0249/2023 - Desempenho da Atenção Primária à Saúde no estado de São Paulo no período de 2010-2019 Performance of Primary Health Care in the state of São Paulo in the period 2010-2019
O artigo apresenta uma análise do desempenho da APS no estado de São Paulo na última década, em contexto de crise econômica e retração dos investimentos em saúde. Utilizaram-se indicadores de desempenho, determinantes em saúde e sistema de saúde, em série temporal (2010 a 2019), a partir de matriz conceitual adaptada. Foram calculadas variações percentuais anuais (VPA) de cada indicador em modelo log-linear. Os indicadores de desempenho apresentaram, no geral, evolução favorável; no entanto, ocorreu piora em indicadores relacionados à qualidade do cuidado (sífilis congênita, partos cesáreos e rastreamento de câncer de colo uterino). Verificou-se, ainda, um potencial aumento das demandas ao SUS (envelhecimento da população e redução da cobertura da Saúde Suplementar), aumento das despesas em saúde em contexto de redução do PIB per capita.
Palavras-chave:
Atenção Primária à Saúde; Indicadores Básicos de Saúde; Estudos de Séries Temporais; Brasil.
Abstract:
The article presents an analysis of the performance of PHC in the state of São Paulo in the last decade, in a context of economic crisis and retraction of investments in health. Performance indicators, health determinants and health system were used in a time series (2010 to 2019), based on an adapted conceptual matrix. Annual percentage changes (APC) were calculated for each indicator in a log-linear model. The performance indicators presented, in general, a favourable evolution; however, there was a worsening in indicators related to the quality of care (congenital syphilis, caesarean deliveries and cervical cancer screening). There was also a potential increase in demands on the SUS (population aging and reduction in Supplementary Health coverage), increased health expenditures in the context of a reduction in per capita GDP.
Keywords:
Primary Health Care; Health Status Indicators; Time Series Studies; Brazil
Performance of Primary Health Care in the state of São Paulo in the period 2010-2019
Resumo (abstract):
The article presents an analysis of the performance of PHC in the state of São Paulo in the last decade, in a context of economic crisis and retraction of investments in health. Performance indicators, health determinants and health system were used in a time series (2010 to 2019), based on an adapted conceptual matrix. Annual percentage changes (APC) were calculated for each indicator in a log-linear model. The performance indicators presented, in general, a favourable evolution; however, there was a worsening in indicators related to the quality of care (congenital syphilis, caesarean deliveries and cervical cancer screening). There was also a potential increase in demands on the SUS (population aging and reduction in Supplementary Health coverage), increased health expenditures in the context of a reduction in per capita GDP.
Palavras-chave (keywords):
Primary Health Care; Health Status Indicators; Time Series Studies; Brazil
Sala, A., Luppi, C.G, Wagner, G.A, Pinheiro Junior, R.V.B.P, Carneiro Junior, N.. Desempenho da Atenção Primária à Saúde no estado de São Paulo no período de 2010-2019. Cien Saude Colet [periódico na internet] (2023/Ago). [Citado em 01/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/desempenho-da-atencao-primaria-a-saude-no-estado-de-sao-paulo-no-periodo-de-20102019/18875?id=18875
