Abstract
Background
to analyze the prevalence and costs of hospitalizations by Primary Care Sensitive Conditions (HPCSC) in Minas Gerais (MG).
Method
ecological study analyzing hospital admissions and service structure variables in 2009 and 2014. Based on the Brazilian List (2008), the HPCSC were selected for the study of the infant and elderly populations concerning prevalence and costs. The Pearson’s correlation test (p≤0.05) was used for the statistical analysis between the HPCSC and structure variables.
Results
lower rates of HPCSC/1000 residents both for the infant and elderly populations and total higher costs only for the elderly. The leading hospitalization causes were heart Failure for the elderly and Bacterial Pneumonias and Gastroenteritis for the children. The coverage by the Family Health Strategy (FHS) was statistically associated with HPCSC in 2009 (p = 0.028) and 2014 (p = 0.006).
Conclusion
like in previous studies, a larger FHS coverage associated with a lower HPCSC rate in MG highlights the importance of PHC in coordinating care and organizing care networks, contributing to the user's universal and integral access to services. Learning the prevalence and costs of the HPCSC allows for discussing the financial resources available to the PHC.
Keywords:
Primary Health Care; Health Evaluation; healthcare financing
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