PRIMARY HEALTH CARE IN BRASIL AND YOUR CAPACITY TO PREDICT HOSPITALIZATIONS FOR AMBULATORY CARE SENSITIVE CONDITIONS
METHODS: This study aim to measure the prevalence of ACSC in municipality regional referrals in health care and evaluate their relationship with quality of PHC. Collecting data included all hospitalizations supported by Brazilian Public Health System. Patients admitted for ACSC were interviewed to assess medical conditions, trajectory through the health system and evaluation of PHC. Satisfaction with PHC was evaluated simultaneously by health staff and managers. We estimate the prevalence of ACSC and appropriate statistical tests to compare groups.
RESULTS: 2,775 hospital admissions were identified. ACSC prevalence was 36.6% and the main diagnoses were pneumonia and diabetes mellitus (DM). Living in different cities of Divinópolis was considered a protective factor for ACSC. DM represented 2,6% of total general hospitalizations, 7.2% of ACSC and 26,5% in Divinópolis. Units Family Health Program (FHP) were better evaluated when compared with conventional units of PHC. The first Contact-Accessibility was the worst dimension and the best dimension was the Health System Gateway.
CONCLUSIONS: This study found a high prevalence of ICSAP, than other research conducted in Brazil, Latin America and the Caribbean. This result may reflect the low coverage of the FHP in the municipality, since the literature points to the relationship between high rates of ACSC to weaknesses or low APS resolution. ACSC may reflect problems in the health system, which should be clarified by a more effective healthcare management.