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

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

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

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  • Denise de Fátima Barros Cavalcante & Valéria Silva Cândido Brizon & Livia Fernandes Probst & Marcelo de Castro Meneghim & Antonio Carlos Pereira & Gláucia Maria Bovi Ambrosano, 2018. "Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-10, June.
    • Handle: RePEc:plo:pone00:0198428
    DOI: 10.1371/journal.pone.0198428
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    References listed on IDEAS

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    1. Macinko, J. & De Oliveira, V.B. & Turci, M.A. & Guanais, F.C. & Bonolo, P.F. & Lima-Costa, M.F., 2011. "The influence of primary care and hospital supply on ambulatory care-sensitive hospitalizations among adults in Brazil, 1999-2007," American Journal of Public Health, American Public Health Association, vol. 101(10), pages 1963-1970.
    2. Pappas, G. & Hadden, W.C. & Kozak, L.J. & Fisher, G.F., 1997. "Potentially avoidable hospitalizations: Inequalities in rates between US socioeconomic groups," American Journal of Public Health, American Public Health Association, vol. 87(5), pages 811-816.
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    1. Maria Dolores Montoya Diaz & Adriano Dutra Teixeira, Fernando Antonio Slaibe Postali, Natalia Nunes Ferreira-Batista, Rodrigo Mor, 2019. "Primary health care coverage in Brazil: Assessment of the Family Health Program impacts on mortality at municipality level," Working Papers, Department of Economics 2019_42, University of São Paulo (FEA-USP), revised 12 Aug 2021.
    2. Natalia Nunes Ferreira‐Batista & Adriano Dutra Teixeira & Maria Dolores Montoya Diaz & Fernando Antonio Slaibe Postali & Rodrigo Moreno‐Serra & James Love‐Koh, 2023. "Is primary health care worth it in the long run? Evidence from Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 32(7), pages 1504-1524, July.
    3. Vânia Cristina Campelo Barroso Carneiro & Paulo de Tarso Ribeiro de Oliveira & Saul Rassy Carneiro & Marinalva Cardoso Maciel & Janari da Silva Pedroso, 2021. "Evidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazon," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-14, April.

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