Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil

Admissions due to primary health care sensitive conditions from 1999 to 2009 among children < 5 years old were analyzed for municipalities in Pernambuco State, Brazil. Using data from the Brazilian Unified National Health System's Hospital Information System, a negative binomial regression w...

Full description

Bibliographic Details
Main Authors: Suzana Costa Carvalho, Eduardo Mota, Inês Dourado, Rosana Aquino, Carlos Teles, Maria Guadalupe Medina
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2015-04-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000400744&lng=en&tlng=en
_version_ 1818177993919430656
author Suzana Costa Carvalho
Eduardo Mota
Inês Dourado
Rosana Aquino
Carlos Teles
Maria Guadalupe Medina
author_facet Suzana Costa Carvalho
Eduardo Mota
Inês Dourado
Rosana Aquino
Carlos Teles
Maria Guadalupe Medina
author_sort Suzana Costa Carvalho
collection DOAJ
description Admissions due to primary health care sensitive conditions from 1999 to 2009 among children < 5 years old were analyzed for municipalities in Pernambuco State, Brazil. Using data from the Brazilian Unified National Health System's Hospital Information System, a negative binomial regression was applied to estimate rate ratio (RR) and 95%CI for the effect on primary health care sensitive condition rates (admissions/10,000 inhabitants) of the Family Health Program (FHP) coverage (%), some demographic variables and living conditions. Hospitalizations due to primary health care sensitive conditions represented 44.1% of 861,628 admissions and the rate declined from 557.6 to 318.9 (-42.8%), a reduction three times greater than the rate due to all other causes. Increased FHP coverage was protective against primary health care sensitive conditions (RR = 0.94; 95%CI: 0.89-0.99). A decline in hospitalizations due to primary health care sensitive conditions indicated improvements in health status and may be associated with the consolidation of primary health care. Studies on access and quality of primary health care in relation to child morbidity and hospitalizations are needed.
first_indexed 2024-12-11T20:40:55Z
format Article
id doaj.art-6af46ae29e80471d994ea396b013b951
institution Directory Open Access Journal
issn 1678-4464
language English
last_indexed 2024-12-11T20:40:55Z
publishDate 2015-04-01
publisher Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
record_format Article
series Cadernos de Saúde Pública
spelling doaj.art-6af46ae29e80471d994ea396b013b9512022-12-22T00:51:30ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642015-04-0131474475410.1590/0102-311X00069014S0102-311X2015000400744Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast BrazilSuzana Costa CarvalhoEduardo MotaInês DouradoRosana AquinoCarlos TelesMaria Guadalupe MedinaAdmissions due to primary health care sensitive conditions from 1999 to 2009 among children < 5 years old were analyzed for municipalities in Pernambuco State, Brazil. Using data from the Brazilian Unified National Health System's Hospital Information System, a negative binomial regression was applied to estimate rate ratio (RR) and 95%CI for the effect on primary health care sensitive condition rates (admissions/10,000 inhabitants) of the Family Health Program (FHP) coverage (%), some demographic variables and living conditions. Hospitalizations due to primary health care sensitive conditions represented 44.1% of 861,628 admissions and the rate declined from 557.6 to 318.9 (-42.8%), a reduction three times greater than the rate due to all other causes. Increased FHP coverage was protective against primary health care sensitive conditions (RR = 0.94; 95%CI: 0.89-0.99). A decline in hospitalizations due to primary health care sensitive conditions indicated improvements in health status and may be associated with the consolidation of primary health care. Studies on access and quality of primary health care in relation to child morbidity and hospitalizations are needed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000400744&lng=en&tlng=enHospitalizaciónAtención Primaria de SaludEstrategia de Salud FamiliarSalud del Niño
spellingShingle Suzana Costa Carvalho
Eduardo Mota
Inês Dourado
Rosana Aquino
Carlos Teles
Maria Guadalupe Medina
Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
Cadernos de Saúde Pública
Hospitalización
Atención Primaria de Salud
Estrategia de Salud Familiar
Salud del Niño
title Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_full Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_fullStr Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_full_unstemmed Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_short Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
title_sort hospitalizations of children due to primary health care sensitive conditions in pernambuco state northeast brazil
topic Hospitalización
Atención Primaria de Salud
Estrategia de Salud Familiar
Salud del Niño
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000400744&lng=en&tlng=en
work_keys_str_mv AT suzanacostacarvalho hospitalizationsofchildrenduetoprimaryhealthcaresensitiveconditionsinpernambucostatenortheastbrazil
AT eduardomota hospitalizationsofchildrenduetoprimaryhealthcaresensitiveconditionsinpernambucostatenortheastbrazil
AT inesdourado hospitalizationsofchildrenduetoprimaryhealthcaresensitiveconditionsinpernambucostatenortheastbrazil
AT rosanaaquino hospitalizationsofchildrenduetoprimaryhealthcaresensitiveconditionsinpernambucostatenortheastbrazil
AT carlosteles hospitalizationsofchildrenduetoprimaryhealthcaresensitiveconditionsinpernambucostatenortheastbrazil
AT mariaguadalupemedina hospitalizationsofchildrenduetoprimaryhealthcaresensitiveconditionsinpernambucostatenortheastbrazil