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. 2022 Dec 16;76(1):e20220170.
doi: 10.1590/0034-7167-2022-0170. eCollection 2022.

Elderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District

[Article in English, Portuguese]
Geraldo Marques da Costa  1 , Helena Eri Shimizu  1 , Mauro Niskier Sanchez  1
Affiliations

Elderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District

[Article in English, Portuguese]
Geraldo Marques da Costa et al. Rev Bras Enferm. .

Abstract
in English, Portuguese, Spanish

Objectives: To describe the mortality coefficients of elderly due to primary care sensitive conditions, from 2008 to 2018, and determine its association with the coverage of the Primary Health Care (Family Health Strategy and Basic Care models) in the Federal District.

Methods: Ecological time series of mortality in Federal District elderly, from 2008 to 2018. The Poisson regression model was applied, considering as significant those with p<0.05, with a CI of 95%.

Results: There were 70,503 deaths. There was a decrease in the risk of death of elders due to cardiovascular diseases and diabetes. Higher primary care coverage decreased the chance of death by sensitive conditions, both in Basic Care (OR: 0.994, CI: 0.990-0.998) and in the Family Health Strategy (OR: 0.997, CI: 0.995-0.999).

Conclusions: Primary Care coverage was associated with a lower chance of death of the elderly due to Ambulatory Care Sensitive Conditions, especially in Basic Care.

Objetivos:: Descrever os coeficientes de mortalidade entre idosos por condições sensíveis, de 2008 a 2018, e verificar a associação com a cobertura da Atenção Primária à Saúde (Modelo Estratégia Saúde da Família e Atenção Básica) no Distrito Federal.

Métodos:: Estudo ecológico tipo série temporal da mortalidade dos idosos no Distrito Federal, entre 2008 e 2018. Para análise das associações, aplicou se o modelo de regressão Poisson, sendo consideradas significantes as que apresentaram p<0,05, com IC de 95%.

Resultados:: Houve70.503 óbitos. Observou-se diminuição do risco de morrer dos idosos por doenças cardiovasculares e diabetes. A cobertura da Atenção Primária diminuiu a chance de morrer por condições sensíveis tanto na Atenção Básica (OR: 0,994, IC: 0,990-0,998) quanto na Estratégia Saúde da Família (OR: 0,997, IC: 0,995-0,999).

Conclusões:: A cobertura de Atenção Primária foi associada a menor chance de morrer dos idosos por condições sensíveis à Atenção Primária, sobretudo na Atenção Básica.

Objetivo:: Describir coeficientes de mortalidad entre ancianos por condiciones sensibles, de 2008 a 2018, y verificar relación con la cobertura de Atención Primaria de Salud (Modelo Estrategia Salud de la Familia y Atención Básica) en Distrito Federal.

Métodos:: Estudio ecológico tipo serie temporal de mortalidad de ancianos en Distrito Federal, entre 2008 y 2018. Para análisis de las relaciones, aplicado modelo de regresión Poisson, siendo consideradas significantes las que presentaron p<0,05, con IC de 95%.

Resultados:: Hubo70.503 óbitos. Observado disminución del riesgo de morir de ancianos por enfermedad cardiovasculares y diabetes. La cobertura de Atención Primaria disminuyó la probabilidad de morir por condiciones sensibles tanto en Atención Básica (OR: 0,994, IC: 0,990-0,998) mientras en Estrategia Salud de la Familia (OR: 0,997, IC: 0,995-0,999).

Conclusiones:: La cobertura de Atención Primaria fue relacionada la menor probabilidad de morir de ancianos por condiciones sensibles a la Atención Primaria, sobretodo en Atención Básica.

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Figures

Figure 1
Figure 1. Risk of death due to Ambulatory Care Sensitive Conditions and percentage BC (Basic Care) and FHS (Family Health Strategy) coverage, according to the year of death, Federal District, Brazil, from 2008 to 2018
Figure 2
Figure 2. Risk of death due to Ambulatory Care Sensitive Conditions in the groups selected by this study, Federal District, Brazil, from 2008 to 2018
See this image and copyright information in PMC

References

    1. Silva LB, Silva PAB, Santos JFG, Silqueira SMF, Borges EL, Soares SM. Risk strata and quality of care for the elderly in Primary Health Care. Rev Latino-Am Enfermagem. 2019:e3166. doi: 10.1590/1518-8345.2968.3166. - DOI - PMC - PubMed
    1. Schenker M, Costa DH. Avanços e desafios da atenção à saúde da população idosa com doenças crônicas na Atenção Primária à Saúde. Cien Saude Colet. 2019;24(4):1369–1380. doi: 10.1590/1413-81232018244.01222019. - DOI - PubMed
    1. Coelho LP, Motta LB, Caldas CP. Elderly care network: facilitanting factors and barriers to implementation. Physis Rev Saúde Coletiva. 2019;28(4):e280404. doi: 10.1590/S0103-73312018280404. - DOI
    1. Zhang Q. Primary care and all-cause mortality in urban China: a mixed-level analysis. Fam Pract. 2021;38(2):121–126. doi: 10.1093/fampra/cmaa095. - DOI - PubMed
    1. Alves KCG, Guimarães RA, Souza MR, Morais OL., Neto Evaluation of the primary care for chronic diseases in the high coverage context of the Family Health Strategy. BMC Health Serv Res. 2019;19(1):913. doi: 10.1186/s12913-019-4737-2. - DOI - PMC - PubMed