Tendências temporais de internações de crianças por condições sensíveis à atenção primária em Minas Gerais, Brasil

Abstract

Objective: to analyze the tendency of hospitalizations for primary care-sensitive conditions in children under five years of age in the state of Minas Gerais. Methods: an ecological time series study used records from the Hospital Information System, from 2008 to 2018. Tendency analyzes were performed using the Prais-Winsten method to verify tendencies: stationary (p > 0.05), decreasing (p < 0.05 and negative regression coefficient) or increasing (p < 0.05 and positive regression coefficient) by health region and by age group (up to one year and from one to four years). Results: there was a downward tendency in hospitalizations among children in the state (annual percentage variation = -4.96%; p < 0.05), with a reduction in hospitalizations for infectious gastroenteritis and complications, bacterial pneumonia, and asthma. An increase in hospitalizations due to anemia was observed, lung diseases and ear, nose, and throat infections. For children under one year old, it was observed that hospitalizations for diseases preventable by immunization and sensitive conditions showed na upward tendency (ß=5.69 and p < 0.05), with emphasis on congenital syphilis. Conclusions: the scenario of Minas Gerais is similar to that of other Brazilian states, in which there is a reduction in hospitalization of children up to five years old, with an increase in hospitalizations for anemia, lung diseases and ear, nose and throat infections. Although there are improvements in practices and policies aimed at children's health, the findings reinforce the planning of actions for the care of preventable diseases in primary care.