Effect of the Family Health Strategy on hospitalizations for primary care sensitive conditions in infants in Bahia State, Brazil

Cadernos de saúde pública
Elzo Pereira Pinto JuniorMarcelo Gurgel Carlos da Silva

Abstract

This study aimed to assess the effect of the expansion of the Family Health Strategy (FHS) on hospitalizations for primary care sensitive conditions (PCSCs) in children under one year of age. This was a longitudinal ecological study with the use of panel data, for which the analytical units were the 417 municipalities (counties) in Bahia State, Brazil, from 2000 to 2012. Data were obtained from the official health information systems. The hospitalization rate for PCSCs was the outcome and FHS coverage was the principal exposure. The co-variables referred to demographic and socioeconomic characteristics and the local availability of pediatric beds. Bivariate and multivariate panel data analyses were performed, with negative binomial response and fixed effects models, using crude and adjusted relative risk (RR) as the measure of association, with the respective confidence intervals. To control for trend effect, the models were adjusted for time. From 2000 to 2012, 248,944 hospitalizations for PCSCs were recorded in children under one year, and the median municipal rate of hospitalizations for PCSCs decreased by 52.5% during the period, ranging from 96.9 to 46.0 avoidable hospitalizations per 1,000 live births. After adjusting the...Continue Reading

References

Jan 1, 1990·Health Affairs·J Billings, N Teicholz
Jan 1, 1993·Health Affairs·J BillingsL Newman
Feb 13, 2001·Health & Place·T C RickettsT Carey
Sep 17, 2004·European Journal of Public Health·Josefina CaminalMarianela Morales
Feb 14, 2006·Cadernos de saúde pública·Sonia Azevedo BittencourtMaria do Carmo Leal
May 22, 2007·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Mohammad M AghaAstrid Guttmann
Nov 15, 2008·American Journal of Public Health·Rosana AquinoMauricio L Barreto
May 13, 2011·Lancet·Jairnilson PaimJames Macinko
May 13, 2011·Lancet·Cesar G VictoraCelia L Szwarcwald
Jul 23, 2011·Revista de saúde pública·Leonardo Lemos de Souza, Juvenal Soares Dias da Costa
Nov 30, 2011·Ciência & saúde coletiva·Tania Cristina Morais Santa Barbara Rehem, Emiko Yoshikawa Egry
Feb 15, 2012·Revista de saúde pública·Antonio Fernando BoingMarco Aurélio Peres
Mar 15, 2012·Cadernos de saúde pública·Jorge Otávio Maia BarretoMaria do Socorro Candeira Costa
May 31, 2012·European Journal of Public Health·Aldo RosanoAntonio Giulio de Belvis
Jan 1, 2014·Medical Care·Jian GaoPeter L Almenoff
May 7, 2015·Cadernos de saúde pública·Suzana Costa CarvalhoMaria Guadalupe Medina

❮ Previous
Next ❯

Citations

May 14, 2020·Cadernos de saúde pública·Juliana Azevedo FernandesGastão Wagner de Sousa Campos

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.