{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:09:28Z","timestamp":1788412168290,"version":"build-2803163510"},"reference-count":24,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p> OBJECTIVE To analyze hospitalization rates and the proportion of deaths due to ambulatory care-sensitive hospitalizations and to characterize them according to coverage by the Family Health Strategy, a primary health care guidance program.   METHODS An ecological study comprising 853 municipalities in the state of Minas Gerais, under the purview of 28 regional health care units, was conducted. We used data from the Hospital Information System of the Brazilian Unified Health System. Ambulatory care-sensitive hospitalizations in 2000 and 2010 were compared. Population data were obtained from the demographic censuses.   RESULTS The number of ambulatory care-sensitive hospitalizations declined from 20.75\/1,000 inhabitants [standard deviation (SD) = 10.42) in 2000 to 14.92\/thousand inhabitants (SD = 10.04) in 2010 Heart failure was the most frequent cause in both years. Hospitalizations rates for hypertension, asthma, and diabetes mellitus, decreased, whereas those for angina pectoris, prenatal and birth disorders, kidney and urinary tract infections, and other acute infections increased. Hospitalization durations and the proportion of deaths due to ambulatory care-sensitive hospitalizations increased significantly.   CONCLUSIONS Mean hospitalization rates for sensitive conditions were significantly lower in 2010 than in 2000, but no correlation was found with regard to the expansion of the population coverage of the Family Health Strategy. Hospitalization rates and proportion of deaths were different between the various health care regions in the years evaluated, indicating a need to prioritize the primary health care with high efficiency and quality.<\/jats:p>","DOI":"10.1590\/s0034-8910.2014048005232","type":"journal-article","created":{"date-parts":[[2015,1,15]],"date-time":"2015-01-15T18:57:35Z","timestamp":1421348255000},"page":"958-967","source":"Crossref","is-referenced-by-count":13,"title":["Hospitalizations for ambulatory care-sensitive conditions, Minas Gerais, Southeastern Brazil, 2000 and 2010"],"prefix":"10.1590","volume":"48","author":[{"given":"Rita Maria","family":"Rodrigues-Bastos","sequence":"first","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas e da Sa\u00fade de Juiz de Fora,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estela M\u00e1rcia Saraiva","family":"Campos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Cl\u00e1udio","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro Gomes","family":"Bastos Filho","sequence":"additional","affiliation":[{"name":"Instituto Estadual de Cardiologia Aloysio de Castro,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Teresa","family":"Bustamante-Teixeira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1590\/S0102-311X2009000600016","article-title":"Interna\u00e7\u00f5es por condi\u00e7\u00f5es sens\u00edveis \u00e0 aten\u00e7\u00e3o prim\u00e1ria: a constru\u00e7\u00e3o da lista brasileira como ferramenta para medir o desempenho do sistema de sa\u00fade (Projeto ICSAP \u2013 Brasil)","volume":"25","author":"Alfradique ME","year":"2009","journal-title":"Cad Saude Publica"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1177\/1077558706293637","article-title":"Access to health care and hospitalization for ambulatory care sensitive conditions","volume":"63","author":"Ansari Z","year":"2006","journal-title":"Med Care Res Rev"},{"issue":"5","key":"ref3","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1590\/S0066-782X2005000500013","article-title":"Custo da insufici\u00eancia card\u00edaca no Sistema \u00danico de Sa\u00fade","volume":"84","author":"Ara\u00fajo DV","year":"2005","journal-title":"Arq Bras Cardiol"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1590\/S0034-89102012005000001","article-title":"Hospitaliza\u00e7\u00f5es por condi\u00e7\u00f5es cardiovasculares sens\u00edveis \u00e0 aten\u00e7\u00e3o prim\u00e1ria em munic\u00edpios goianos","volume":"46","author":"Batista SRR","year":"2012","journal-title":"Rev Saude Publica"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1353\/hpu.2005.0003","article-title":"The relationship between SCHIP enrollment and hospitalizations for ambulatory care sensitive conditions in California","volume":"16","author":"Bermudez D","year":"2005","journal-title":"J Health Care Poor Underserved"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1377\/hlthaff.12.1.162","article-title":"Impact of socioeconomic status on hospital use in New York City","volume":"12","author":"Billings J","year":"1993","journal-title":"Health Aff (Millwood)"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/j.1475-6773.2005.00340.x","article-title":"The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions","volume":"40","author":"Bindman AB","year":"2005","journal-title":"Health Serv Res"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1590\/S0102-311X2006000100003","article-title":"O Sistema de Informa\u00e7\u00e3o Hospitalar e sua aplica\u00e7\u00e3o na sa\u00fade coletiva","volume":"22","author":"Bittencourt SA","year":"2006","journal-title":"Cad Saude Publica"},{"issue":"2","key":"ref9","first-page":"359","article-title":"Reduction of ambulatory care sensitive conditions in Brazil between 1998 and 2009","volume":"46","author":"Boing AF","year":"2012","journal-title":"Rev