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Pediatric hospitalizations due to primary care sensitive conditions in northern Minas Gerais, Brazil: reassessment after 10 years

Abstract

Background

Hospitalizations due to primary care sensitive conditions (HPCSC) represent an important health indicator, which can guide the access and quality of health care in the context of primary care.

Objective

To assess the prevalence and factors associated with HPCSC in children aged 0 to 10 years old, in northern Minas Gerais, comparing the indicator with a similar study carried out 10 years ago.

Methods

Cross-sectional study with a random sample of selected pediatric hospitalizations from June/2016 and august/2017 was carried out. The variables associated with HPCSC were identified after multiple analysis, using Poisson Regression, with robust variance.

Results

376 hospitalizations were analyzed. The proportion of HPCSC was 29.0%, significantly lower than the previous study, with a proportion of 41.4%. The variables male gender (PR = 0.91; 95% CI: 0.86 - 0.97), low birth weight (PR = 0.91; 95% CI: 0.85 - 0.97) and maternal education below eight years (PR = 0.93; 95% CI: 0.88 - 0.98) were identified as protective factors.

Conclusion

There was still a high prevalence for HPCSC, but with an important reduction in 10 years. Only socio-demographic variables were shown to be associated with HPCSC.

Keywords:
Primary Healthcare; child health; health services research; hospitalization

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