期刊名称：Revista Brasileira de Medicina de Família e Comunidade
印刷版ISSN：1809-5909
电子版ISSN：2179-7994
出版年度：2017
卷号：12
期号：39
页码：1-11
DOI：10.5712/rbmfc12(39)1256
语种：Spanish
出版社：Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
摘要：Objectives: This study aimed to analyze trends in admissions for ambulatory care sensitive conditions (ACSC) in Novo Hamburgo, comparing it with the rest of the Rio Grande do Sul State, and relating it to the investments in health and the Family Health Strategy (FHS) coverage in the city, from 1998 to 2012. Methods: We conducted an ecological study. Data were obtained from the Unified Health System’s Hospital Database (SIH-SUS). The causes of ACSC were based on a national list published by the Ministry of Health. ACSC tendencies in Novo Hamburgo and the rest of the Rio Grande do Sul State were analyzed by means of their standardized rates, based on moving averages every three years, and Negative Binomial Regression. Correlation analysis was performed between the variables of interest. Results: Despite an increase of 329.26% in financial investments and the expansion of FHS coverage in the period, reaching 20.20% of the population, there was no decrease in ACSC rate trends in Novo Hamburgo. In the rest of Rio Grande do Sul, there was a reduction in ACSC, however, the rates were higher than in Novo Hamburgo during the same period. Conclusion: Although this study found no association between the decrease in ACSC rates and increased coverage for FHS, increase financial investment in health, financial investment in primary care and per capita spending on health, there is evidence that they are correlated. Probably the FHS coverage was not enough to impact the ACSC.
关键词：Calidad de la Atención en Salud; Atención Primaria de Salud; Hospitalización; Salud de la Familia; Financiación de la Atención de la Salud;;Qualidade da Assistência à Saúde; Atenção Primária à Saúde; Hospitalização; Saúde da Família; Financiamento da Assistência à Saúde
其他关键词：Quality of Health Care;Primary Health Care;Hospitalization; Family Health; Health Care Financing
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