PRIMARY CARE SENSITIVE ADMISSIONS IN PREGNANT WOMEN: ASSOCIATED FACTORS BASED ON THE PRENATAL CARE PROCESS

Érica De Brito Pitilin,Sandra Marisa Pelloso

doi:10.1590/0104-07072017006060015

Abstract

ABSTRACT Objective: to analyze admissions for primary care sensitive conditions among pregnant women, and the associated factors, based on the process of prenatal care, in a city of the center-west of the Brazilian State of Paraná (Brazil). Method: this is an inquiry into hospital morbidity undertaken with a sample of 86 pregnant women admitted to hospitals serving the Unified Health System. Results: the percentage of admissions was 70.97% (n=59), with emphasis placed on admissions specifically during the period of pregnancy (51.17%), among which, admissions due to infections in the genitourinary tract were the most frequent. The following were associated with the risk of admission due to a sensitive condition: incomplete records in the woman’s ‘pregnancy card’ (cartão da gestante), delayed initiation of prenatal care (after the second trimester), insufficient number of consultations and insufficient care during the consultation. Conclusion: the results suggest that a minimumlevel of care for these pregnant women would reduce the risk of unnecessary admission, evidencing that the quality of care provided during the prenatal period in this region is inadequate.

Highlights

One of the indicators used most as an indirect instrument for assessing the resolutive capacity of the primary healthcare service (PHC) is the proportion of admissions due to primary care sensitive conditions (APCSC)
Studies have been undertaken in order to evaluate, even if indirectly, the quality of the healthcare offered in primary care, using data on potentially-avoidable admissions with the PHC services, demonstrating that the best coverage at this level of care is associated with the reduction of APCSC.[4,5]
The majority of admissions of pregnant women were considered sensitive to PHC, which suggests shortcomings in the primary care, which should be timely and resolutive in the context of women’s reproductive health, corroborating the study’s initial hypothesis

Summary

Introduction

One of the indicators used most as an indirect instrument for assessing the resolutive capacity of the primary healthcare service (PHC) is the proportion of admissions due to primary care sensitive conditions (APCSC) These are understood as a set of health problems for which the effective action of primary care would reduce the risk of avoidable admissions. Brazil’s current healthcare policy has prioritized investment in, and the reorganization of, PHC, adopting the Family Health Strategy (Estratégia Saúde da Família - ESF) as its preferential model Since this took place, studies have been undertaken in order to evaluate, even if indirectly, the quality of the healthcare offered in primary care, using data on potentially-avoidable admissions with the PHC services, demonstrating that the best coverage at this level of care is associated with the reduction of APCSC.[4,5]

Objectives

Methods

Results

Discussion

Conclusion