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Caracterização e evolução dos internamentos evitáveis em Portugal

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dc.contributor.authorSarmento, Joao
dc.contributor.authorAlves, Conceicao
dc.contributor.authorOliveira, Paula
dc.contributor.authorSebastiao, Rita
dc.contributor.authorSantana, Rui
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblBiblioteca Nacional de Portugal, Centro de Estudos Históricos, CELOM
dc.date.accessioned2018-03-02T23:05:13Z
dc.date.available2018-03-02T23:05:13Z
dc.date.issued2015
dc.descriptionPMID: 26667862 Scopus: 84946055710 WOS: 000368525100009
dc.description.abstractIntroduction: The aim of this study is to evaluate the health systems performance through the avoidable hospital admissions, once these have gained international relevance. We used two different methods to identify the admissions for Ambulatory Care Sensitive Conditions, describing the Portuguese reality and evolution. Material and Methods: Over 12 million hospitalizations were analyzed between 2000 and 2012 using the national hospital discharge databases. We used two different methodologies to identify the hospitalizations for Ambulatory Care Sensitive Conditions, determining their concordance. We also estimated potential improvement scenarios. Results: In 2012, 4.4% and 32.4% of the hospitalizations for medical causes were avoidable according to the Canadian and Spanish methodologies respectively. The hospitalizations are more frequent in children and the elderly. The most frequent causes vary according to the age group and methodology. During the analyzed period the rate of admissions has dropped 20% according to the Canadian methodology and increased 16% according to the Spanish methodology. There are regional clusters of performance under and above the national average. The concordance between methodologies is low. The improvement scenarios estimated possible reductions between 20.3% and 53.5% of the hospitalizations. Discussion: The avoidable admissions assume a relevant volume in Portugal. Although in theory they are avoidable their complete elimination is a practical impossibility. Their study, however, allows the evaluation and results motorization enabling to establish intervention priorities. Conclusion: To have a precise characterization of the avoidable admissions in Portugal it is necessary to achieve consensus on the identification methodology.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent11
dc.format.extent931475
dc.identifier.issn1646-0758
dc.identifier.otherPURE: 1737238
dc.identifier.otherPURE UUID: e61fbd23-0a08-4f50-bb7a-6bacfe716226
dc.identifier.otherWOS: 000368525100009
dc.identifier.otherScopus: 84946055710
dc.identifier.otherPubMed: 26667862
dc.identifier.urihttp://hdl.handle.net/10362/31591
dc.language.isopor
dc.peerreviewedyes
dc.subjectAmbulatory Care
dc.subjectHospitalization Outcome and Process Assessment (Health Care)
dc.subjectPortugal
dc.subjectCARE-SENSITIVE CONDITIONS
dc.subjectPRIMARY-HEALTH-CARE
dc.subjectSOCIOECONOMIC-STATUS
dc.subjectHOSPITALIZATIONS
dc.subjectQUALITY
dc.subjectACCESS
dc.subjectPROJECT
dc.subjectSYSTEM
dc.titleCaracterização e evolução dos internamentos evitáveis em Portugalpt
dc.title.alternativeCharacterization and evolution of avoidable admissions in Portugalthe impact of two methodologic approachesen
dc.title.subtitleimpacto de duas abordagens metodológicaspt
dc.typejournal article
degois.publication.firstPage590
degois.publication.issue5
degois.publication.lastPage600
degois.publication.titleActa Médica Portuguesa
degois.publication.volume28
dspace.entity.typePublication
rcaap.rightsopenAccess

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