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Expenses of hospitalization for ambulatory care sensitive conditions in the Health Regional Offices of the State of São Paulo

Authors
  • Dias, Bruna Moreno1
  • Zanetti, Ariane Cristina Barboza1
  • Pereira, Antonio Carlos2
  • 1 Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil., Ribeirão Preto SP , (Brazil)
  • 2 Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil., Piracicaba SP , (Brazil)
Type
Published Article
Journal
Einstein
Publisher
Instituto Israelita de Ensino e Pesquisa Albert Einstein
Publication Date
Jul 23, 2021
Volume
19
Identifiers
DOI: 10.31744/einstein_journal/2021GS5817
PMID: 34346989
PMCID: PMC8302227
Source
PubMed Central
Keywords
Disciplines
  • Health Economics and Management
License
Unknown

Abstract

Objective: To analyze the expenses of hospitalizations for ambulatory care sensitive conditions in the Health Regional Offices of the State of São Paulo. Methods: An ecological, retrospective cohort, with analysis of hospital admissions for ambulatory care sensitive conditions in the state of São Paulo, from 2014 to 2018, compiled by the Hospital Information System. Data were extracted using the Tabwin application and analyzed using descriptive statistics. Results: There was a 14.49% reduction in the amount spent on hospitalizations for ambulatory care sensitive conditions. There were reductions in the frequency of hospitalizations (−1.26) and hospital stay (−0.54), and an increase in the occurrence of deaths (8.02). The Regional Offices of Barretos, Taubaté and Araraquara showed an increase in expenses in the period, by 37.86%, 15.38% and 3.78%, respectively, while all other Regional Offices showed a reduction; in that, the most significant were in Bauru (−31.90%), São João da Boa Vista (−26.18%), Presidente Prudente (−21.00%) and São Paulo (−19.17%). The value of hospitalizations for ambulatory care sensitive conditions showed a strong and positive correlation with the variables frequency and hospital stay. Conclusion: The results pointed to a difference in the amounts spent on hospitalizations for ambulatory care sensitive conditions in the Regional Offices, although there was no difference in the frequency and duration of these hospitalizations. The expansion of Primary Health Care resources is a possible element for reducing the frequency and spending on hospitalizations for ambulatory care sensitive conditions; nonetheless, it is necessary to consider other factors, such as social determinants and the organization of health services.

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