Impacto da atenção primária à saúde sobre os indicadores da assistência hospitalar no Piauí
| Autor: | Djalma Ribeiro Costa, Fábio Palha Dias Parente, Lucas Palha Dias Parente |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
education.field_of_study
medicine.medical_specialty Polymers and Plastics business.industry Public health education Population Primary health care Percentage reduction Health quality Industrial and Manufacturing Engineering Hospital care Health problems Nursing Health care Medicine Business and International Management business |
| Zdroj: | Revista de Administração em Saúde. 20 |
| ISSN: | 2526-3528 |
| DOI: | 10.23973/ras.78.211 |
| Popis: | Introducao : A atencao primaria a saude resolve cerca de 80% dos problemas de saude da comunidade, promove a saude e previne agravos, melhorando indicadores hospitalares. Objetivo : conhecer o impacto da implantacao de equipes de saude da atencao primaria sobre internacao, permanencia media, taxa de mortalidade hospitalar e gastos hospitalares. Metodologia : Estudo ecologico em que se realizaram estatistica descritiva, variacao percentual acumulada mensal e correlacao nao-parametrica ro de Spearman entre as variaveis equipes de saude, quantidade de internacoes, permanencia hospitalar media, taxa de mortalidade hospitalar e valor total gasto de janeiro de 2008 a outubro de 2019 no Piaui. Resultados : o aumento percentual acumulado no numero de equipes instaladas acompanhou-se de reducao percentual acumulada dos indicadores hospitalares. Identificaram-se significativa correlacao negativa entre as variacoes percentuais mensais acumuladas de implantacao de equipes e os indicadores de assistencia hospitalar. Conclusao : a implementacao de equipes de saude tem sido uma estrategia gerencial eficaz em termos de economia da saude e qualidade de saude da populacao no Piaui por melhorar os indicadores da assistencia hospitalar. Palavras-chave : Atencao Primaria a Saude; Estatisticas Hospitalares; Administracao em Saude Publica. ABSTRACT Introduction : Primary health care solves about 80% of the community's health problems, promotes health and prevents diseases, improving hospital indicators. Objective : to know the impact of the implementation of primary health care teams on in-patient admission counting, average length of stay, hospital mortality rate and hospital expenses. Methodology : Ecological study in which descriptive statistics, accumulated monthly percentage variation and non-parametric Spearman’s Rho correlation between the variables implemented health care teams, in-patient admission counting, average hospital stay, hospital mortality rate and total amount spent in hospital assistance from January 2008 to October 2019 in Piaui. Results : the cumulative percentage increase in the number of implemented health care teams was accompanied by an accumulated percentage reduction in hospital indicators. A significant negative correlation was identified between the accumulated monthly percentage changes in the implemented health care teams and hospital care indicators. Conclusion : the implementation of health care teams has been an effective managerial strategy in terms of health economics and health quality of the population in Piaui for improving hospital care indicators. Keywords : Primary Health Care; Hospital Statistics; Public Health Administration |
| Databáze: | OpenAIRE |
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