Saude Publica"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/S0212-6567(03)70662-3","article-title":"La evaluaci\u00f3n de la atenci\u00f3n primaria y las hospitalizaciones por \u201cambulatory care sensitive conditions\u201d: marco conceptual","volume":"31","author":"Caminal-Homar J","year":"2003","journal-title":"Aten Primaria"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"283","DOI":"10.2190\/PCF7-ALX9-6CN3-7X9G","article-title":"Hospitalizations of children and access to primary care: a cross-national comparison","volume":"25","author":"Casanova C","year":"1995","journal-title":"Int J Health Serv"},{"issue":"11","key":"ref12","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1590\/S0100-72032010001100008","article-title":"Monitoramento do processo de assist\u00eancia pr\u00e9-natal entre as usu\u00e1rias do Sistema \u00danico de Sa\u00fade em munic\u00edpio do Sudeste brasileiro","volume":"32","author":"Coutinho T","year":"2010","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"4","key":"ref13","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1111\/j.1468-0009.2005.00397.x","article-title":"Evaluating the quality of medical care","volume":"83","author":"Donabedian A","year":"1966","journal-title":"Milbank Q"},{"issue":"1","key":"ref14","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1093\/ije\/28.1.10","article-title":"Evaluation designs for adequacy, plausibility and probability of public health programme performance and impact","volume":"28","author":"Habicht JP","year":"1999","journal-title":"Int J Epidemiol"},{"issue":"12","key":"ref15","doi-asserted-by":"crossref","first-page":"2149","DOI":"10.1377\/hlthaff.2010.0251","article-title":"Major expansion of primary care in Brazil linked to decline of unnecessary hospitalization","volume":"29","author":"Macinko J","year":"2010","journal-title":"Health Aff (Millwood)"},{"issue":"1","key":"ref16","first-page":"61","article-title":"Caracter\u00edsticas da aten\u00e7\u00e3o b\u00e1sica associadas ao risco de internar por condi\u00e7\u00f5es sens\u00edveis \u00e0 aten\u00e7\u00e3o prim\u00e1ria: revis\u00e3o sistem\u00e1tica da literatura","volume":"19","author":"Nedel FB","year":"2010","journal-title":"Epidemiol Serv Saude"},{"issue":"12","key":"ref17","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1016\/S0002-9149(01)01554-5","article-title":"Socioeconomic status as an independent risk factor for hospital readmission for heart failure","volume":"87","author":"Philbin EF","year":"2001","journal-title":"Am J Cardiol"},{"key":"ref18","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.g4014","article-title":"Impact of primary health care on mortality from heart and cerebrovascular diseases in Brazil: a nationwide analysis of longitudinal data","volume":"349","author":"Rasella D","year":"2014","journal-title":"BMJ"},{"issue":"12","key":"ref19","doi-asserted-by":"crossref","first-page":"4755","DOI":"10.1590\/S1413-81232011001300024","article-title":"Interna\u00e7\u00f5es por condi\u00e7\u00f5es sens\u00edveis \u00e0 aten\u00e7\u00e3o prim\u00e1ria no Estado de S\u00e3o Paulo","volume":"16","author":"Rehem TCMSB","year":"2011","journal-title":"Cienc Saude Coletiva"},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.ramb.2012.11.001","article-title":"Interna\u00e7\u00f5es por condi\u00e7\u00f5es sens\u00edveis \u00e0 aten\u00e7\u00e3o prim\u00e1ria no Sudeste do Brasil","volume":"59","author":"Rodrigues-Bastos RM","year":"2013","journal-title":"Rev Assoc Med Bras"},{"issue":"6","key":"ref21","doi-asserted-by":"crossref","first-page":"1821","DOI":"10.1590\/S0102-311X2005000600031","article-title":"Avalia\u00e7\u00e3o cr\u00edtica do Sistema de Informa\u00e7\u00e3o da Aten\u00e7\u00e3o B\u00e1sica (SIAB) e de sua implanta\u00e7\u00e3o na regi\u00e3o de Ribeir\u00e3o Preto, S\u00e3o Paulo, Brasil","volume":"21","author":"Silva AS","year":"2005","journal-title":"Cad Saude Publica"},{"issue":"1","key":"ref22","first-page":"70","article-title":"A integra\u00e7\u00e3o e articula\u00e7\u00e3o entre as a\u00e7\u00f5es de sa\u00fade e de educa\u00e7\u00e3o no Programa de Sa\u00fade da Fam\u00edlia \u2013 PSF","volume":"8","author":"Silva CC","year":"2006","journal-title":"Rev Eletron Enferm"},{"issue":"2","key":"ref23","first-page":"161","article-title":"O potencial do cadastro das fam\u00edlias no Sistema de Informa\u00e7\u00e3o da Aten\u00e7\u00e3o B\u00e1sica em Sa\u00fade, como base para determina\u00e7\u00e3o da amostra em pesquisas na \u00e1rea da sa\u00fade","volume":"12","author":"Tibiri\u00e7\u00e1 SHC","year":"2009","journal-title":"Rev APS"},{"issue":"4","key":"ref24","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1590\/S1413-81232012000400014","article-title":"Avalia\u00e7\u00e3o de Desempenho de Sistemas de Sa\u00fade: um modelo de an\u00e1lise","volume":"17","author":"Viacava F","year":"2012","journal-title":"Cienc Saude Coletiva"}],"container-title":["Revista de Sa\u00fade P\u00fablica"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rsp\/v48n6\/0034-8910-rsp-48-6-0958.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T23:28:35Z","timestamp":1495927715000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0034-89102014000600958&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["S0034-89102014000600958"],"URL":"https:\/\/doi.org\/10.1590\/s0034-8910.2014048005232","relation":{},"ISSN":["0034-8910"],"issn-type":[{"value":"0034-8910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12]]}}}