Internações por condições sensíveis à atenção primária (ICSAP): uma análise segundo características sociodemográficas, Brasil e regiões, 2010 a 2019

Abstract

Objective: To analyze the temporal trend of hospital admissions due to Ambulatory Care-Sensitive Conditions (ACSC) in Brazil per sex, region, cause and age group, from 2010 to 2019. Methods: This is an ecological study based on the temporal trend of ACSC rates. Standardized rates were analyzed in a simple linear regression and a generalized linear model (GLM) Gamma. The percentage change was also checked over three periods: 2010–2014, 2015–2019 and 2010–2019. Results: There was a reduction in hospital admission rates between 2010 and 2019 for Brazil: 124.3/10,000 inhab. to 88.2/10,000 inhab. among women (-29.0%) and 119.0/10,000 inhab. to 88.2/10,000 inhab. (-25.9%) among men in all regions. The decrease was more prominent between 2010–2014 (-17.7%) and (-17.8%) than between 2015–2019 (-.2%) and (-5.9%) for females and males, respectively. The milder decline in the period from 2015 to 2019 was more noticeable among age groups 0–4y and 5–19y in all regions. As for the causes, most ICD-10 diseases had a downward trend, the more expressive ones being gastroenteritis (-60%); however, an increase was seen in cerebrovascular diseases among women (11.2%) and men (17.1%), and angina (15% %) and skin infections (56.1%) among men. Conclusion: There was a significant drop in ACSC rates in the period analyzed, especially for age groups 0-4y and 5-19y. The rates had a milder drop from 2015 to 2019, a period of austerity and economic crisis.