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Previous issue date: 2015-03-02 / Introduction: The focus was an increase in the elderly population in Brazil and worldwide. Hospitalizations in the elderly are the most costly part representatively in the population of Brazil. In 2011, Brazil spent about 3.3 billion reais in hospitalizations for this age group, which accounts for about 30% of the total amount spent for about 10% of the population. One way to reduce these costs would be avoiding hospitalizations for sensitive conditions primary care (HSCPC) health through the expansion of the Family Health Strategy (FHS). To evaluate the relationship between HSCPC in the elderly and the FHS coverage in Brazil from 2003, 2008 and 2013. And also identify potential variables that influence these admissions. Methods: Through the DATASUS database and Hospital Information System of the Unified Health System (SIH / SUS), was evaluated by linear regression, the relationship between HSCPC rate and FHS coverage in all UF in over 60 in the periods in question. They also analyzed the specific causes of hospitalizations in the elderly and its association with the Human Development Index (HDI) and the Gini coefficient of each state. Results: There was no significant association between the percentage of HSCPC and the FHS coverage percentage in periods. Some diseases, like diabetes and heart failure, tended to reduce these periods, but this was not statistically significant. However, we found an inverse relationship of HSCPC and the human development index of each state and not with the Gini coefficient. Conclusion: The results of this study need to be improved, since the extensive diversity of our country and their conditions of access to outpatient and inpatient health. The HSCPC seem to be related to a broader context of the health-disease that can be represented by the human development index in UF Brazil. / Introdu??o: Evidencia-se um aumento da popula??o idosa no Brasil e no mundo. Hospitaliza??es em idosos s?o a parte mais onerosa representativamente na popula??o do Brasil. Em 2011, o Brasil gastou cerca de 3,3 bilh?es de reais em hospitaliza??es para esta faixa et?ria, o que corresponde a cerca de 30 % do valor total gasto para cerca de 10% da popula??o. Uma das formas de reduzir tais custos seria evitando as interna??es por condi??es sens?veis a aten??o prim?ria (ICSAP) a sa?de atrav?s da amplia??o da estrat?gia de sa?de da fam?lia (ESF). Objetivo: Avaliar a rela??o entre as ICSAP em idosos e a cobertura de ESF no Brasil nos per?odos de 2003, 2008 e 2013. E tamb?m identificar poss?veis vari?veis que influenciem nessas interna??es. M?todos: Atrav?s do banco de dados do DATASUS e Sistema de Informa??es Hospitalares do Sistema ?nico de Sa?de (SIH/SUS), foi avaliada, atrav?s de regress?o linear, a rela??o entre a taxa de ICSAP e a cobertura de ESF em todas as UF em maiores de 60 anos nos per?odos em quest?o. Tamb?m foram analisadas as causas espec?ficas de interna??es em idosos e sua associa??o com o ?ndice de desenvolvimento humano (IDH) e o coeficiente de Gini de cada UF. Resultados: N?o houve associa??o significativa entre o percentual de ICSAP e o percentual de cobertura de ESF nos per?odos avaliados. Algumas doen?as, como diabetes mellitus e insufici?ncia card?aca, apresentaram tend?ncia a redu??o nestes per?odos, mas esta n?o foi significativa estatisticamente. No entanto, encontrou-se uma rela??o inversa das ICSAP e o ?ndice de desenvolvimento humano de cada UF e n?o com o coeficiente de Gini. Conclus?o: Os resultados deste estudo precisam ser aprimorados, visto a extensa diversidade de nosso pa?s e suas condi??es de acesso a sa?de ambulatorial e hospitalar. As ICSAP parecem estar relacionadas a um contexto mais amplo do processo sa?de-doen?a que pode ser representado pelo ?ndice de desenvolvimento humano nas UF do Brasil.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6234 |
| Date | 02 March 2015 |
| Creators | Fernandes, Sheila Ferreira |
| Contributors | B?s, ?ngelo Jos? Gon?alves |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, Brasil, Instituto de Geriatria e Gerontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 4438661476953179033, 600, 600, 600, 2296420844541114010, -969369452308786627 |
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