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Central de regulação de leitos do SUS em Belo Horizonte, Minas Gerais, Brasil: avaliação de seu papel pelo estudo das internações por doenças isquêmicas do coração / The hospital bed referral center under the Unified National Health System in Belo Horizonte, Minas Gerais State, Brazil: the case of hospitalization for ischemic heart disease
Evangelista, Patrícia Alves; Barreto, Sandhi Maria; Guerra, Henrique Leonardo.
Affiliation
  • Evangelista, Patrícia Alves; Secretaria Municipal de Saúde de Belo Horizonte. Belo Horizonte. BR
  • Barreto, Sandhi Maria; Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte. BR
  • Guerra, Henrique Leonardo; Universidade Federal de Minas Gerais. Grupo de Pesquisa em Doenças Crônicas e Ocupacionais. Belo Horizonte. BR
Cad. saúde pública ; 24(4): 767-776, abr. 2008. tab
Article in Portuguese | LILACS | ID: lil-479691
Responsible library: BR1.1
RESUMO
A Central de Internações de Belo Horizonte, Minas Gerais, Brasil, visa tornar ágil o acesso às internações pelo Sistema Único de Saúde (SUS). Entretanto, muitas internações ocorrem diretamente nos hospitais, sem intermediação da Central de Internação. O estudo comparou as características das internações realizadas em 2002, com relação à via de acesso. Foram selecionadas internações com hipótese diagnóstica de infarto agudo do miocárdio e insuficiência coronariana aguda. De 3.705 internações, 24,9 por cento foram realizadas pela Central de Internação e 75,1 por cento por via direta. As proporções de internações via direta foram maiores que pela Central de Internação para pacientes > 70 anos, internados por insuficiência coronariana aguda, na clínica cirúrgica e no fim de semana. Os percentuais das internações via Central de Internação foram maiores que os feitos por via direta para residentes em outros municípios, em hospitais não públicos e com utilização de UTI. O número de dias de internação também foi diferente entre as vias. O estudo mostrou diferenças nas características das internações realizadas pelas duas vias de acesso.
ABSTRACT
The hospital admissions center in Belo Horizonte, Minas Gerais State, Brazil, aims to assure fast, timely, and equitable access to hospitalization services through the Unified National Health System. However, many patients are admitted directly to the hospitals, without going through the admissions center. This study compared the characteristics of hospitalizations in Belo Horizonte in 2002 according to type of access. All admissions for acute myocardial infarction and acute coronary disease were included. Of 3,705 admissions, 24.9 percent were processed through the hospital admissions center and 75.1 percent through direct access. Direct hospitalizations were more common as compared to processing by the hospital admissions center for patients > 70 years ), those with presumptive diagnosis of acute coronary disease, to the surgical department, and on weekends. Admissions via the hospital admissions center were more common than direct access for patients residing outside Belo Horizonte, at non-public hospitals, and for the intensive care unit. Length-of-stay also varied according to type of access. The results confirm differences in the characteristics of admissions according to the two types of access.
Subject(s)

Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Delivery Arrangements / Goal 6: Information systems for health / Target 3.8 Achieve universal access to health Database: LILACS Main subject: Hospital Information Systems / Coronary Disease / Health Services Accessibility / Health Services Needs and Demand / Hospitalization / Myocardial Infarction Aspects: Social determinants of health Limits: Adult / Aged / Female / Humans / Male Country/Region as subject: South America / Brazil Language: Portuguese Journal: Cad. saúde pública Journal subject: Public Health / Toxicology Year: 2008 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Secretaria Municipal de Saúde de Belo Horizonte/BR / Universidade Federal de Minas Gerais/BR
Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Delivery Arrangements / Goal 6: Information systems for health / Target 3.8 Achieve universal access to health Database: LILACS Main subject: Hospital Information Systems / Coronary Disease / Health Services Accessibility / Health Services Needs and Demand / Hospitalization / Myocardial Infarction Aspects: Social determinants of health Limits: Adult / Aged / Female / Humans / Male Country/Region as subject: South America / Brazil Language: Portuguese Journal: Cad. saúde pública Journal subject: Public Health / Toxicology Year: 2008 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Secretaria Municipal de Saúde de Belo Horizonte/BR / Universidade Federal de Minas Gerais/BR
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