Evidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazon

dc.citation.issue4pt_BR
dc.citation.spagee0248823pt_BR
dc.citation.volume16pt_BR
dc.creatorCARNEIRO, Vânia Cristina Campelo Barroso
dc.creatorOLIVEIRA, Paulo de Tarso Ribeiro de
dc.creatorCARNEIRO, Saul Rassy
dc.creatorMACIEL, Marinalva Cardoso
dc.creatorPEDROSO, Janari da Silva
dc.creator.Latteshttp://lattes.cnpq.br/6016827909320274pt_BR
dc.creator.Latteshttp://lattes.cnpq.br/9266787581530443pt_BR
dc.creator.Latteshttp://lattes.cnpq.br/9162153771863939pt_BR
dc.creator.Latteshttp://lattes.cnpq.br/7097094334421162pt_BR
dc.creator.Latteshttp://lattes.cnpq.br/4096274367867186pt_BR
dc.creator.ORCIDhttps://orcid.org/0000-0001-7277-4652pt_BR
dc.creator.ORCIDhttps://orcid.org/0000-0002-1969-380Xpt_BR
dc.creator.ORCIDhttps://orcid.org/0000-0002-6825-0239pt_BR
dc.creator.ORCIDhttps://orcid.org/0000-0002-8670-8215pt_BR
dc.creator.ORCIDhttp://orcid.org/0000-0001-7602-834Xpt_BR
dc.date.accessioned2023-11-01T12:31:07Z
dc.date.available2023-11-01T12:31:07Z
dc.date.issued2021-04
dc.description.abstractBackground The Family Health Strategy (FHS) became consolidated as a primary care model and gate keeper for the Unified Health System (Sistema U´ nico de Sau´de, SUS) in the Brazil and it is considered one of the largest primary health care programmes in the world. Its rapid expan sion allowed the SUS to meet the changing health care needs of the population remote localities of Brazilian municipalities. Methods In the present study, exploratory data analysis was performed using modelling to provide a general overview of the study and to delineate possible structural characteristics of the cross-sectional time-series data. Panel regression methods were used to assess the associ ation between FHS coverage and ambulatory care-sensitive hospitalizations (ACSH rates) in the municipalities of Para´, in the Brazilian Amazon, from 2008 to 2017. Results The results showed strong evidence for the association between FHS coverage and ACSH rates, including reductions of 22% in preventable hospitalizations and 15% in hospital expenses that were directly linked to the 40% increase in FHS population coverage during the evaluated period. This expansion of primary care has mainly benefitted areas that are difficult to access and populations that were previously deprived of health care in the vast Amazon territory. Conclusions The findings of this study show that the increase of the expansion of primary care reduces the preventable hospitalization and the hospital expenses. This reinforces the need for public protection of the health of populations at risk and the positive impacts of primary care in the Brazilian Amazon.en
dc.description.affiliationUFPA - Universidade Federal do Parápt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.identifier.citationCARNEIRO, Vaˆnia Cristina Campelo Barroso et al. Evidence of the effect of primary care expansion on hospitalizations: panel analysis of 143 municipalities in the Brazilian Amazon. PLoS ONE, online, v. 16, n. 4, e0248823, 2021. DOI: https://doi.org/10.1371/journal.pone.0248823. Disponível em: https://repositorio.ufpa.br/jspui/handle/2011/16045. Acesso em:.pt_BR
dc.identifier.doi10.1371/journal.pone.0248823pt_BR
dc.identifier.issn1932-6203pt_BR
dc.identifier.urihttps://repositorio.ufpa.br/jspui/handle/2011/16045
dc.languageengpt_BR
dc.publisherPublic Library of Sciencept_BR
dc.publisher.countryEstados unidospt_BR
dc.publisher.initialsPLOSpt_BR
dc.relation.ispartofPLoS ONEpt_BR
dc.rightsAcesso Abertopt_BR
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/br/*
dc.source.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0248823pt_BR
dc.subjectFamily Health Strategy (FHS)en
dc.titleEvidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazonen
dc.typeArtigo de Periódicopt_BR

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