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Item Análise de tendência da mortalidade prematura por doenças crônicas não transmissíveis nas unidades federadas - Brasil 2000 a 2011(Universidade Federal de Goiás, 2014-05-14) Alves, Carla Guimarães; Morais Neto, Otaliba Libânio de; http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Malta, Deborah Carvalho; Oliveira, Ellen Synthia Fernandes de; Siqueira Junior, João Bosco; Minamisava, RuthChronic non-communicable diseases (NCDs) have the highest mortality rate worldwide, with an increase in middle-income and low-income countries. The main groups are circulatory diseases (CAD), chronic respiratory diseases (CRD), cancer and diabetes. In Brazil, the first two groups are showing a decrease trend in the last decade and the others remain stable. The strategic action plan for dealing with chronic non-communicable diseases in Brazil, from 2011-2022, sets a target to reduce premature mortality by 2% per year until 2022. Therefore the purpose of this article is to identify the trend in mortality rates and the scenarios of meeting the goals for reducing premature mortality rates by 2% per year by the states. It was performed a time series analysis of the standardized mortality rates for NCDs, corrected for underreporting deaths and ill defined causes of death in each of the four causes groups in the period from 2000 to 2011 in males and females. The autoregressive linear regression of the Prais-Winsten was the model of choice. There were estimated the average annual increment rates of mortality and the confidence intervals in 95%. The states was defined with favorable and unfavorable scenarios for achieving the goal of the plan from the states that showed significant average annual of increment rate of reduction (p <0.05) and upper limit of 95% CI <= -2.0%. For the CAD group, both genders, the states have showed that a favorable scenario were: Distrito Federal, Santa Catarina, Mato Grosso, Rio Grande do Sul, Minas Gerais, Bahia, Espírito Santo, and Paraná. For the DRC group the states were Amazonas, Distrito Federal, e Paraná. For groups of cancer and Diabetes Mellitus all the states had unfavorable scenarios upper limit of 95% of the annual average increment rate greater than two. The conclusion was that the states, with the support of the Ministry of Health in conjunction with other Federal Agencies, together with state and municipal governments should strengthen interventions focused on modifiable risk factors for NCDs and ensure comprehensive integrated care to diagnosed users to reduce premature mortality in the four groups of causes.Item Internações por condições sensíveis à atenção primária, no município de Goiânia, no período de 2008 a 2013(Universidade Federal de Goiás, 2015-03-12) Magalhães, Alessandro Leonardo Alvares; Morais Neto, Otaliba Libânio de; http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Siqueira Júnior, João Bosco; Oliveira, Ellen Synthia Fernandes de; Turchi, Marília Dalva; Minamisava, RuthThe Hospital Admissions by Primary Care Sensitive Conditions (ICSAP), are health problems, which the hospitalization is liable to be avoided by qualified primary care, which is understood as accessibility and effectiveness in outpatient care. To evaluate the magnitude, profile, evolution and spatial pattern of occurrence of the risks of hospitalizations associated with Primary Care Sensitive Conditions of Goiânia´s dwellers in the period of 2008 to 2013 a transversal study was developed using secondary hospitalizations data available in the Hospital Information System of the Department of Regulation, Evaluation and Control of Municipal Health of Goiânia. All admissions were georeferenced linking the neighborhood of Hospitalization Authorization (AIH) to one of the 07 health sanitary districts of Goiânia and then the analyzes of proportion ICSAP were made considering the group of causes, age and Sanitary District and its evolution during the studied series. The analysis of ICSAP rates was made and also the respective 95% confidence intervals, using the average of hospitalizations in the period clustered by age and group of causes and region of the Sanitary District of Goiânia The results showed a reduction in the proportion of ICSAP in Goiânia and its Sanitary Districts along the studied series, but heterogeneously. A higher reduction was registered in the Northwest District. The Southern District had the highest ICSAP rate and the Southwest District the lowest rate of ICSAP, however when the rates were detailed by cause group, it was observed that the Northwest District had the highest rates for 09 causes groups and the Southern District in 08 of them. The highest proportion of ICSAP and the highest rates in ICSAP were observed extremity age groups (0-9 years and 60 years or more). The occurrence of spatial pattern showed inequality of ICSAP rates in Goiania´s Sanitary Districts in relation to groups of cause and age groups. The study showed some progress and identified insufficient coverage and effectiveness of primary care services in Goiânia, which has the potential to support the city health manager and the sanitary districts in the reorientation of work processes, the family health strategy, in the implementation of intersectoral policies, in the definition of areas for location of new units the definition of areas for location of new units