Internações por condições sensíveis á atenção primária: A construção da lista brasileira como ferramenta para medir o desempenho do sistema de saúde (projeto ICSAP - Brasil)

Translated title of the contribution: Ambulatory care sensitive hospitalizations: Elaboration of brazilian list as a tool for measuring health system performance (project ICSAP - Brazil)

Maria Elmira Alfradique, Palmira de Fátima Bonolo, Inês Dourado, Maria Fernanda Lima-Costa, James Macinko, Claunara Schilling Mendonça, Veneza Berenice Oliveira, Luís Fernando Rolim Sampaio, Carmen de Simoni, Maria Aparecida Turci

Research output: Contribution to journalArticle

Abstract

Ambulatory care sensitive hospitalizations are a set of conditions for which access to effective primary care can reduce the likelihood of hospitalization. These hospitalizations have been used as an indicator of primary care performance in several countries and in three Brazilian states, but there is little consensus on which conditions should be included in this indicator. This paper presents a description of the steps undertaken to construct and validate a list for Brazil. The final list includes 20 groups of diagnostic conditions that represented 28.3% of a total of 2.8 million hospitalizations in the National Unified Health System in 2006. Gastroenteritis and complications, congestive heart failure, and asthma represented 44.1% of all ambulatory care sensitive hospitalizations. From 2000 to 2006, ambulatory care sensitive hospitalizations decreased by 15.8%, and this reduction was more significant than that observed in all other hospitalizations. The article concludes with potential applications and limitations of the proposed Brazilian list.

Translated title of the contributionAmbulatory care sensitive hospitalizations: Elaboration of brazilian list as a tool for measuring health system performance (project ICSAP - Brazil)
Original languagePortuguese
Pages (from-to)1337-1349
Number of pages13
JournalCadernos de saude publica
Volume25
Issue number6
DOIs
StatePublished - Jun 2009

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Alfradique, M. E., Bonolo, P. D. F., Dourado, I., Lima-Costa, M. F., Macinko, J., Mendonça, C. S., Oliveira, V. B., Sampaio, L. F. R., de Simoni, C., & Turci, M. A. (2009). Internações por condições sensíveis á atenção primária: A construção da lista brasileira como ferramenta para medir o desempenho do sistema de saúde (projeto ICSAP - Brasil). Cadernos de saude publica, 25(6), 1337-1349. https://doi.org/10.1590/s0102-311x2009000600016