ANÁLISE DAS INTERNAÇÕES POR CONDIÇÕES SENSÍVEIS À ATENÇÃO PRIMÁRIA (ICSAP) NO MUNICÍPIO DE SÃO LUÍS NOS ANOS DE 2002 E 2012

Abstract

Hospitalization for primary care sensitive conditions is an indicator that aims to track and evaluate, through a group of diagnoses, the quality of services offered in primary care and of health conditions of the population. It results in reduction of the risk of hospitalization when primary care is effective. The study s objective is to analyze the hospitalizations for primary care sensitive conditions in São Luís in the years of 2002 (beginning of the implantation of the family healthcare strategy) and 2012 (strategy already implanted). The variables were the coefficients of hospitalization for primary care sensitive conditions, groups divided by causes, gender and age. It is a transversal study, with secondary data from the hospitalizations of the public health care system. The methodology used data bases provided by the health ministry, the SIH/SUS and from IBGE. The statistical analysis was conducted with the TABWIN 3.5 and Biostat 5.0, with two independent samples and calculation of the relative risk. The differences were considered significant when p<0,05. It was shown a reduction of the hospitalizations (coefficient decreased from 8,7 in 2002 to 4,4/1000hab in 2012). The hospitalizations were more frequent in children under 5 years old, the elderly and males, in both years studied. There was a decrease in the hospitalization of both genders, with greater reduction between 15 to 24 years (coefficient went from 0,6 to 0,2/1000hab in males and from 1 to 0,3/1000hab in females). There was also a decrease in most of the diseases that caused hospitalization, with statistical significance, except bacterial pneumonia, which underwent an increase in numbers. Brain-vascular conditions, angina, epilepsy and ear, nose e throat infections maintained the same coefficients. It is concluded that even with a small cover of the family health strategy (27,53%) in 2012, the reduction of hospitalization for primary care sensitive conditions shows significant impacts in this indicator. Although the recent publication of the hospitalization list, it is a tool of great value that works as an instrument of tracking, planning and evaluation for the health actions of an integrated and universal public health system.