Internações por condições sensíveis à atenção primária : a construção da lista brasileira como ferramenta para medir o desempenho do sistema de saúde (Projeto ICSAP – Brasil).
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Data
2009
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Resumo
Ambulatory care sensitive hospitalizations are a
set of conditions for which access to effective primary
care can reduce the likelihood of hospitalization.
These hospitalizations have been used
as an indicator of primary care performance in
several countries and in three Brazilian states,
but there is little consensus on which conditions
should be included in this indicator. This paper
presents a description of the steps undertaken to
construct and validate a list for Brazil. The final
list includes 20 groups of diagnostic conditions
that represented 28.3% of a total of 2.8 million
hospitalizations in the National Unified Health
System in 2006. Gastroenteritis and complications,
congestive heart failure, and asthma represented
44.1% of all ambulatory care sensitive
hospitalizations. From 2000 to 2006, ambulatory
care sensitive hospitalizations decreased by
15.8%, and this reduction was more significant
than that observed in all other hospitalizations.
The article concludes with potential applications
and limitations of the proposed Brazilian list.
Descrição
Palavras-chave
Primary health care, Hospitalization, Health systems
Citação
ALFRADIQUE, M. E. et al. Internações por condições sensíveis à atenção primária: a construção da lista brasileira como ferramenta para medir o desempenho do sistema de saúde (Projeto ICSAP – Brasil). Cadernos de Saúde Pública, Rio de Janeiro, v. 25, p. 1337, 2009. Disponível em: <http://www.scielo.br/pdf/csp/v25n6/16.pdf>. Acesso em: 21 out. 2015.