Impact of primary care coverage on hospital admissions for conditions sensitive to primary care in the municipality of Rio Verde – GO

Abstract

The indicator Hospitalizations for Causes Sensitive to Primary Care (ICSAP) has been used as an indicator of access and quality of primary health care, and its high rates have been correlated with deficiencies in service coverage or an inadequate resolution capacity of primary care for certain basic health problems, The study was carried out with the objective of characterizing the rates of hospital admissions for causes sensitive to primary care in the city of Rio Verde – GO, as well as describing its historical series and verifying the impact of Primary Care coverage, in period from 2008 to 2018. Ecological time series study, whose data were collected from the Hospital Admissions System of the Unified Health System, based on the Brazilian List of Admissions for Conditions Sensitive to Primary Care. For data analysis, the research was divided into two axes: clinical-epidemiological and demographic aspects. The causes of hospitalizations for conditions sensitive to primary care were based on the list from the Ministry of Health. It was concluded that hospitalizations for conditions sensitive to primary care showed a reduction, while the coverage of primary care and the health strategy teams of the family, an increase was observed throughout the period analyzed. The three main groups with the highest percentage of hospitalizations for conditions sensitive to primary care were infectious gastroenteritis, followed by heart failure and lung diseases.