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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Evaluation of results of cardiovascular care as a tracer of the comprehensiveness principle

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Author(s):
Pedreschi Chaves, Lucieli Dias [1] ; de Jesus, Braz Jose [2] ; Barros Ferreira, Janise Braga [3] ; Balderrama, Priscila [4] ; Tanaka, Oswaldo Yoshimi [5]
Total Authors: 5
Affiliation:
[1] Univ Sao Paulo, Escola Enfermagem Ribeirao Preto, Dept Enfermagem Geral & Especializada, BR-14049 Ribeirao Preto, SP - Brazil
[2] Governo Estado Sao Paulo, Dept Reg Saude Ribeirao Preto, Ribeirao Preto, SP - Brazil
[3] Univ Sao Paulo, Fac Med Ribeirao Preto, Dept Med Social, BR-14049 Ribeirao Preto, SP - Brazil
[4] Univ Sao Paulo, Escola Enfermagem Ribeirao Preto, Programa Posgrad Enfermagem Fundamental, BR-14049 Ribeirao Preto, SP - Brazil
[5] Univ Sao Paulo, Fac Saude Publ, Dept Prat Saude Publ, Sao Paulo, SP - Brazil
Total Affiliations: 5
Document type: Journal article
Source: Saúde e Sociedade; v. 24, n. 2, p. 568-577, APR-JUN 2015.
Web of Science Citations: 0
Abstract

This study aims to evaluate the articulation among levels of cardiovascular care in the region of Ribeirao Preto, State of Sao Paulo, Brazil. It is an evaluative research using secondary data from the Brazilian Ministry of Health. We analyzed all outpatient and hospital procedures related to cardiovascular diseases that were treated in primary and hospital care in 26 municipalities in the period 2000-2010. Time series were used in the analysis and the assumption was regional organization of health systems. The production varies during the period, with an increase in outpatient care and surgical hospitalizations, and a decrease in clinical admissions. There is an uneven supply of services in the municipalities, and the smallest ones concentrate electrocardiograms and clinical admissions. More complex diagnostic tests and surgical admissions are conducted predominantly in the largest city. The evaluation of health services using cardiovascular problems as the tracer condition proved to be adequate, as it showed articulations among levels of care in the regional health system. This allows us to infer that regionalization, in this scenario, favors comprehensive care in its horizontal dimension. (AU)

FAPESP's process: 10/16682-5 - Evaluation of results of attention to harm as a tracer cardiovascular the principle of comprehensiveness
Grantee:Lucieli Dias Pedreschi Chaves
Support Opportunities: Regular Research Grants