Hospitalization for primary care-sensitive conditions in adults and its impact on hospital care in São Paulo city, Brazil
Community Health Equity Res Policy
; 42(2): 203-208, Jan. 2022.
Article
in English
| CONASS, Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1393236
Responsible library:
BR79.1
ABSTRACT
INTRODUCTION:
Identifying conditions among all cause hospitalizations that could be prevented at the primary care level would allow the development of strategies to reduce the range of diseases treated in hospital and promote a more efficient utilization of resources.OBJECTIVE:
We sought to evaluate hospitalizations for clinical conditions that are sensitive to primary care in adults.METHODS:
Cross-sectional study with data captured in hospital electronic health records using the diagnosis related groups classification system.RESULTS:
Primary care-sensitive conditions were associated with longer duration of hospitalization, older age, higher prevalence of female patients, higher complexity at admission and during hospitalization, and a higher risk of mortality as compared with other conditions not sensitive to primary care.CONCLUSION:
A significant proportion of hospitalizations are due to causes sensitive to primary care. Hospitalizations due to primary care-sensitive conditions are associated with longer hospital stay, greater complexity and severity, and a higher risk of mortality.
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Collection:
National databases
/
Brazil
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
Health problem:
Delivery Arrangements
/
Goal 6: Information systems for health
Database:
CONASS
/
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Main subject:
Diagnosis-Related Groups
/
Delivery of Health Care
/
Hospitalization
Type of study:
Diagnostic study
/
Observational study
/
Risk factors
Aspects:
Social determinants of health
Limits:
Female
/
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Community Health Equity Res Policy
Year:
2022
Document type:
Article
Institution/Affiliation country:
Dante Pazzanese Institute of Cardiology/BR
/
Hospital Geral do Grajaú/BR
/
Oswaldo Cruz German Hospital/BR
/
Post-Graduation Program in Health Sciences, Santo Amaro University/BR