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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/60730
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dc.creatorMarcelo Pellizzaro Dias Afonsopt_BR
dc.creatorHelena e Shimizupt_BR
dc.creatorEdgar Merchan-hamannpt_BR
dc.creatorWalter m Ramalhopt_BR
dc.creatorTarcisio Afonsopt_BR
dc.date.accessioned2023-11-09T20:53:17Z-
dc.date.available2023-11-09T20:53:17Z-
dc.date.issued2017-
dc.citation.volume7pt_BR
dc.citation.issuee015322pt_BR
dc.citation.spage1pt_BR
dc.citation.epage8pt_BR
dc.identifier.doi10.1136/bmjopen-2016-015322pt_BR
dc.identifier.issn20446055pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/60730-
dc.description.resumoIntroduction Hospitalisation for ambulatory care-sensitive conditions (HACSCs) is frequently used as an indicator of the quality and effectiveness of primary healthcare (PHC) services around the world. The aim of the present study was to evaluate whether the PHC model (family health strategy (FHS) x conventional) and the availability of specialised PHC physicians is associated or not with total hospitalisation or HACSCs in the National Health System (SUS) of the municipality of Curitiba, Paraná state (PR), Brazil.Methodology:This is a cross-sectional ecological study using multiple linear regression with socioeconomic and professional data from municipal health units (MHUs) between 1 April 2014 and 31 March 2015.Results: After adjustment for age and sex and control of socioeconomic variables, the FHS model was associated with six fewer HACSCs a year per 10 000 inhabitants in relation to the conventional model and the availability of one family physician at each FHS model MHU per 10 000 inhabitants was associated with 1.1 fewer HACSCs for heart failure a year per 10 000 inhabitants. Basic specialists (clinicians, paediatricians and obstetrician/gynaecologists) and subspecialists showed no significant association with HACSC rates.Conclusion These results obtained in a major Brazilian city reinforce the role of FHS as a priority PHC model in the country and indicate the potentially significant impact of specialising in family medicine on improving the health conditions of the population.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIALpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofBMJ Open-
dc.rightsAcesso Abertopt_BR
dc.subjectHospitalizationpt_BR
dc.subjectPrimary Health Carept_BR
dc.subject.otherHospitalizationpt_BR
dc.subject.otherPrimary Health Carept_BR
dc.titleAssociation between hospitalisation for ambulatory care-sensitive conditions and primary health care physician specialisation: a cross-sectional ecological study in curitiba (brazil)pt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://bmjopen.bmj.com/content/7/12/e015322.longpt_BR
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