Association between hospitalisation for ambulatory care-sensitive conditions and primary health care physician specialisation: a cross-sectional ecological study in Curitiba (Brazil)
نویسندگان
چکیده
INTRODUCTION Hospitalisation for ambulatory care-sensitive conditions (HACSCs) is frequently used as an indicator of the quality and effectiveness of primary healthcare (PHC) services around the world. The aim of the present study was to evaluate whether the PHC model (family health strategy (FHS) x conventional) and the availability of specialised PHC physicians is associated or not with total hospitalisation or HACSCs in the National Health System (SUS) of the municipality of Curitiba, Paraná state (PR), Brazil. METHODOLOGY This is a cross-sectional ecological study using multiple linear regression with socioeconomic and professional data from municipal health units (MHUs) between 1 April 2014 and 31 March 2015. RESULTS After adjustment for age and sex and control of socioeconomic variables, the FHS model was associated with six fewer HACSCs a year per 10 000 inhabitants in relation to the conventional model and the availability of one family physician at each FHS model MHU per 10 000 inhabitants was associated with 1.1 fewer HACSCs for heart failure a year per 10 000 inhabitants. Basic specialists (clinicians, paediatricians and obstetrician/gynaecologists) and subspecialists showed no significant association with HACSC rates. CONCLUSION These results obtained in a major Brazilian city reinforce the role of FHS as a priority PHC model in the country and indicate the potentially significant impact of specialising in family medicine on improving the health conditions of the population.
منابع مشابه
Factors associated with avoidable hospitalisation of children younger than 2 years old: the 2006 Brazilian National Demographic Health Survey
INTRODUCTION Ambulatory Care Sensitive Conditions (ACSC) are conditions for which hospitalisation is thought to be avoidable with the use of effective preventive care and early disease management. The objective of this study was to estimate the rate of avoidable hospitalisations in children younger than 24 months of age participating in a Brazilian national representative survey and to identify...
متن کاملHospitalizações sensíveis à atenção primária em crianças, segundo grupos etários e regionais de saúde Hospitalizaciones sensibles a la atención primaria en niños, según los rangos de edad y las regionales de salud
www.ee.usp.br/reeusp Rev Esc Enferm USP · 2015; 49(1):44-52 * Taken from the dissertation “Hospitalizações por condições sensíveis à atenção primária em crianças menores de cinco anos, Paraná, 2000 a 2011”, Postgraduate nursing programme at the State University of Maringá, 2013. 1 Professor of the Nursing Department, Centre of Biological Sciences at the State University of the North of Paraná, ...
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