敏感疾病住院和初级保健质量之间的关联
Filipe Malta Dos Santos1, César Macieira2, Antônio Thomaz Gonzaga da Matta Machado3
1Universidade Federal de Minas Gerais . Faculdade de Medicina . Programa de Pós-graduação em Saúde Pública . Belo Horizonte , MG , Brasil.
Revista de saude publica
|November 16, 2023
概括
提高初级医疗保健 (PHC) 质量与 ambulatory care sensitive conditions (ACSC) 的住院病例减少有关. 更高的医疗保健质量和更好的社会经济因素减少了ACSC住院,而更多的医院床位增加了它们.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 门诊护理敏感条件 (ACSC) 住院是初级医疗保健 (PHC) 质量的指标.
- 了解影响ACSC率的因素对于医疗保健政策和资源分配至关重要.
研究的目的:
- 分析市政ACSC住院率与PHC质量之间的关联.
- 调查社会经济,人口和当地卫生系统特征对2010年至2019年巴西ACSCC住院病人的影响.
主要方法:
- 涉及3500个巴西市镇的生态时间序列研究.
- 使用初级保健准入和改善初级保健准入和质量计划 (PMAQ-AB) 评分评估初级保健质量.
- 用于ACSC住院率的多变量分析的概括估计方程.
主要成果:
- 提高PHC质量 (PMAQ-AB得分) 与ACSC住院率相反相关,每增加10个点每年下降2%.
- 较高的医院病床密度 (每1000名居民的病床) 与增加的ACSC住院 (+6.4%) 相相关.
- 人口规模较大,医疗保健覆盖率增加和社会经济不平等程度较低与ACSC住院率的降低有关.
结论:
- 医疗保健质量的提高显著有助于减少ACSC住院的数量.
- 减少医院床位的可用性和改善的市政社会经济指标也在降低ACSC住院率方面发挥了作用.
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