• ÉRICA PITILIN - PITILIN, E.B. - Chapecó, Santa Catarina - Universidade Federal da Fronteira Sul - <pitilin@ig.com.br>
Coautor(es):
• Sandra Marisa Pelloso - Pelloso, S.M. - Universidade Estadual de Maringá Maringá, Paraná - <smpelloso@uem.br>
• Carlos Alexandre Molena-Fernandes - Molena-Fernandes,Carlos Alexandre - Universidade Estadual de Maringá Maringá, Paraná - <molena126@hotmail.com>
• Driele Gutubir - Gutubir,Driele - Universidade Estadual do Centro Oeste Guarapuava - <dgutubir@gmail.com>
Área Temática:
Avaliação de Serviços de Saúde
Resumo:
Objetivou-se analisar as internações por condições sensíveis à atenção primária(ICSAP) específicas em mulheres e os fatores que determinam ou influenciam a ocorrência dessas internações (fatores socioeconômicos, sociodemográficos e controle de saúde) por meio de um inquérito de morbidade hospitalar realizado com amostra de 429 mulheres internadas em hospitais conveniados ao Sistema Único de Saúde. O percentual de ICSAP foi 49,42% (n=212), com destaque para as internações específicas do sexo feminino 19,35% (n= 83). Associaram ao risco de internar por CSAP: idade superior a 60 anos, baixa escolaridade, internação prévia, realização de controle regular de saúde, falta de vínculo com a Estratégia Saúde da Família (ESF) e ser gestante. As causas evidentes foram as condições relacionadas à gravidez, ao parto e ao puerpério e às inflamações nos órgãos pélvicos femininos. Os resultados sugerem falhas no atendimento ambulatorial que deveria ser oportuno e resolutivo no contexto da saúde da mulher.
Palavras-chave:
Saúde da Mulher;
Avaliação em Saúde;
Atenção Primária;
Hospitalização;
Abstract:
Female-specific hospitalizations occurring in conditions sensitive to primary care (HSPCI) and factors that determine or affect the occurrence of such hospitalizations (social, economical and demographic factors; health control) are investigated. Analysis was performed by surveys on hospital morbidity with a sample of 429 females hospitalized in HSH-contracted hospitals. HSPCI percentage reached 49,42% (n=212), underscoring women´s specific hospitalization at 19,35% (n=83). Hospitalization risks comprised over-sixty elderly people, low schooling, previous hospitalizations, normal health control, lack of commitment with Family Health Strategy and pregnancy. Evident causes were related to conditions of pregnancy, childbirth, post-partum and inflammations of the female pelvic organs. Results suggested flaws in ambulatory attendance that should be adequate and solution-providing in women´s health.
Keywords:
women´s health
health evaluation
primary care;
nursing.
Female-specific hospitalizations sensitive to primary care
Resumo (abstract):
Female-specific hospitalizations occurring in conditions sensitive to primary care (HSPCI) and factors that determine or affect the occurrence of such hospitalizations (social, economical and demographic factors; health control) are investigated. Analysis was performed by surveys on hospital morbidity with a sample of 429 females hospitalized in HSH-contracted hospitals. HSPCI percentage reached 49,42% (n=212), underscoring women´s specific hospitalization at 19,35% (n=83). Hospitalization risks comprised over-sixty elderly people, low schooling, previous hospitalizations, normal health control, lack of commitment with Family Health Strategy and pregnancy. Evident causes were related to conditions of pregnancy, childbirth, post-partum and inflammations of the female pelvic organs. Results suggested flaws in ambulatory attendance that should be adequate and solution-providing in women´s health.
Palavras-chave (keywords):
women´s health
health evaluation
primary care;
nursing.
