RESUMO
The aim of the study was to evaluate the quality of primary health care based on avoidable hospitalizations of men and women of all ages, from 2008 to 2012 in Alfenas County in the south of Minas Gerais state. This was an ecological study based on data from the Hospital Information System (HIS). The medical diagnoses selected for the study were pneumonia, diabetes mellitus and diseases of the circulatory system. There was a predominance of elderly males diagnosed with pneumonia, with an average hospital stay of five days. Admission rates for diseases of the circulatory system and diabetes mellitus tended to remain stable during the study period. While for pneumonia there was a tendency of growth that reached a plateau in early March 2009, bringing the average rate up from 2.01 to 3.51. The data suggest that primary health care is poorly organized to meet these diagnoses, particularly for pneumonia.
Assuntos
Doenças Cardiovasculares/terapia , Diabetes Mellitus/terapia , Hospitalização , Pneumonia/terapia , Atenção Primária à Saúde/normas , Qualidade da Assistência à Saúde , Adolescente , Adulto , Brasil , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto JovemRESUMO
The aim of the study was to evaluate the quality of primary health care based on avoidable hospitalizations of men and women of all ages, from 2008 to 2012 in Alfenas County in the south of Minas Gerais state. This was an ecological study based on data from the Hospital Information System (HIS). The medical diagnoses selected for the study were pneumonia, diabetes mellitus and diseases of the circulatory system. There was a predominance of elderly males diagnosed with pneumonia, with an average hospital stay of five days. Admission rates for diseases of the circulatory system and diabetes mellitus tended to remain stable during the study period. While for pneumonia there was a tendency of growth that reached a plateau in early March 2009, bringing the average rate up from 2.01 to 3.51. The data suggest that primary health care is poorly organized to meet these diagnoses, particularly for pneumonia.
O objetivo do estudo foi avaliar a qualidade da atenção primária à saúde, com base nas internações evitáveis, de homens e mulheres de todas as faixas etárias, no período de 2008 a 2012, em uma cidade do sul de Minas Gerais. Trata-se de um estudo ecológico realizado a partir dos dados do Sistema de Informação Hospitalar (SIH-SUS). Os diagnósticos médicos selecionados foram: pneumonia, diabetes mellitus e doenças do sistema circulatório. Houve predomínio de idosos, do sexo masculino, com diagnóstico de pneumonia, mediana do tempo de internação de cinco dias e aumento dos gastos com tais hospitalizações. A tendência da taxa de hospitalização para as doenças do sistema circulatório e diabetes mellitus manteve-se estável durante o período em estudo. Quanto à pneumonia, verificou-se uma tendência crescente, sendo encontrado um platô no início de março de 2009, que elevou a taxa média de 2,01 para 3,51. Os dados sugerem que a atenção primária à saúde está pouco organizada para atender a esses diagnósticos, principalmente no que se refere à pneumonia.
