Evidence map›Paper›PMID 31456822›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2019

[Primary health care strategy and its impact on avoidable hospitalizations for ambulatory care-sensitive conditions, Paraguay, 2000-2017Estratégia de atenção primária à saúde e seu impacto nas internações hospitalares evitáveis por causas sensíveis à atenção ambulatorial, Paraguai, 2000-2017].

María José Lerea, Juan Edgar Tullo, Pedro López

Abstract readEnglish Abstract
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Workplace violence in primary health care workers: an integrative review.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

María José LereaDirección de Análisis de la Información en Salud/Dirección General de Información Estratégica en Salud Dirección de Análisis de la Información en Salud/Dirección General de Información Estratégica en Salud Ministerio de Salud Pública y Bienestar Social Paraguay Dirección de Análisis de la Información en Salud/Dirección General de Información Estratégica en Salud, Ministerio de Salud Pública y Bienestar Social, Paraguay.
Juan Edgar TulloDirección de Análisis de la Información en Salud/Dirección General de Información Estratégica en Salud Dirección de Análisis de la Información en Salud/Dirección General de Información Estratégica en Salud Ministerio de Salud Pública y Bienestar Social Paraguay Dirección de Análisis de la Información en Salud/Dirección General de Información Estratégica en Salud, Ministerio de Salud Pública y Bienestar Social, Paraguay.
Pedro LópezOrganización Panamericana de la Salud Organización Panamericana de la Salud Paraguay Organización Panamericana de la Salud, Paraguay.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExplore the effect of the implementation and strengthening of the primary care strategy (PHC) on hospitalizations for ambulatory care-sensitive conditions (HACSC).

methodsDescriptive cross-sectional observational study that considered the data from public hospital admissions records for the entire country for the period 2000-2017. The starting point of the PHC strategy is considered to be 2009. The diagnoses proposed by the Pan American Health Organization/World Health Organization were used in defining the HACSC diagnoses. The analysis of HACSC behavior considered two stages: 2000-2008 and 2009-2017.

resultsHACSC trended downward, with a difference of 6.75% between the final years of each stage. The greater the PHC coverage, the larger the reduction. The leading causes of HACSC were pneumonia and acute diarrheal disease. Admissions for chronic diseases largely fell, while admissions for infectious diseases rose.

conclusionsThe degree of population coverage and access to family health units can limit the impact of PHC on HACSC. A reduction in HACSC was confirmed after PHC implementation in Paraguay. The results for admissions for chronic diseases are better than those for infectious diseases.

Indexed as

HospitalizationParaguayprimary health care

Identifiers

PMID31456822
PMCPMC6705332

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.