title: Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil.
abstract: Admissions due to primary health care sensitive conditions from 1999 to 2009 among children < 5 years old were analyzed for municipalities in Pernambuco State, Brazil. Using data from the Brazilian Unified National Health System's Hospital Information System, a negative binomial regression was applied to estimate rate ratio (RR) and 95%CI for the effect on primary health care sensitive condition rates (admissions/10,000 inhabitants) of the Family Health Program (FHP) coverage (%), some demographic variables and living conditions. Hospitalizations due to primary health care sensitive conditions represented 44.1% of 861,628 admissions and the rate declined from 557.6 to 318.9 (-42.8%), a reduction three times greater than the rate due to all other causes. Increased FHP coverage was protective against primary health care sensitive conditions (RR = 0.94; 95%CI: 0.89-0.99). A decline in hospitalizations due to primary health care sensitive conditions indicated improvements in health status and may be associated with the consolidation of primary health care. Studies on access and quality of primary health care in relation to child morbidity and hospitalizations are needed.
authors.forename: Suzana Costa
authors.initials: SC
authors.lastname: Carvalho
authors.forename: Eduardo
authors.initials: E
authors.lastname: Mota
authors.forename: Inês
authors.initials: I
authors.lastname: Dourado
authors.forename: Rosana
authors.initials: R
authors.lastname: Aquino
authors.forename: Carlos
authors.initials: C
authors.lastname: Teles
authors.forename: Maria Guadalupe
authors.initials: MG
authors.lastname: Medina
mesh_terms: D001938:Brazil; D002675:Child, Preschool; D005192:Family Health / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D007223:Infant; D009313:National Health Programs; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors