scholarly journals O PERFIL CLÍNICO DE PACIENTES PORTADORES DE SÍFILIS ATENDIDOS EM SERVIÇOS DE ATENÇÃO PRIMÁRIA E AMBULATORIAL – REVISÃO INTEGRATIVA

2021 ◽  
Vol 32 (1) ◽  
Author(s):  
Felipe Da Cruz Lima ◽  
Alice Tavares da Mota ◽  
Luanna Feitosa ◽  
Paula Regina Dos Santos Bispo Alves ◽  
Fernanda Dantas Barros
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Treponema Pallidum ◽  
Clinical Profile ◽  
Primary Health

A sífilis é uma infecção sexualmente transmissível, causada pelo Treponema pallidum, o qual provoca principalmente uma série de lesões genitais nos indivíduos infectados. Sendo caracterizada como uma patologia com um tratamento eficaz e de baixo custo, inúmeras são as barreiras para o seu controle. Diante disso, o presente estudo, tem como objetivo uma caracterização dos casos de sífilis de pacientes atendidos na Atenção Primária e em serviços ambulatoriais, evidenciando assim situações e condições de risco que podem ser úteis no desenvolvimento de medidas para o controle de tal problemática, através de uma revisão integrativa com busca realizada nas seguintes bases de dados: Scielo, PubMed, Lilacs e Medline, onde foram encontradas 25 publicações por meio dos descritores: Syphilis, Primary Health Care e Ambulatory Care combinados com o operador booleano AND e da palavra-chave Clinical Profile, e ao final, após análise completa do material, restaram apenas 15 publicações para composição desse estudo. Os resultados mostraram que homens que fazem sexo com outros homens são o principal grupo de risco relacionado aos casos de sífilis adquirida e que mulheres estão mais vulneráveis a tal situação durante o período gestacional. Situações como baixa escolaridade e vulnerabilidade socioeconômica são determinantes presentes nessa condição, além disso comportamentos de risco, como múltiplos parceiros e uso de aplicativos contribuem fortemente para disseminação de tal infecção.    

scholarly journals Ambulatory care sensitive hospitalizations after implementation of the master plan in Minas Gerais

2018 ◽  
Vol 52 ◽  
pp. 78
Author(s):  
Luciano José Arantes ◽  
Helena Eri Shimizu ◽  
Edgar Merchán-Hamann
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Family Health ◽  
Master Plan ◽  
Primary Health ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Ambulatory Care Sensitive Hospitalizations ◽  
Ambulatory Care Sensitive

OBJECTIVE: To describe the rate of ambulatory care sensitive hospitalizations in groups of cities according to population size and to analyze its association with the coverage of the Family Health Strategy after the implementation of the Master Plan for Primary Health Care in Minas Gerais, Brazil. METHODS: This is an ecological study with 452 cities grouped according to population size, with data from 2004 to 2007 and 2010 to 2013. We used the Kolmogorov-Smirnov test to verify the distribution of the data in the groups. We used the Wilcoxon test for paired data or the paired Student’s t-test to compare the rate of ambulatory care sensitive hospitalizations before and after the Master Plan for Primary Health Care. We used the simple linear regression test to analyze the association between variables. We performed statistical analyses using the Statistical Package for the Social Sciences, with a significance level of 5%. RESULTS: The rate of ambulatory care sensitive hospitalizations decreased significantly after the Master Plan for Primary Health Care in the large and mid-sized groups (p < 0.05). There were positive correlations between coverage with Family Health Strategy and the rate of ambulatory care sensitive hospitalizations in the mid-sized and large groups (p < 0.05). CONCLUSIONS: Actions were carried out to implement the Master Plan for Primary Health Care. However, more investments are needed to improve the effectiveness of the Primary Health Care, with permanent confrontation of complex issues that affect the quality of services, which can lead to a significant reduction of the rates of ambulatory care sensitive hospitalizations.

scholarly journals Comparative research aspects on hospitalizations for ambulatory care sensitive conditions: the case of Brazil and Portugal

2020 ◽  
Vol 25 (4) ◽  
pp. 1375-1388 ◽  
Author(s):  
João Victor Muniz Rocha ◽  
João Sarmento ◽  
Bruno Moita ◽  
Ana Patrícia Marques ◽  
Rui Santana
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Comparative Research ◽  
Comparative Approach ◽  
Ambulatory Care Sensitive Conditions ◽  
Primary Health ◽  
Methodological Aspects ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

Abstract Hospitalizations for ambulatory care sensitive conditions have been used to measure access, quality and performance of the primary health care delivery system, as timely and adequate care could potentially avoid the need of hospitalization. Comparative research provides the opportunity for cross-country learning process. Brazil and Portugal have reformed their primary health care services in the last years, with similar organizational characteristics. We used hospitalization data of Brazil and Portugal for the year 2015 to compare hospitalizations for ambulatory care sensitive conditions between the two countries, and discussed conceptual and methodological aspects to be taken into consideration in the comparative approach. Brazil and Portugal presented similarities in causes and standardized rates of hospitalizations for ambulatory care sensitive conditions. There was great sensitivity on rates according to the methodology employed to define conditions. Hospitalizations for ambulatory care sensitive conditions are important sources of pressure for both Brazil and Portugal, and there are conceptual and methodological aspects that are critical to render the country-comparison approach useful.

