Políticas de provimento e internações por condições sensíveis à Atenção Primária em um distrito sanitário de Salvador

Abstract

Introduction: In a reality of low coverage of Primary Care Health and large areas of no assistence, the Provision Programs (Primary Care Professional Appreciation Program and More Doctors Program) arise with the objective of distributing doctors to priority regions and improving access to Primary Health Care (PHC) to contribute to improving the health levels of the population in these regions and, perhaps, to reduce the rates of hospitalizations due to sensitive conditions to ambulatory care. Objective: To analyze if there was a change in the proportions of hospitalizations in the Railway Suburb due to conditions sensitive to ambulatory care after the implementation of the PHC Provision Programs. Methods: Ecological study of time series with secondary data referring to the provision of physicians, by the city hall and the Provision Programs, and hospitalizations for conditions sensitive to Primary Care in the Unified Health System. Data were obtained from the National Registry of Health Establishments (CNES) , on the website of the Municipal Health Department (SMS/Salvador) and the Hospital Information System (SIH/SUS). Conclusion: Between 2010 and 2016, there was a 71.3% increase in the number of physicians PHC in the city of Salvador, with two-thirds of Family Health Unit present in the Subúrbio Ferroviário Sanitary District. This increase was due to the insertion of the Provision Programs, from 2013, being the More Doctors Program the most important longitudinally. The hospitalization due to Ambulatory Care Sensitive Conditions, in the period of the study, reduced overall from 21.8% in 2010 to 8.2% in 2016, concomitant with the increase in coverage, suggesting a possible association between them.