Abstract

NEDEL, Fúlvio Borges; FACCHINI, Luiz Augusto; MARTIN, Miguel  and  NAVARRO, Albert. Primary Health Care Risk Factors for Hospitalization for Ambulatory Care Sensitive Conditions: Systematic Literature Review. Epidemiol. Serv. Saúde [online]. 2010, vol.19, n.1, pp.61-75. ISSN 1679-4974.  http://dx.doi.org/10.5123/S1679-49742010000100008.

Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) - bacterial pneumonias, diabetes and complications of hypertension, among others - are an indirect indicator of the first level of health care effectiveness. Systematic review of the literature on primary care services related to the risk of hospital admission for ACSC, through computer searches of MEDLINE and LILACS was done. Most studies found were cross-sectional analysis of secondary data, from USA and Spain. In Spain, ACSC rates were not associated with the number of patients per general practitioner or nurse. Continuity of care was associated with lower hospitalization rates for ACSC in USA and Canada. Some aspects, such as continuity of care, multidisciplinary team, and, at a least degree, the population per general practitioner, have been associated with a decreasing risk of hospitalization for ACSC. Delivered primary care services were associated with a lower risk of hospitalization for ACSC.

Keywords : primary health care; health systems; health policy; health status indicators.

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