Characteristics of primary care and rates of pediatric hospitalizations in Brazil.

dc.contributor.author

Lisboa, Lívia Anniele Sousa

dc.contributor.author

Queiroz, Rejane Christine de Sousa

dc.contributor.author

Thomaz, Erika Bárbara Abreu Fonseca

dc.contributor.author

Silva, Núbia Cristina da

dc.contributor.author

Rocha, Thiago Augusto Hernandes

dc.contributor.author

Vissoci, João Ricardo Nickenig

dc.contributor.author

Staton, Catherine Ann

dc.contributor.author

Lein, Adriana

dc.contributor.author

Simões, Vanda Maria Ferreira

dc.contributor.author

Thumé, Elaine

dc.contributor.author

Facchini, Luiz Augusto

dc.date.accessioned

2021-01-07T19:41:15Z

dc.date.available

2021-01-07T19:41:15Z

dc.date.issued

2020-01

dc.date.updated

2021-01-07T19:41:13Z

dc.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.
dc.identifier

S0034-89102020000100228

dc.identifier.issn

0034-8910

dc.identifier.issn

1518-8787

dc.identifier.uri

https://hdl.handle.net/10161/22017

dc.language

eng

dc.publisher

Universidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA)

dc.relation.ispartof

Revista de saude publica

dc.relation.isversionof

10.11606/s1518-8787.2020054001784

dc.subject

Humans

dc.subject

Asthma

dc.subject

Pneumonia

dc.subject

Diarrhea

dc.subject

Hospitalization

dc.subject

Cross-Sectional Studies

dc.subject

Socioeconomic Factors

dc.subject

Child, Preschool

dc.subject

Infant

dc.subject

Infant, Newborn

dc.subject

Primary Health Care

dc.subject

Delivery of Health Care

dc.subject

Brazil

dc.subject

Female

dc.subject

Male

dc.title

Characteristics of primary care and rates of pediatric hospitalizations in Brazil.

dc.type

Journal article

duke.contributor.orcid

Vissoci, João Ricardo Nickenig|0000-0001-7276-0402

duke.contributor.orcid

Staton, Catherine Ann|0000-0001-7061-5762|0000-0002-6468-2894

pubs.begin-page

32

pubs.organisational-group

School of Medicine

pubs.organisational-group

Duke Global Health Institute

pubs.organisational-group

Neurosurgery

pubs.organisational-group

Surgery, Emergency Medicine

pubs.organisational-group

Duke

pubs.organisational-group

University Institutes and Centers

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Surgery

pubs.publication-status

Published

pubs.volume

54

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Characteristics of primary care and rates of pediatric hospitalizations in Brazil.pdf
Size:
694.08 KB
Format:
Adobe Portable Document Format