Loading...
Please wait, while we are loading the content...
Similar Documents
Associação entre qualidade da atenção primária à saúde e internações por condições sensíveis à atenção primária à saúde nos serviços públicos de saúde em Porto Alegre : um estudo através de relacionamento probabilístico de base de dados
| Content Provider | Semantic Scholar |
|---|---|
| Author | Gonçalves, Marcelo R. |
| Copyright Year | 2013 |
| Abstract | Introduction: Primary health care, defined for its attributes access, longitudinality, integrality and coordination, has been related with effectiveness and equity of health care services as with reductions on hospitalizations for ambulatory care sensitive conditions. Objectives: Estimate by systematic review the impact of primary care attributes on hospitalizations for ambulatory care sensitive conditions and establish the relation between hospitalizations for this conditions and the quality of public primary care health services in Porto Alegre/Brazil. Methods: Systematic review from the main electronic databases and a cohort study by probabilistic record linkage between databases, done from July 2006 to December 2011, population > 18 years that attend public health services. The Primary Care Assessment Tool (PCATool Brazil) was utilized for evaluation of primary care services. Cox regression was utilized for statistical analysis. Results: Thirty-six articles were included in the systematic review. Studies evaluating orientation of primary care were not found. Most of the studies have shown a favorable impact of the essential attributes of primary care on hospitalizations reduction, especially access and longitudinality. In the cohort study, from de 1200 subjects followed in this period, 84 were hospitalized for primary care sensitive conditions, consisting of 21,6% of the total hospitalizations. The main cause of hospital admissions were cardiovascular (40.5%) and respiratory (16.2%) diseases. The PCATool average score was 5.3, less than high quality definition score (6.6). Crude analysis showed significant association with years of study (HR: 0.87; p<0.001), age > 60 years old (HR:3.66; p<0.001), skin color other than white (HR:1.76, p=0.001), lower economic status |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.lume.ufrgs.br/bitstream/handle/10183/143494/000877865.pdf?isAllowed=y&sequence=1 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
