Abstract
Abstract Objectives: to analyze the temporal evolution of hospitalizations due to sensitive conditions in primary care among children under five years of age in the Brazilian Northeast region. Methods: ecological descriptive study with hospitalizations data from the Sistema de Informações Hospitalares do Sistema Único de Saúde (Hospital Information System from the Public Health System). The admissions rates on sensitive conditions in primary care between 2004 and 2013 were calculated in two age groups: children under one year old and between one and five years of age. Results: there was a reduction of hospitalization rates in the Northeast, despite the existence of fluctuations in the analyzed period. Bahia and Sergipe presented, respectively, the highest and lowest admission rates (465.14 and220.19 per 10 thousand inhabitants). It has been shown that children under one year old are more affected by sensitive diseases in primary care, presenting a total rate of 709.08 per 10 thousand inhabitants. The main causes of hospitalizations were related to the infectious gastroenteritis group and its complications with a rate of 218.76 per 10 thousand inhabitants. Conclusions: despite the decrease of hospitalizations due to sensitive conditions in primary care, the Northeast still presents high rates compared to other States, thus, evidencing the need to qualify the services offered through professionals' qualification and the inclusion of health actions for the real necessity in the community.
Highlights
The Atenção Primária à Saúde (APS) (Primary Health Care), a gateway to healthcare networks, refers to a set of promotion, prevention, treatment and rehabilitation actions that have an impact on the population’s well-being and development.[1]
One of the APS pillars in Brazil is the Estratégia Saúde da Família (ESF) (Family Health Strategy) that goes beyond medical care and curative practices, since its actions focus on the family, which is perceived from its physical and social environment, through the established link between the user and the professional, promoting an integral, continuous and qualified care.[1,2]
This study aimed to analyze the temporal evolution of ICSAP among children under five years of age in the Northeast Region. This is an ecological descriptive study, in which the causes of ICSAP were analyzed in children under five years of age residing in the Northeast region, between 2004 and 2013
Summary
The Atenção Primária à Saúde (APS) (Primary Health Care), a gateway to healthcare networks, refers to a set of promotion, prevention, treatment and rehabilitation actions that have an impact on the population’s well-being and development.[1] One of the APS pillars in Brazil is the Estratégia Saúde da Família (ESF) (Family Health Strategy) that goes beyond medical care and curative practices, since its actions focus on the family, which is perceived from its physical and social environment, through the established link between the user and the professional, promoting an integral, continuous and qualified care.[1,2] The access to these health actions, besides improving the population’s quality of life, reducing the socioeconomic inequalities and contributing to the reduction of hospitalization rates, as well as to the improvement of the health indicators. When evaluating the regions of the country, the Northeast had the largest number of registered households with 64.7%, and the lowest in the Southeast with only 46.0%.3 Another study showed that in 2013 the Northeastern region had 73.8% ESF coverage, while in the Southeast, it was 44.5%.4
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