Evidence map›Paper›PMID 36060205›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2022

[Factors associated with hospitalizations for primary care-sensitive conditions in Brazil: an ecological studyFactores asociados a las hospitalizaciones infantiles por afecciones que podrían tratarse en la atención primaria en Brasil: estudio ecológico].

Danilo Marcelo Araujo Dos Santos, Cláudia Maria Coelho Alves, Thiago Augusto Hernandes Rocha, Núbia Cristina da Silva, Rejane Christine de Sousa Queiroz, Judith Rafaelle Oliveira Pinho, Clarissa Galvão da Silva Lopes, Erika Barbara Abreu Fonseca Thomaz

Abstract readEnglish Abstract
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Danilo Marcelo Araujo Dos SantosUniversidade Federal do Maranhão (UFMA) Programa de Pós-graduação em Saúde Coletiva São Luís (MA) Brasil Universidade Federal do Maranhão (UFMA), Programa de Pós-graduação em Saúde Coletiva, São Luís (MA), Brasil.
Cláudia Maria Coelho AlvesUniversidade Federal do Maranhão (UFMA) Programa de Pós-graduação em Saúde Coletiva São Luís (MA) Brasil Universidade Federal do Maranhão (UFMA), Programa de Pós-graduação em Saúde Coletiva, São Luís (MA), Brasil.
Thiago Augusto Hernandes RochaDuke University Medical Center Division of Emergency Medicine Department of Surgery Durham (NC) EUA Duke University Medical Center, Division of Emergency Medicine, Department of Surgery, Durham (NC), EUA.
Núbia Cristina da SilvaMethods Analytics and Technology for Health (MATH) Consortium Belo Horizonte (MG) Brasil Methods Analytics and Technology for Health (MATH) Consortium, Belo Horizonte (MG), Brasil.
Rejane Christine de Sousa QueirozUniversidade Federal do Maranhão (UFMA) Programa de Pós-graduação em Saúde Coletiva São Luís (MA) Brasil Universidade Federal do Maranhão (UFMA), Programa de Pós-graduação em Saúde Coletiva, São Luís (MA), Brasil.
Judith Rafaelle Oliveira PinhoUniversidade Federal do Maranhão (UFMA) Programa de Pós-graduação em Saúde Coletiva São Luís (MA) Brasil Universidade Federal do Maranhão (UFMA), Programa de Pós-graduação em Saúde Coletiva, São Luís (MA), Brasil.
Clarissa Galvão da Silva LopesUniversidade Federal do Maranhão (UFMA) Programa de Pós-graduação em Saúde Coletiva São Luís (MA) Brasil Universidade Federal do Maranhão (UFMA), Programa de Pós-graduação em Saúde Coletiva, São Luís (MA), Brasil.
Erika Barbara Abreu Fonseca ThomazUniversidade Federal do Maranhão (UFMA) Programa de Pós-graduação em Saúde Coletiva São Luís (MA) Brasil Universidade Federal do Maranhão (UFMA), Programa de Pós-graduação em Saúde Coletiva, São Luís (MA), Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate whether structural aspects of primary care units (PCUs) and the work processes of primary care teams are associated with the rate of hospitalizations for primary care-sensitive conditions (HPCSC) in children younger than 5 years of age in Brazil. Method: For this longitudinal ecological study, secondary data were obtained from the Brazilian Hospital Information System and from three cycles of the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB) (2012, 2014, 2017/2018). The analysis included 42 916 PCUs. A multilevel random intercept model with fixed slope was used. In the first level, the outcome (HPCSC rates) and explanatory variables (structure and process indicators) aggregated by PCU were analyzed. Social determinants (represented by a stratification criterion combining municipality population and health care management indicators) were entered in the second level. The Results: The HPCSC rate in children younger than 5 years was 62.78/100 thousand population per estimated PCU coverage area. A direct association with the outcome was observed for: participation in one or more PMAQ-AB cycles; team planning; special hours; dedicated pediatric care area; and availability of vaccines. Equipment, materials, supplies, and being a small or medium-size municipality were inversely associated with HPCSC. Conclusions: HPCSC rates in children below 5 years of age may potentially be reduced through improvements in PCU structure and process indicators and in municipal social determinants.

Indexed as

Brazilchild healthhealth evaluationhealth status indicatorshospitalizationPrimary health care

Identifiers

PMID36060205
PMCPMC9426956

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.