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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Bibliographic Details
Published in:PloS one 2018-06, Vol.13 (6), p.e0198428-e0198428
Main Authors: Cavalcante, Denise de Fátima Barros, Brizon, Valéria Silva Cândido, Probst, Livia Fernandes, Meneghim, Marcelo de Castro, Pereira, Antonio Carlos, Ambrosano, Gláucia Maria Bovi
Format: Article
Language:English
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
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Summary: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
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0198428