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Type: Journal article
Title: Reduction of ambulatory care sensitive conditions in Brazil between 1998 and 2009
Author: Boing, A.
Vicenzi, R.
Matijasevich, A.
Boing, A.
Moretti-Pires, R.
Glazer De Anselmo Peres, K.
Lindner, S.
De Anselmo Peres, M.
Citation: Revista de Saude Publica, 2012; 46(2):359-366
Publisher: Revista de Saude Publica
Issue Date: 2012
ISSN: 0034-8910
Statement of
Antonio Fernando Boing, Rafael Baratto Vicenzi, Flávio Magajewski, Alexandra Crispim Boing, Rodrigo Otávio Moretti-Pires, Karen Glazer Peres, Sheila Rubia Lindner, Marco Aurélio Peres
Abstract: OBJECTIVE: To describe the trends in hospitalizations for ambulatory care sensitive conditions between 1998 and 2009 in Brazil. METHODS: The ecological time series study used secondary data on hospitalizations for ambulatory care sensitive conditions in the Sistema Único de Saúde (National Unified Health System). Data were obtained from the Hospital Information System. Hospital admission rates per 10,000 inhabitants were standardized by age range and gender, using the 2000 census male Brazilian population as standard. Trend analysis of the historic series was performed through generalized linear regression using the Prais-Winsten method. RESULTS: Between 1998 and 2009, there was an average annual reduction in admissions for ambulatory care sensitive conditions of 3.7% in men (95%CI -2.3;-5.1) and women (95%CI -2.5; -5.6). The trend varied in each state, although no increase in admissions was observed in any state. In both men and women, the highest reductions were observed in hospitalizations for gastrointestinal ulcers (-11.7% a year and -12.1%, respectively), avoidable conditions (-8.8% and -8.9%) and lower respiratory diseases (-8.0% and -8.1%). Hospitalization increased only for angina (men), kidney infections and urinary tract infections (men and women) and conditions related to prenatal care and delivery (women). The three groups of illness which led to the most admissions were infectious gastroenteritis and its complications, cardiac insufficiency and asthma. CONCLUSIONS: Between 1998 and 2009, there was a substantial reduction in admissions for ambulatory care sensitive conditions in Brazil, although some illnesses presented stability or even an increase, which calls for attention from the health sector.
Keywords: Humans
Ambulatory Care
Age Distribution
Sex Distribution
Time Factors
Socioeconomic Factors
Information Systems
Primary Health Care
Health Services Accessibility
Quality of Health Care
Rights: Copyright by Faculdade de Saúde Pública da Universidade de São Paulo.
DOI: 10.1590/S0034-89102012005000011
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