Banca de QUALIFICAÇÃO: José Augustinho Mendes Santos

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : José Augustinho Mendes Santos
DATE: 10/01/2025
TIME: 14:00
LOCAL: On line - https://meet.google.com/gms-tqnm-xbd
TITLE:

“ANALYSIS OF HOSPITALIZATIONS FOR PRIMARY CARE SENSITIVE CONDITIONS IN THE 7TH HEALTH REGION OF THE STATE OF ALAGOAS, 2014- 2023”

KEY WORDS:

“Hospitalization; Primary Care Sensitive Conditions; Primary Health Care; Health Cara Quality Indicators; Health Care Financing"

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

“INTRODUCTION: Hospitalizations for Ambulatory Care Sensitive Conditions (ACSCs) are hospitalizations that could be avoided with adequate and timely assistance from Primary Health Care (PHC). It should be noted that ACSCs represent not only a clinical challenge, but also a financial one. They generate significant costs for the public health system, which could be redirected towards preventive actions and strengthening PHC. As an indicator of PHC effectiveness, ACSCs have been widely used by managers and researchers to assess the coverage and quality of public policies, as well as pointing out critical areas for strategic interventions in the SUS. GENERAL OBJECTIVE: To analyze hospitalizations for ambulatory care sensitive conditions (ACSCs), financed by the public health system, in the context of the municipalities that make up the 7th health region of the state of Alagoas, from 2014 to 2023. SPECIFIC OBJECTIVES: To describe the time trend of ACSCs financed by the single health system and characterize them according to groups of causes and diagnoses, age group, gender, deaths and place of residence; To analyse the costs of ACSCs financed by the single health system and correlate the ACSC coefficients in relation to per capita Public Health Expenditure (PHE); To correlate the ACSC coefficients in relation to Family Health Strategy (FHS) coverage. METHODS: This was an ecological, descriptive, time-series study using data from the following databases: the Hospital Information System of the Unified Health System (SIH/SUS), the Brazilian Institute of Geography and Statistics (IBGE), the Public Health Budget Information System (SIOPS) and the Primary Health Care e-Manager (e-GESTOR APS). The study site was the 7th health region of the state of Alagoas and the 17 municipalities that make it up. The study period ran from January 2014 to December 2023. Data was collected in September and October 2024 and after tabulation, the data was statistically analyzed. The statistical analysis was descriptive, trend and correlation. The trend analysis used the Prais Winsten regression and the correlation analysis used the Spearman correlation, assuming a significance level of 5% (p < 0.05). PARTIAL RESULTS: In the period under study, 29,856 ACSCs were registered in the 7th health region of the state of Alagoas, with a rate of 84.57/10,000 inhabitants in 2014, and 44.71/10,000 inhabitants in 2023. With regard to gender, 53.77% of patients were women. In terms of age, 29.27% were aged between 60 and 79, followed by 26.90% aged between 0 and 9 and 15.80% aged between 40 and 59. With regard to race/color, 74.87% were brown. The municipality of Arapiraca recorded the highest number of ACSCs, followed by Batalha, Girau do Ponciano and São Sebastião. The groups of causes with the highest number of hospitalizations were: infectious gastroenteritis and complications (27.94%), cerebrovascular diseases (19.55%), heart failure (10.69%), diabetes mellitus (6.48%) and kidney and urinary tract infections (6.20%). When analyzing the nature of the care, 82.3% was classified as urgent and emergency care, of which 21.17% required admission to the Intensive Care Unit. The total number of daily hospital stays was 183,212. R$65,980,213.33 was spent. Of the total number of patients hospitalized for ACSH, 3,376 died, which represents 11.31% of hospitalizations. ”

COMMITTEE MEMBERS:
Interna - 1055549 - HELAINE CARNEIRO CAPUCHO
Externa à Instituição - MARI ÂNGELA GAEDKE - UNISC
Externa à Instituição - BEATRIZ SANTANA DE SOUZA LIMA - CESMAC