Análise preliminar de hospitalizações por causas sensíveis à Atenção Primária em sSaúde em um município mineiro

Abstract

The Family Health Strategy is the main setting of primary care in Brazil and has the ability to solve approximately 80-85% of the health problems of the population. Hospital admissions for Primary Care Sensitive Conditions (PCSC), which are attended by health problems typical actions of primary care has become an important indicator of the quality of this attention. Therefore, the aim of this study was to describe the framework of hospitalizations for some causes sensitive to actions that should be undertaken in primary care in Paracatu-MG in the years 2008-2011. The municipality has a coverage of the Family Health Strategy of 44%. Were considered hospitalizations for respiratory diseases, cardiovascular diseases and diabetes mellitus. We conducted a descriptive exploratory study using the database side of the Hospital Information System and Information System for Primary Care. We also performed a brief literature review to theoretical theme. For data analysis we used the list of PCSC established by Ordinance No. 221 of the Ministry of Health. In relation to the respiratory tract were found admissions for chronic obstructive diseases and tuberculosis. The conditions involving the circulatory system, there was a considerable drop in the number of hospitalizations for essential hypertension and Acute Myocardial Infarction from 2008 to 2011, but there is still significant occurrence of Congestive Heart Failure and Stroke. Regarding Diabetes Mellitus, which has a specific program to be developed in primary care, the study showed an increase of approximately 50% in 2011. Positive results, such as reduction of cases of hospitalization for essential hypertension, shows gradual strengthening of the service network, with evidence that health promotion activities are being implemented successfully. However, need to be intensified, indicating the increased coverage strategy in the municipality.