Internações por condições sensíveis à atenção primária, no município de Goiânia, no período de 2008 a 2013
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2015-03-12
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Universidade Federal de Goiás
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The 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
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MAGALHÃES, A. L. A. Internações por condições sensíveis à atenção primária, no município de Goiânia, no período de 2008 a 2013. 2015. 125 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2015.