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.

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.11606/s1518-8787.2020054001784

Publication Info

Lisboa, Lívia Anniele Sousa, Rejane Christine de Sousa Queiroz, Erika Bárbara Abreu Fonseca Thomaz, Núbia Cristina da Silva, Thiago Augusto Hernandes Rocha, João Ricardo Nickenig Vissoci, Catherine Ann Staton, Adriana Lein, et al. (2020). Characteristics of primary care and rates of pediatric hospitalizations in Brazil. Revista de saude publica, 54. p. 32. 10.11606/s1518-8787.2020054001784 Retrieved from https://hdl.handle.net/10161/22017.

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