Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013

Denise de Fátima Barros Cavalcante, Valéria Silva Cândido Brizon, Livia Fernandes Probst, Marcelo de Castro Meneghim, Antonio Carlos Pereira and Gláucia Maria Bovi Ambrosano

PLOS ONE, 2018, vol. 13, issue 6, 1-10

Abstract: Introduction: 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. Methods: 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). Results: There was a significant decrease in the number of hospitalizations for heart failure and stroke per 10000 (inhabitants) in the period (p

Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0198428

DOI: 10.1371/journal.pone.0198428

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