scholarly journals Record of hospitalizations for ambulatory care sensitive conditions: validation of the hospital information system

2013 ◽  
Vol 21 (5) ◽  
pp. 1159-1164 ◽  
Author(s):  
Tania Cristina Morais Santa Barbara Rehem ◽  
Maria Regina Fernandes de Oliveira ◽  
Suely Itsuko Ciosak ◽  
Emiko Yoshikawa Egry
Keyword(s):  
Health Care ◽  
Information System ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Predictive Value ◽  
Medical Records ◽  
Hospital Information System ◽  
Ambulatory Care Sensitive Conditions ◽  
Primary Health ◽  
Sensitive Conditions

OBJECTIVE: to estimate the sensitivity, specificity and positive and negative predictive values of the Unified Health System's Hospital Information System for the appropriate recording of hospitalizations for ambulatory care-sensitive conditions. METHOD: the hospital information system records for conditions which are sensitive to ambulatory care, and for those which are not, were considered for analysis, taking the medical records as the gold standard. Through simple random sampling, a sample of 816 medical records was defined and selected by means of a list of random numbers using the Statistical Package for Social Sciences. RESULT: the sensitivity was 81.89%, specificity was 95.19%, the positive predictive value was 77.61% and the negative predictive value was 96.27%. In the study setting, the Hospital Information System (SIH) was more specific than sensitive, with nearly 20% of care sensitive conditions not detected. CONCLUSION: there are no validation studies in Brazil of the Hospital Information System records for the hospitalizations which are sensitive to primary health care. These results are relevant when one considers that this system is one of the bases for assessment of the effectiveness of primary health care.

Ambulatory care sensitive chronic conditions: what can we learn from patients about the role of primary health care in preventing admissions?

2018 ◽  
Vol 24 (4) ◽  
pp. 304 ◽  
Author(s):  
Jo M. Longman ◽  
Elizabeth Rix ◽  
Jennifer J. Johnston ◽  
Megan E. Passey
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Chronic Conditions ◽  
Hospital Admissions ◽  
Telephone Interviews ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Modifiable Factors ◽  
Ambulatory Care Sensitive

Developing and targeting interventions to reduce hospital admissions for ambulatory care sensitive (ACS) chronic conditions for older people is a key focus for improvement of the health system. To do this, an understanding of any modifiable factors that may contribute to such admissions is needed. To date, the literature on ACS admissions has rarely included the patient perspective. This qualitative study involved one-to-one telephone interviews with 24 patients aged ≥45 years who had had an unplanned admission for an ACS chronic condition to one of two participating regional hospitals between February and August 2015. Data were transcribed and analysed thematically. Most participants did not perceive their admission to be preventable, yet they described a series of interlinking factors, which may have contributed to their admission and which may offer potential points of leverage. Key interlinked themes interpreted were: ‘support deficits’, ‘non-adherence to treatment’ (including medication), ‘mental health’ and ‘lack of awareness or understanding of condition’. Improving system-, clinician- and patient-level factors within a framework of appropriately resourced and supported comprehensive primary health care that is accessible, affordable, holistic, practical and evidence-based may contribute to improving patients’ quality of life and to delaying or preventing hospital admission.

scholarly journals Are ambulatory care sensitive conditions a valid indicator for quality of primary health care?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Keskimäki ◽  
M Satokangas ◽  
S Lumme ◽  
V-M Partanen ◽  
M Arffman ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Hospital Care ◽  
Ambulatory Care Sensitive Conditions ◽  
Care Organisation ◽  
Primary Health ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

Abstract Background Hospitalisations due to ambulatory care sensitive conditions (ACSCs) have been used for assessing access to and quality of primary health care (PHC) in many countries. To assess the validity of ACSCs for assessing PHC performance we carried out a series of studies on regional and sociodemographic variations and time trends in ACSC hospitalisations and related mortality. Methods Hospitalisations due to ACSCs in Finland in 1992-2013 came from the national Hospital Discharge Register. The data were linked to population at risk data and individual sociodemographic indicators from Statistics Finland, and subsequently to area indicators of population health and socioeconomics, and health care organisation. Depending on study questions, we analysed ACSCs divided into acute, chronic and vaccine-preventable causes using appropriate statistical methods, such as multilevel Poisson models and trajectory modelling. Results We found ACSC hospitalisations to be highly associated to subsequent mortality with 4-10-fold excess 1-year mortality compared to the general population. ACSC hospitalisations showed substantial regional variations which declined over the study period due to decreasing variations in hospitalisations related to chronic ACSCs. The variations were mainly attributed to the hospital district level. In detailed analyses, about a quarter of the variance in ACSC hospitalisations was explained by individual level socioeconomic and health factors. In addition, population health indicators and factors related to hospital care organisation explained up to one third of the variance. Conclusions At patient level a hospitalisation due to ACSC is a sentinel event and associated to a high risk of poor health outcomes. However, using ACSC for benchmarking PHC providers should be addressed with caution and differences in sociodemographic factors and (co)morbidity of populations at risk, and regional heath and hospital care arrangements should be taken into account. Key messages Variations in hospitalisations due to ambulatory care sensitive conditions may mainly be linked to other factors than access to and quality of primary health care. More research is needed to validate ambulatory care sensitive conditions for use in assessing primary health care.

Sign in / Sign up

Export Citation Format

Share Document