Characteristics of primary care and rates of pediatric hospitalizations in Brazil
ABSTRACT OBJECTIVE To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD In this study, a cross-sectional ecological study was performed. This study analyzed the 27 capitals of Brazil’s federative units. Data were aggregated from the following open access databases: National Program for Access and Quality Improvement in Primary Care, the Hospital Information System of Brazilian Unified Health System and Annual Population Census conducted by the Brazilian Institute of Geography and Statistics. Associations were estimated among characteristics of primary care with the number of three PCSC as the leading causes of hospitalization in children under-5 population in Brazil: asthma, diarrhea, and pneumonia. RESULTS In general, PHCC showed limited structural adequacy (37.3%) for pediatric care in Brazil. The capitals in South and Southeast regions had the best structure whereas the North and Northeast had the worst. Fewer PCSC hospitalizations were significantly associated with PHCC which presented appropriate equipment (RR: 0.98; 95%CI: 0.97–0.99), structural conditions (RR: 0.98; 95%CI: 0.97–0.99), and signage/identification of professionals and facilities (RR: 0.98; 95%CI: 0.97–0.99). Higher PCSC hospitalizations were significantly associated with PHCC with more physicians (RR: 1.23, 95%CI: 1.02–1.48), it forms (RR: 1.01, 95%CI: 1.01–1.02), and more medications (RR: 1.02, 95%CI: 1.01–1.03) CONCLUSION Infrastructural adequacy of PHCC was associated with less PCSC hospitalizations, while availability medical professional and medications were associated with higher PCSC hospitalizations.
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Faculdade de Saúde Pública da Universidade de São Paulo
2020
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oai:scielo:S0034-891020200001002282020-03-26Characteristics of primary care and rates of pediatric hospitalizations in BrazilLisboa,Lívia Anniele SousaQueiroz,Rejane Christine de SousaThomaz,Erika Bárbara Abreu FonsecaSilva,Núbia Cristina daRocha,Thiago Augusto HernandesVissoci,João Ricardo NickenigStaton,Catherine AnnLein,AdrianaSimões,Vanda Maria FerreiraThumé,ElaineFacchini,Luiz Augusto Primary Health Care Health Care Quality, Access, and Evaluation Patient Admission Ecological Studies ABSTRACT OBJECTIVE To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD In this study, a cross-sectional ecological study was performed. This study analyzed the 27 capitals of Brazil’s federative units. Data were aggregated from the following open access databases: National Program for Access and Quality Improvement in Primary Care, the Hospital Information System of Brazilian Unified Health System and Annual Population Census conducted by the Brazilian Institute of Geography and Statistics. Associations were estimated among characteristics of primary care with the number of three PCSC as the leading causes of hospitalization in children under-5 population in Brazil: asthma, diarrhea, and pneumonia. RESULTS In general, PHCC showed limited structural adequacy (37.3%) for pediatric care in Brazil. The capitals in South and Southeast regions had the best structure whereas the North and Northeast had the worst. Fewer PCSC hospitalizations were significantly associated with PHCC which presented appropriate equipment (RR: 0.98; 95%CI: 0.97–0.99), structural conditions (RR: 0.98; 95%CI: 0.97–0.99), and signage/identification of professionals and facilities (RR: 0.98; 95%CI: 0.97–0.99). Higher PCSC hospitalizations were significantly associated with PHCC with more physicians (RR: 1.23, 95%CI: 1.02–1.48), it forms (RR: 1.01, 95%CI: 1.01–1.02), and more medications (RR: 1.02, 95%CI: 1.01–1.03) CONCLUSION Infrastructural adequacy of PHCC was associated with less PCSC hospitalizations, while availability medical professional and medications were associated with higher PCSC hospitalizations.info:eu-repo/semantics/openAccessFaculdade de Saúde Pública da Universidade de São PauloRevista de Saúde Pública v.54 20202020-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100228en10.11606/s1518-8787.2020054001784 |
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Lisboa,Lívia Anniele Sousa Queiroz,Rejane Christine de Sousa Thomaz,Erika Bárbara Abreu Fonseca Silva,Núbia Cristina da Rocha,Thiago Augusto Hernandes Vissoci,João Ricardo Nickenig Staton,Catherine Ann Lein,Adriana Simões,Vanda Maria Ferreira Thumé,Elaine Facchini,Luiz Augusto |
| spellingShingle |
Lisboa,Lívia Anniele Sousa Queiroz,Rejane Christine de Sousa Thomaz,Erika Bárbara Abreu Fonseca Silva,Núbia Cristina da Rocha,Thiago Augusto Hernandes Vissoci,João Ricardo Nickenig Staton,Catherine Ann Lein,Adriana Simões,Vanda Maria Ferreira Thumé,Elaine Facchini,Luiz Augusto Characteristics of primary care and rates of pediatric hospitalizations in Brazil |
| author_facet |
Lisboa,Lívia Anniele Sousa Queiroz,Rejane Christine de Sousa Thomaz,Erika Bárbara Abreu Fonseca Silva,Núbia Cristina da Rocha,Thiago Augusto Hernandes Vissoci,João Ricardo Nickenig Staton,Catherine Ann Lein,Adriana Simões,Vanda Maria Ferreira Thumé,Elaine Facchini,Luiz Augusto |
| author_sort |
Lisboa,Lívia Anniele Sousa |
| title |
Characteristics of primary care and rates of pediatric hospitalizations in Brazil |
| title_short |
Characteristics of primary care and rates of pediatric hospitalizations in Brazil |
| title_full |
Characteristics of primary care and rates of pediatric hospitalizations in Brazil |
| title_fullStr |
Characteristics of primary care and rates of pediatric hospitalizations in Brazil |
| title_full_unstemmed |
Characteristics of primary care and rates of pediatric hospitalizations in Brazil |
| title_sort |
characteristics of primary care and rates of pediatric hospitalizations in brazil |
| description |
ABSTRACT OBJECTIVE To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD In this study, a cross-sectional ecological study was performed. This study analyzed the 27 capitals of Brazil’s federative units. Data were aggregated from the following open access databases: National Program for Access and Quality Improvement in Primary Care, the Hospital Information System of Brazilian Unified Health System and Annual Population Census conducted by the Brazilian Institute of Geography and Statistics. Associations were estimated among characteristics of primary care with the number of three PCSC as the leading causes of hospitalization in children under-5 population in Brazil: asthma, diarrhea, and pneumonia. RESULTS In general, PHCC showed limited structural adequacy (37.3%) for pediatric care in Brazil. The capitals in South and Southeast regions had the best structure whereas the North and Northeast had the worst. Fewer PCSC hospitalizations were significantly associated with PHCC which presented appropriate equipment (RR: 0.98; 95%CI: 0.97–0.99), structural conditions (RR: 0.98; 95%CI: 0.97–0.99), and signage/identification of professionals and facilities (RR: 0.98; 95%CI: 0.97–0.99). Higher PCSC hospitalizations were significantly associated with PHCC with more physicians (RR: 1.23, 95%CI: 1.02–1.48), it forms (RR: 1.01, 95%CI: 1.01–1.02), and more medications (RR: 1.02, 95%CI: 1.01–1.03) CONCLUSION Infrastructural adequacy of PHCC was associated with less PCSC hospitalizations, while availability medical professional and medications were associated with higher PCSC hospitalizations. |
| publisher |
Faculdade de Saúde Pública da Universidade de São Paulo |
| publishDate |
2020 |
| url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100228 |
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