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Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/83777
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Campo DCValorIdioma
dc.creatorFilipe Malta Dos Santospt_BR
dc.creatorAnthonio Thomaz Gonzaga da Mata Machadopt_BR
dc.creatorCesar Macieirapt_BR
dc.creatorElis Bordept_BR
dc.creatorAlaneir de Fatima Dos Santospt_BR
dc.date.accessioned2025-07-23T17:54:11Z-
dc.date.available2025-07-23T17:54:11Z-
dc.date.issued2023-
dc.citation.volume57pt_BR
dc.citation.issue85pt_BR
dc.citation.spage1pt_BR
dc.citation.epage13pt_BR
dc.identifier.doihttps://doi.org/10.11606/s1518-8787.2023057004879pt_BR
dc.identifier.issn15188787pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/83777-
dc.description.resumoOBJECTIVE: To analyze the association between municipal rates of ambulatory care sensitive conditions (ACSC) hospitalization and the quality of primary health care (PHC), socioeconomic, and demographic variables and those related to local characteristics of the health system from 2010 to 2019. METHOD: Ecological time series study in Brazilian municipalities analyzing the correlation of ACSC hospitalization rates with PHC quality measured by the three cycles of the Primary Care Access and Program for improving primary care access and quality (PMAQ-AB). The study included municipalities whose teams participated in 80% or more of at least two PMAQ-AB cycles. The correlation between standardized ACSC hospitalization rates and PHC quality and other variables was analyzed. Spearman’s test was used between the response variable and numerical explanatory variables. Generalized equations estimation was used as a multivariate model associating ACSC hospitalization rates with the other variables over the years. RESULTS: A total of 3,500 municipalities were included in the models. The quality of PHC (PMAQ-AB score) showed an inverse association with the variation in ACSC hospitalization rates. Hospitalization rates fell by -2% per year every ten-point increase in the PMAQ-AB score, adjusted by the remaining variables. A one-unit increase in the beds per 1,000 inhabitants variable had an impact of approximately +6.4% on ACSC hospitalization rates. Regarding population size, larger municipalities had lower ACSC hospitalization rates. Increased PHC coverage and lower socioeconomic inequality were also associated with the reduction in hospitalizations.CONCLUSIONS: 吀栀e reduction in ACSC hospitalization rates over time was associated with an increase in the quality of PHC. It was also associated with a reduction in the number of hospital beds and municipalities with better socioeconomic indicatorspt_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.ispartofRevista De Saúde Públicapt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectPrimary Health Carept_BR
dc.subjectQuality of Health Carept_BR
dc.subjectFamily Healthpt_BR
dc.subject.otherPrimary Health Carept_BR
dc.subject.otherQuality of Health Carept_BR
dc.titleAssociation between hospitalizations for sensitive conditions and quality of primary carept_BR
dc.title.alternativeAssociação entre internações por condições sensíveis e qualidade da atenção primáriapt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://revistas.usp.br/rsp/article/view/220415pt_BR
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