0260/2024 - ATIVIDADE FÍSICA E GASTOS COM MEDICAMENTOS ENTRE HIPERTENSOS ATENDIDOS EM DIFERENTES MODALIDADES DA ATENÇÃO PRIMÁRIA Physical activity and costs with medicines in hypertensive attended in different primary care approaches
Objetivo: Comparar nível de atividade física e gastos com medicamentos de hipertensos atendidos em diferentes modalidades da atenção primária à saúde do município de Presidente Prudente. Metodologia: Participaram pessoas de ambos sexos, com idade ? 40 anos, cadastrados em 3 abordagem de saúde: Unidade Básica de Saúde (UBS); Unidade Saúde da Família (USF); Unidade de Saúde da Família com Núcleo Ampliado Saúde da Família (USF+NASF). Dados sobre atividade física, doenças e gastos com medicação foram obtidas por entrevista telefônica e consulta ao prontuário eletrônico. Foram utilizados os teste qui-quadrado, Kruskal-Wallis e regressão linear. A significância estatística adotada foi de 5%. Resultados: Foram avaliadas 659 pessoas com idade média de 62 anos. Observou-se que entre as modalidades, a presença de doenças foi maior em usuários da USF+NASF. Analisando atividade física e gastos com medicamentos, pode observar relação negativa nas USF (r=-0,149 IC=-0,277 a -0,016) e USF+NASF (r=-0,210 IC=-0,334 a -0,079), após ajuste por sexo, idade, IMC e somatória de doenças, apenas a modalidade USF+NASF se manteve significante. Conclusão: A USF+NASF foi a única modalidade a apresentar menores gastos com medicamentos para pacientes mais ativos fisicamente, mesmo após ajuste por variáveis de confusão.
Palavras-chave:
Atenção Primaria à Saúde, Atividade Física, Gasto com Medicamento.
Abstract:
Objective: To compare the level of physical activity and medication expenditures of hypertensive patients treated in different types of primary health care in the city of Presidente Prudente. Methodology: People of both sexes participated, aged ≥ 40 years, registered in 3 health different approaches: Primary Care, Primary Care+ e Primary Care+PE. Data on physical activity, illness and medication expenditures was obtained by telephone interview and consultation of the electronic medical record. The chi-square test, Kruskal-Wallis and linear regression were used. The statistical significance adopted was 5%. Results: A total of 659 people were evaluated, with a mean age of 62 years. It was observed that between the modalities, the presence of diseases was higher in patients attended by the Primary Care+PE. Analyzing physical activity and medication expenses, a negative relationship can be observed in the Primary Care+ (r=-0.149 CI=-0.277 to -0.016) and Primary Care+PE (r=-0.210 CI=-0.334 to -0.079), after adjusting for gender, age, body mass index and sum of diseases, only the Primary Care+PE modality remained significant. Conclusion: The Primary Care+PE was the only modality to present lower expenses with medication for more physically active patients, even after adjusting for confounding variables.
Keywords:
Primary Health Care, Physical activity, Drug Costs.
Physical activity and costs with medicines in hypertensive attended in different primary care approaches
Resumo (abstract):
Objective: To compare the level of physical activity and medication expenditures of hypertensive patients treated in different types of primary health care in the city of Presidente Prudente. Methodology: People of both sexes participated, aged ≥ 40 years, registered in 3 health different approaches: Primary Care, Primary Care+ e Primary Care+PE. Data on physical activity, illness and medication expenditures was obtained by telephone interview and consultation of the electronic medical record. The chi-square test, Kruskal-Wallis and linear regression were used. The statistical significance adopted was 5%. Results: A total of 659 people were evaluated, with a mean age of 62 years. It was observed that between the modalities, the presence of diseases was higher in patients attended by the Primary Care+PE. Analyzing physical activity and medication expenses, a negative relationship can be observed in the Primary Care+ (r=-0.149 CI=-0.277 to -0.016) and Primary Care+PE (r=-0.210 CI=-0.334 to -0.079), after adjusting for gender, age, body mass index and sum of diseases, only the Primary Care+PE modality remained significant. Conclusion: The Primary Care+PE was the only modality to present lower expenses with medication for more physically active patients, even after adjusting for confounding variables.
Palavras-chave (keywords):
Primary Health Care, Physical activity, Drug Costs.
Guiça, J. T., Correia, D. C. Q., Rodrigues Junior, C., Fernandes, R. A., Norberto, M. C. C. S., Rodrigues, G. L., Codogno, J. S.. ATIVIDADE FÍSICA E GASTOS COM MEDICAMENTOS ENTRE HIPERTENSOS ATENDIDOS EM DIFERENTES MODALIDADES DA ATENÇÃO PRIMÁRIA. Cien Saude Colet [periódico na internet] (2024/jul). [Citado em 12/07/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/atividade-fisica-e-gastos-com-medicamentos-entre-hipertensos-atendidos-em-diferentes-modalidades-da-atencao-primaria/19308?id=19308
