Characteristics of primary care and rates of pediatric hospitalizations in Brazil
Rev. saúde pública (Online)
; 54: 32, 2020. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1094411
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT 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.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
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Agenda de Saúde Sustentável para as Américas
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Doenças Negligenciadas
Problema de saúde:
Arranjos de Entrega
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Coordenação Multissetorial
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Objetivo 11 Desigualdades e iniquidades na saúde
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Objetivo 6: Sistemas de informação em saúde
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Diarreia
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Doenças Negligenciadas
Base de dados:
LILACS
Assunto principal:
Atenção Primária à Saúde
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Hospitalização
Tipo de estudo:
Estudo observacional
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Estudo de prevalência
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Estudo prognóstico
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Fatores de risco
Aspecto:
Equidade e iniquidade
Limite:
Criança, pré-escolar
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Feminino
/
Humanos
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Lactente
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Masculino
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Recém-Nascido
País/Região como assunto:
América do Sul
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Brasil
Idioma:
Inglês
Revista:
Rev. saúde pública (Online)
Assunto da revista:
Sa£de P£blica
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Estados Unidos
Instituição/País de afiliação:
Duke University/US
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Organização Pan Americana de Saúde/BR
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Universidade Federal de Minas Gerais/BR
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Universidade Federal de Pelotas/BR
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Universidade Federal do Maranhão/BR