais. Brasil 3Organização Pan Americana de Saúde, Brasília, Distrito Federal. Brasil 4Duke University, Duke Global Health Institute, Durham, North Carolina. Estados Unidos 5Universidade Federal de Pelotas, Programa de Pós-graduação em Enfermagem, Pelotas, Rio Grande do Sul. Brasil 6Universidade Federal de Pelotas, Programas de Pós-graduação em Epidemiologia e Enfermagem, Pelotas, Rio Grande do Sul. Brasil |
| Any: | 2020 |
| Volum: | 54 |
| País: | Brasil |
| Idioma: | Inglés |
| Resumen en inglés | OBJECTIVE To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD In this study, a cross-sectional ecological study was performed. This study analyzed the 27 capitals of Brazil’s federative units. Data were aggregated from the following open access databases: National Program for Access and Quality Improvement in Primary Care, the Hospital Information System of Brazilian Unified Health System and Annual Population Census conducted by the Brazilian Institute of Geography and Statistics. Associations were estimated among characteristics of primary care with the number of three PCSC as the leading causes of hospitalization in children under-5 population in Brazil: asthma, diarrhea, and pneumonia. RESULTS In general, PHCC showed limited structural adequacy (37.3%) for pediatric care in Brazil. The capitals in South and Southeast regions had the best structure whereas the North and Northeast had the worst. Fewer PCSC hospitalizations were significantly associated with PHCC which presented appropriate equipment (RR: 0.98; 95%CI: 0.97–0.99), structural conditions (RR: 0.98; 95%CI: 0.97–0.99), and signage/identification of professionals and facilities (RR: 0.98; 95%CI: 0.97–0.99). Higher PCSC hospitalizations were significantly associated with PHCC with more physicians (RR: 1.23, 95%CI: 1.02–1.48), it forms (RR: 1.01, 95%CI: 1.01–1.02), and more medications (RR: 1.02, 95%CI: 1.01–1.03) CONCLUSION Infrastructural adequacy of PHCC was associated with less PCSC hospitalizations, while availability medical professional and medications were associated with higher PCSC hospitalizations. |
| Keyword: | Primary Health Care, Health Care Quality, Access, and Evaluation, Patient Admission, Ecological Studies |
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