0375/2016 - Desigualdades intraurbanas de taxas de internações por condições sensíveis à atenção primária - região central do Brasil. Intra-urban differences of the admission rate to the sensitive conditions of the primary attention in the Brazilian central region.
• Alessandro Alvares Magalhães - Magalhães, Alessandro Alvares - Aparecida de Goiânia, Goiás - Secretaria Municipal de Saúde de Aparecida de Goiânia - <alessandro.leonardo@gmail.com>
Introdução: Internações por condições sensíveis à atenção primária (ICSAP) é um indicador útil para avaliar efetividade da atenção primária (APS). Esse artigo avaliou as taxas de ICSAP e as causas nas áreas intraurbanas do município de Goiânia-Goiás. Metodologia: Estudo ecológico das taxas de ICSAP nos Distritos Sanitários (DS) de Goiânia, de 2008 a 2013. Utilizou-se dados das Autorizações de Internação Hospitalar (AIH) do SIH municipal, georreferenciadas nos 07 DS. Calculou-se taxas padronizadas de ICSAP por DS, e grupos de causas e faixa etária com respectivos Intervalos de Confiança de 95%. Resultados: A taxa média de ICSAP foi de 155,5 por 10.000 habitantes (IC 95% 157,0 – 162,0). O Distrito Sul teve a maior taxa e o Sudoeste a menor. O grupo de Gastroenterites apresentou a maior taxa e o grupo Anemia a menor. As faixas etárias de 0 a 9 anos e idosos tiveram as taxas mais elevadas. No Distrito Noroeste houve maiores taxas em 09 grupos de causas, destaque para as Doenças Crônicas não Transmissíveis na faixa etária adulta. Conclusões: Os resultados do estudo possibilitou identificar as desigualdades nas taxas de ICSAP entre os DS, apontou deficiências de cobertura de APS, problemas de qualidade e insuficiência do modelo assistencial em regiões com alta cobertura.
Palavras-chave:
Atenção Primária à SaúdeAvaliação em saúdeHospitalização
Abstract:
Introduction: Hospitalizations for primary care-sensitive conditions (HPCSC) is a useful indicator to assess the effectiveness of primary health care (PHC). This article evaluated the HPCSC rates and its causes in the intra-urban areas of the municipality of Goiânia-Goiás. Methodology: ecological study of rate of HPCSC in the 07 Sanitary Districts (SD) of Goiânia, in the years between 2008 to 2013. Authorizations for Hospitalization (AH) datathe municipal SIH were used. The AH were georeferenced in the 07 SD. It has been calculated standardized rates of HPCSC of SD, by groups of causes and age groups. Confidence intervals were calculated for 95% of the rates. Results: the average rate of HPCSC was 155.5 per 10,000 inhabitants (IC 95% 157.0-162.0). The Southern District had the highest rate and the Southwest the lowest. The Group of Gastroenteritis presented the highest rate and the smallest Anemia group. The age group between 0 to 9 years and the seniors had the highest rates. In the Northwest District had higher rates in 09 of the causes groups, highlighting the chronic non-communicable diseases in the adult age group. Conclusions: the results of the study made it possible to identify the inequalities between the ICSAP rates in the SD, pointed out shortcomings of PHC coverage, quality problems and insufficiency of the health assistance model in regions with high coverage
Keywords:
primary health carehealth evaluationhospitalization
Intra-urban differences of the admission rate to the sensitive conditions of the primary attention in the Brazilian central region.
Resumo (abstract):
Introduction: Hospitalizations for primary care-sensitive conditions (HPCSC) is a useful indicator to assess the effectiveness of primary health care (PHC). This article evaluated the HPCSC rates and its causes in the intra-urban areas of the municipality of Goiânia-Goiás. Methodology: ecological study of rate of HPCSC in the 07 Sanitary Districts (SD) of Goiânia, in the years between 2008 to 2013. Authorizations for Hospitalization (AH) datathe municipal SIH were used. The AH were georeferenced in the 07 SD. It has been calculated standardized rates of HPCSC of SD, by groups of causes and age groups. Confidence intervals were calculated for 95% of the rates. Results: the average rate of HPCSC was 155.5 per 10,000 inhabitants (IC 95% 157.0-162.0). The Southern District had the highest rate and the Southwest the lowest. The Group of Gastroenteritis presented the highest rate and the smallest Anemia group. The age group between 0 to 9 years and the seniors had the highest rates. In the Northwest District had higher rates in 09 of the causes groups, highlighting the chronic non-communicable diseases in the adult age group. Conclusions: the results of the study made it possible to identify the inequalities between the ICSAP rates in the SD, pointed out shortcomings of PHC coverage, quality problems and insufficiency of the health assistance model in regions with high coverage
Palavras-chave (keywords):
primary health carehealth evaluationhospitalization
Magalhães, Alessandro Alvares, Libânio, O. Desigualdades intraurbanas de taxas de internações por condições sensíveis à atenção primária - região central do Brasil.. Cien Saude Colet [periódico na internet] (2016/ago). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/desigualdades-intraurbanas-de-taxas-de-internacoes-por-condicoes-sensiveis-a-atencao-primaria-regiao-central-do-brasil/15801?id=15801&id=15801
