Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013
The objective was to analyze whether socioeconomic factors related to the context and those related to the model of care-specifically the coverage of primary care by the Family Health Strategy (ESF)-had an impact on hospitalizations due to heart failure (HF) and stroke, in the State of São Paulo/Bra...
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| creator | Cavalcante, Denise de Fátima Barros Brizon, Valéria Silva Cândido Probst, Livia Fernandes Meneghim, Marcelo de Castro Pereira, Antonio Carlos Ambrosano, Gláucia Maria Bovi |
| description | The objective was to analyze whether socioeconomic factors related to the context and those related to the model of care-specifically the coverage of primary care by the Family Health Strategy (ESF)-had an impact on hospitalizations due to heart failure (HF) and stroke, in the State of São Paulo/Brazil between 1998 and 2013.
A longitudinal ecological study involving 645 municipalities was conducted in the state of São Paulo/Brazil from 1998 to 2013, using the Hospital Information System (SIH-DataSUS database). The hospitalizations for primary care sensitive conditions: Stroke and heart failure (HF) that correspond to the International Classification of Diseases (ICD 10): I50, I63 to I67; I69, G45 to G46 were analyzed longitudinally during the period indicated regarding the percentage of people covered by the Family Health Program (PSF) adjusted for confounders (population size, gross domestic product -GDP and human development index- HDI).
There was a significant decrease in the number of hospitalizations for heart failure and stroke per 10000 (inhabitants) in the period (p |
| doi_str_mv | 10.1371/journal.pone.0198428 |
| format | Article |
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A longitudinal ecological study involving 645 municipalities was conducted in the state of São Paulo/Brazil from 1998 to 2013, using the Hospital Information System (SIH-DataSUS database). The hospitalizations for primary care sensitive conditions: Stroke and heart failure (HF) that correspond to the International Classification of Diseases (ICD 10): I50, I63 to I67; I69, G45 to G46 were analyzed longitudinally during the period indicated regarding the percentage of people covered by the Family Health Program (PSF) adjusted for confounders (population size, gross domestic product -GDP and human development index- HDI).
There was a significant decrease in the number of hospitalizations for heart failure and stroke per 10000 (inhabitants) in the period (p <0.0001), with a significant relationship with increased proportion of ESF (p <0.0001), and this remained significant even when possible confounders (population size, GDP and HDI) were included in the model (p <0.0001).
GDP per capita was close to or higher than that if many European countries, which shows the relevance of the study. The health care model based on the Family Health Strategy positively impacted hospitalization indicators for heart failure and stroke, indicating that this model is effective in the prevention of primary care sensitive conditions.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0198428</identifier><identifier>PMID: 29944665</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Brazil - epidemiology ; Care and treatment ; Chronic illnesses ; Correlation analysis ; Data base management systems ; Dental schools ; Dentistry ; Ecological monitoring ; Ecological studies ; Economic factors ; Family Health ; Female ; Gross Domestic Product ; Health care ; Health care access ; Heart ; Heart diseases ; Heart failure ; Heart Failure - epidemiology ; Hospital utilization ; Hospitalization - statistics & numerical data ; Humans ; Indicators ; Information systems ; Longitudinal Studies ; Male ; Medicine and Health Sciences ; Mortality ; Municipalities ; People and places ; Performance evaluation ; Population ; Population number ; Primary care ; Social factors ; Social Sciences ; Socioeconomic Factors ; Socioeconomics ; Statistics ; Strategy ; Stroke ; Stroke - epidemiology ; Teams</subject><ispartof>PloS one, 2018-06, Vol.13 (6), p.e0198428-e0198428</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Cavalcante et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Cavalcante et al 2018 Cavalcante et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-31af03f614ae5984e1754d4de3fe5cab1519e5f390b695b79e41847fdff9c793</citedby><cites>FETCH-LOGICAL-c692t-31af03f614ae5984e1754d4de3fe5cab1519e5f390b695b79e41847fdff9c793</cites><orcidid>0000-0002-4696-0862</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019246/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019246/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29944665$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zeeb, Hajo</contributor><creatorcontrib>Cavalcante, Denise de Fátima Barros</creatorcontrib><creatorcontrib>Brizon, Valéria Silva Cândido</creatorcontrib><creatorcontrib>Probst, Livia Fernandes</creatorcontrib><creatorcontrib>Meneghim, Marcelo de Castro</creatorcontrib><creatorcontrib>Pereira, Antonio Carlos</creatorcontrib><creatorcontrib>Ambrosano, Gláucia Maria Bovi</creatorcontrib><title>Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The objective was to analyze whether socioeconomic factors related to the context and those related to the model of care-specifically the coverage of primary care by the Family Health Strategy (ESF)-had an impact on hospitalizations due to heart failure (HF) and stroke, in the State of São Paulo/Brazil between 1998 and 2013.
