Internações de idosos por condições sensíveis à atenção primária da saúde da macrorregião de saúde do Triângulo Sul no Hospital de Clínicas da UFTM: período de 2008 a 2018

Abstract

Hospitalizations for Conditions Sensitive to Primary Care (CSPC) are part of the group of indirect indicators for assessing the quality of services provided in primary health care (PHC). Investigating these hospitalizations in the elderly provides essential information for planning health actions. The objective of this work was to analyze the hospitalizations of elderly for conditions sensitive to primary health care at the Hospital de Clínicas from UFTM (Universidade Federal do Triângulo Mineiro – MG – Brazil) referenced by the Health Macro-Region of Triângulo Sul - MG, from 2008 to 2018; to identify the occurrence, total and by micro-region, of CSPC among elderly people; describe the CSPC among elderly by sex, according to cause and age group; to verify the tendency, in general and by group of causes, of CSPC among elderly people; correlate the CSPC with the coverage of the Family Health Strategy of the municipalities belonging to the Health Macro-Region of the Triângulo Sul - MG, from 2008 to 2018. This is an ecological regional type epidemiological study, whose unit of analysis was the 27 municipalities that make up the Health Macro-Region of Triângulo Sul - MG. The study was developed from data collected from the Department of Informatics of the Brazilian Unified Health System (DATASUS), referring to CSPC in elderly people in the Macroregion of Saúde Triângulo Sul - MG from 2008 to 2018. For data analysis, we used simple descriptive statistics, using absolute and relative frequencies; time trend analysis by Prais-Winsten and Sperman correlation. In the Triangulo Sul Health Macroregion between 2008 and 2018, 8,073 cases of CSPC occurred in elderly at Hospital das Clínicas from UFTM, and Uberaba was the one with highest representation, with 6,436 (70.72%) of cases. There was a predominance of CSPC in elderly men, making 4,346 (53.83%). The groups of causes that presented higher proportions of CSPC, in both sexes, and different age groups were Group 10 (Angina), Group 11 (Heart Failure), Group 12 (Cerebrovascular diseases). The general trend in the incidence rate of CSPCs remained stationary and showed a decrease in the rates of 1.82%. Group 8 (pulmonary diseases), Group 11 (Heart failure) and Group 16 (Skin and subcutaneous tissue infections) showed a reduction in CSPC rates, which was statistically significant. Analyzing the correlation between CSPC and the coverage of the Family Health Strategy (FHS), we found that as this coverage increases, they reduce hospitalizations for gastrointestinal ulcers, kidney and urinary tract infections, preventable diseases by immunization and sensitive conditions and angina. We concluded that the results found in this study in relation to the CSPC contribute to the planning of health actions aiming at the prevention of diseases.