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Economic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizations

2021-12Artigo científico Acesso aberto
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dc.contributor.authorLoureiro da Silva, Cristina
dc.contributor.authorRocha, João Victor
dc.contributor.authorSantana, Rui
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2021-07-02T22:18:26Z
dc.date.available2021-07-02T22:18:26Z
dc.date.issued2021-12
dc.descriptionFunding Information: The present publication was funded by Fundação Ciênciae Tecnologia, IP national support through CHRC (UIDP/04923/2020) and NOVA National School of Public Health. Publisher Copyright: © 2021, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
dc.description.abstractBackground: Hospitalisations for Ambulatory Care Sensitive Conditions (ACSC) cause harm to users and to health systems, as these events are potentially avoidable. In 2009, Portugal was hit by an economic and financial crisis and in 2011 it resorted to foreign assistance (“Memorandum of Understanding” (2011–2014)). The aim of this study was to analyse the association between the Troika intervention and hospitalisations for ACSC. Methods: We analysed inpatient data of all public NHS hospitals of mainland Portugal from 2007 to 2016, and identified hospitalisations for ACSC (pneumonia, chronic obstructive pulmonary disease, hearth failure, hypertensive heart disease, urinary tract infections, diabetes), according to the AHRQ methodology. Rates of hospitalisations for ACSC, the rate of enrollment in the employment center and average monthly earnings were compared among the pre-crisis, crisis and post-crisis periods to see if there were differences. A Spearman’s correlation between socioeconomic variables and hospitalisations was performed. Results: Among 8,160,762 admissions, 892,759 (10.94%) were classified as ACSC hospitalizations, for which 40% corresponded to pneumonia. The rates of total hospitalisations and hospitalisations for ACSC increased between 2007 and 2016, with the central and northern regions of the country presenting the highest rates. No correlations between socioeconomic variables and hospitalisation rates were found. Conclusions: During the period of economic and financial crisis based on Troika’s intervention, there was an increase in potentially preventable hospitalisations in Portugal, with disparities between the municipalities. The high use of resources from ACSC hospitalisations and the consequences of the measures taken during the crisis are factors that health management must take into account.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1608677
dc.identifier.doi10.1186/s12913-021-06475-4
dc.identifier.issn1472-6963
dc.identifier.otherPURE: 32312787
dc.identifier.otherPURE UUID: 53952384-5ac7-4199-bceb-7072fa4287a0
dc.identifier.otherScopus: 85106908808
dc.identifier.otherPubMed: 34039326
dc.identifier.otherWOS: 000657722000006
dc.identifier.otherPubMedCentral: PMC8152149
dc.identifier.urihttp://hdl.handle.net/10362/120407
dc.identifier.urlhttps://www.scopus.com/pages/publications/85106908808
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAmbulatory care sensitive conditions
dc.subjectEconomic and financial crisis
dc.subjectPotentially preventable admissions
dc.subjectTroika’s intervention
dc.subjectHealth Policy
dc.subjectSDG 3 - Good Health and Well-being
dc.titleEconomic and financial crisis based on Troika’s intervention and potentially avoidable hospitalizationsen
dc.title.subtitlean ecological study in Portugalen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMC Health Services Research
degois.publication.volume21
dspace.entity.typePublication
rcaap.rightsopenAccess

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