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Expenses with hospitalizations by sensitive conditions to the primary care: an ecological study

Abstract

Objective

To analyse the expenses with hospitalizations by Sensitive Conditions to the Primary Care at the Minas Gerais State.

Methods

Ecological and retrospective study of the hospitalizations from 2014 to 2019, with data from the Hospital Information System, analysed through descriptive statistics and Wilcoxon paired test.

Results

We observed a decrease in the expense values (-9.88%), in electives hospitalizations (-1.77%) and urgency hospitalizations (-10.54%), in male and female sexes, and all group ages; with significant expense values difference in the age groups from 5 to 14 years old (p=0.005), and from 15 to 49 (p<0.001). We found the absolute higher values in the Angina, Cardiac insufficiency, and Cerebrovascular diseases groups; the main decreases occurred in Pelvic organs inflammatory diseases, Infectious gastroenteritis, and Asthma.

Conclusion

The analysis by groups and hospitalization character of the sensitive conditions allows the identification of frequency and elevated and/or disproportionate expenses, highlighting conditions of greater risk and action of the primary care services in health in the appropriate moment to the population demand.

Primary health care; Hospitalization; Hospital costs; Health expenditures; Health services

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