A longitudinal ecological study involving 645 municipalities was conducted in the state of São Paulo/Brazil from 1998 to 2013, using the Hospital Information System (SIH-DataSUS database). The hospitalizations for primary care sensitive conditions: Stroke and heart failure (HF) that correspond to the International Classification of Diseases (ICD 10): I50, I63 to I67; I69, G45 to G46 were analyzed longitudinally during the period indicated regarding the percentage of people covered by the Family Health Program (PSF) adjusted for confounders (population size, gross domestic product -GDP and human development index- HDI).
There was a significant decrease in the number of hospitalizations for heart failure and stroke per 10000 (inhabitants) in the period (p <0.0001), with a significant relationship with increased proportion of ESF (p <0.0001), and this remained significant even when possible confounders (population size, GDP and HDI) were included in the model (p <0.0001).
GDP per capita was close to or higher than that if many European countries, which shows the relevance of the study. The health care model based on the Family Health Strategy positively impacted hospitalization indicators for heart failure and stroke, indicating that this model is effective in the prevention of primary care sensitive conditions.</description><subject>Brazil - epidemiology</subject><subject>Care and treatment</subject><subject>Chronic illnesses</subject><subject>Correlation analysis</subject><subject>Data base management systems</subject><subject>Dental schools</subject><subject>Dentistry</subject><subject>Ecological monitoring</subject><subject>Ecological studies</subject><subject>Economic factors</subject><subject>Family Health</subject><subject>Female</subject><subject>Gross Domestic Product</subject><subject>Health care</subject><subject>Health care access</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Heart failure</subject><subject>Heart Failure - epidemiology</subject><subject>Hospital utilization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Indicators</subject><subject>Information systems</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>Municipalities</subject><subject>People and places</subject><subject>Performance evaluation</subject><subject>Population</subject><subject>Population number</subject><subject>Primary care</subject><subject>Social factors</subject><subject>Social Sciences</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomics</subject><subject>Statistics</subject><subject>Strategy</subject><subject>Stroke</subject><subject>Stroke - 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Longitudinal study in Brazil: 1998-2013</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-06-26</date><risdate>2018</risdate><volume>13</volume><issue>6</issue><spage>e0198428</spage><epage>e0198428</epage><pages>e0198428-e0198428</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The objective was to analyze whether socioeconomic factors related to the context and those related to the model of care-specifically the coverage of primary care by the Family Health Strategy (ESF)-had an impact on hospitalizations due to heart failure (HF) and stroke, in the State of São Paulo/Brazil between 1998 and 2013.
A longitudinal ecological study involving 645 municipalities was conducted in the state of São Paulo/Brazil from 1998 to 2013, using the Hospital Information System (SIH-DataSUS database). The hospitalizations for primary care sensitive conditions: Stroke and heart failure (HF) that correspond to the International Classification of Diseases (ICD 10): I50, I63 to I67; I69, G45 to G46 were analyzed longitudinally during the period indicated regarding the percentage of people covered by the Family Health Program (PSF) adjusted for confounders (population size, gross domestic product -GDP and human development index- HDI).
There was a significant decrease in the number of hospitalizations for heart failure and stroke per 10000 (inhabitants) in the period (p <0.0001), with a significant relationship with increased proportion of ESF (p <0.0001), and this remained significant even when possible confounders (population size, GDP and HDI) were included in the model (p <0.0001).
GDP per capita was close to or higher than that if many European countries, which shows the relevance of the study. The health care model based on the Family Health Strategy positively impacted hospitalization indicators for heart failure and stroke, indicating that this model is effective in the prevention of primary care sensitive conditions.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29944665</pmid><doi>10.1371/journal.pone.0198428</doi><tpages>e0198428</tpages><orcidid>https://orcid.org/0000-0002-4696-0862</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-06, Vol.13 (6), p.e0198428-e0198428 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2059529011 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Brazil - epidemiology Care and treatment Chronic illnesses Correlation analysis Data base management systems Dental schools Dentistry Ecological monitoring Ecological studies Economic factors Family Health Female Gross Domestic Product Health care Health care access Heart Heart diseases Heart failure Heart Failure - epidemiology Hospital utilization Hospitalization - statistics & numerical data Humans Indicators Information systems Longitudinal Studies Male Medicine and Health Sciences Mortality Municipalities People and places Performance evaluation Population Population number Primary care Social factors Social Sciences Socioeconomic Factors Socioeconomics Statistics Strategy Stroke Stroke - epidemiology Teams |
| title | Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T03%3A26%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Did%20the%20Family%20Health%20Strategy%20have%20an%20impact%20on%20indicators%20of%20hospitalizations%20for%20stroke%20and%20heart%20failure?%20Longitudinal%20study%20in%20Brazil:%201998-2013&rft.jtitle=PloS%20one&rft.au=Cavalcante,%20Denise%20de%20F%C3%A1tima%20Barros&rft.date=2018-06-26&rft.volume=13&rft.issue=6&rft.spage=e0198428&rft.epage=e0198428&rft.pages=e0198428-e0198428&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0198428&rft_dat=%3Cgale_plos_%3EA544467190%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2059529011&rft_id=info:pmid/29944665&rft_galeid=A544467190&rft_doaj_id=oai_doaj_org_article_13da948be75447eeb0be87fe7c2113bd&rfr_iscdi=true |