Social determinants of hospitalizations for ambulatory care sensitive
					conditions in Guarulhos, São Paulo

Melo, Maykon Diego; Egry, Emiko Yoshikawa

doi:10.1590/S0080-623420140000600019

Acessibilidade / Reportar erro

Brasil

Revista da Escola de Enfermagem da USP

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Artigo Original • Rev. esc. enferm. USP 48 (spe) • Aug 2014 • https://doi.org/10.1590/S0080-623420140000600019 copy

Social determinants of hospitalizations for ambulatory care sensitive conditions in Guarulhos, São Paulo^* * Extract from the dissertation “Internações por Condições Sensíveis à Atenção Primária em Guarulhos: um olhar da enfermagem em saúde coletiva”, School of Nursing, University of São Paulo, 2014

Los determinantes sociales de las hospitalizaciones por condiciones sensibles a la atención primaria en guarulhos, são paulo

Authorship SCIMAGO INSTITUTIONS RANKINGS

The study goals present an overview of Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in Guarulhos, SP, from 2008 to 2012. This is an ecological study based on secondary data obtained from the Brazilian Hospital Information System, and supported by the Praxical Theory of Intervention of Collective Health Nursing. Applied descriptive statistics for analysis. It was observed that Guarulhos shows an upward trend in hospitalizations by ACSC (20% increase), the most frequent causes of heart failure (11.8%), cerebrovascular disease (10.6%) and angina (9.7%), most frequently in the age group ≥ 65years old, for both sexes. The results are similar to other Brazilian studies, but their analysis should extrapolate the biological limits and the supply of healthcare resources, focusing on the social determinants of the health-disease process.   

Hospitalization; Primary Health Care; Quality of Health Care; Health evaluation; Public health nursing

Groups of ACSC	2008		2009		2010		2011		2012		Total		Variation % 2012-2008
Groups of ACSC	N.	%	N.	%	N.	%	N.	%	N.	%	N.	%	Variation % 2012-2008
1. Immunization-preventable disease and sensitive conditions	39	0.5	67	0.7	75	0.7	111	1.2	124	1.3	416	0.9	218%
2. Infectious gastroenteritis and complications	390	4.7	470	4.8	519	5.0	451	4.7	332	3.4	2.162	4.5	-15%
3. Anemia	92	1.1	104	1.1	83	0.8	98	1.0	78	0.8	455	1.0	-15%
4. Nutritional deficiencies	129	1.6	133	1.4	161	1.5	115	1.2	103	1.0	641	1.3	-20%
5. Ear, nose, throat infections	40	0.5	99	1.0	99	1.0	110	1.2	85	0.9	433	0.9	113%
6. Bacterial pneumonias	825	10.0	962	9.9	961	9.2	849	8.9	694	7.1	4.291	9.0	-16%
7. Asthma	521	6.3	492	5.0	495	4.8	442	4.7	488	5.0	2.438	5.1	-6%
8. Pulmonary disease	428	5.2	555	5.7	643	6.2	622	6.5	613	6.2	2.861	6.0	43%
9. Hypertension	443	5.4	455	4.7	490	4.7	468	4.9	421	4.3	2.277	4.8	-5%
10. Angina	698	8.5	919	9.4	1.133	10.9	760	8.0	1.108	11.3	4.618	9.7	59%
11. Cardiac failure	997	12.1	1.222	12.5	1.197	11.5	1.072	11.3	1.164	11.8	5.652	11.8	17%
12. Cerebro vascular disease	776	9.4	965	9.9	1.171	11.3	1.100	11.6	1.065	10.8	5.077	10.6	37%
13. Diabetes mellitus	493	6.0	539	5.5	524	5.0	515	5.4	542	5.5	2.613	5.5	10%
14. Epilepsy	634	7.7	640	6.6	639	6.1	633	6.7	625	6.4	3.171	6.6	-1%
15. Kidney and urinary tract infections	614	7.5	823	8.4	797	7.7	784	8.2	893	9.1	3.911	8.2	45%
16. Skin and subcutaneous tissues infections	461	5.6	578	5.9	709	6.8	689	7.2	739	7.5	3.176	6.7	60%
17. Inflammatory pelvic organs disease	80	1.0	94	1.0	96	0.9	108	1.1	97	1.0	475	1.0	21%
18. Gastrointestinal ulcer	407	5.0	438	4.5	432	4.2	376	4.0	392	4.0	2.045	4.3	-4%
19. Prenatal and Birth-related disease	153	1.9	195	2.0	169	1.6	202	2.1	272	2.8	991	2.1	78%
Total ACSC	8.220	100	9.750	100	10.393	100	9.505	100	9.835	100	47.703	100	20%

Gender	Female		Male		Total
Group Age(yrs)	ACSC	%	ACSC	%	ACSC	%
< 1	1.889	8.1	2.398	9.9	4.287	9
1 a 4	1.702	7.3	1.953	8.1	3.655	7.7
5 a 14	1.500	6.4	1.490	6.1	2.990	6.3
15 a 24	1.662	7.1	689	2.8	2.351	4.9
25 a 34	1.712	7.3	1.105	4.6	2.817	5.9
35 a 44	1.832	7.8	1.854	7.6	3.686	7.7
45 a 54	2.630	11.2	3.542	14.6	6.172	12.9
55 a 64	3.060	13	4.419	18.2	7.479	15.7
65 e +	7.473	31.9	6.793	28	14.266	29.9
Total	23.460	100	24.243	100	47.703	100

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence: Maykon Diego Melo . UBS Itapegica . Av. Rotary, 1.453 – Vila das Bandeiras.  CEP 07042-000 – Guarulhos, SP, Brasil . mdmelo.85@gmail.com