The panorama of ambulatory care sensitive conditions in district of São Paulo

Abstract

The objectives of this study were to identify the main Ambulatory Care Sensitive Conditions (ACSC) of PedreiraGeneral Hospital and the Basic Health Units that demanded a higher number of hospitalizations. An exploratory, descriptive and quantitative study was performed using 2008 data obtained in the Hospital Information System of the National Health System and 816 records of patients from Pedreira General Hospital. A total of 10,616 hospitalizations occurred in the addressed period, 1,689 (15.9%) of which were due to ACSC. The main causes of ambulatory care sensitive conditions were: bacterial pneumonias(17.4%); kidney and urinary tract infections (13.6%), and arterial hypertension (11.1%). By analyzing the patient records, we found 122 ACSC, 73.7% of which were in the field of study (Pedreira, CidadeAdemarand Campo Grande). CidadeAdemargenerated more ACSC, 38.5%, however it is the city with the largest population and density. Further studies are necessary in order to know the motives that generate the hospitalizations to redirect prevention actions.