Hospitalizations for conditions sensitive to primary care: an integrative review of the Brazilian literature

Abstract

Hospitalizations for Conditions Sensitive to Primary Care have been used as an indicator of the quality of the first level of health care. The objective of this work is to analyze the national scientific production, aiming to identify notes referring to: types of data; health financing; social determinants of health and the articulation of Health Care Networks. This is an integrative literature review carried out in Medline, Lilacs and Scielo databases. After applying the inclusion and exclusion criteria, 39 works were selected for analysis. Results demonstrate the need for caution in the evaluation of secondary data of the indicator and the need to expand the use of complementary strategies that help in the identification of factors associated with hospitalization. Being the indicator of hospitalizations sensitive to primary care, strategic for the planning of actions and the correct use of health resources. A great association of avoidable hospitalizations with social determinants and conditions of health was identified, however, being this theme and the articulation, communication of the Health Care Network, with the smallest number of works developed. Thus, we can conclude that it is necessary to expand studies focused on these themes, aiming at pointing out actions and policies that contribute to the development and formation of participatory teams and to change the hegemonic paradigm of health work processes.