Revista electronica de comunicacao, informacao & inovacao em saude : RECIIS最新文献

This article examines the effectiveness of the Brazilian health system based on indicators for conditions that are undesirable and preventable by health actions: 1) preventable deaths, 2) preventable cases and 3) preventable hospitalizations. To evaluate preventable deaths, the mortality rates of children under five years of age due to diarrhea and acute respiratory infections were examined. These data reveal the health status of a population group particularly responsive to primary and secondary preventative measures. To evaluate preventable cases, the AIDS incidence rate was considered because it is a major public health problem for which interventions have been developed to prevent the occurrence of new cases and to prevent existing cases from becoming seropositive. To evaluate preventable hospitalizations, data were examined for conditions characterized as sensitive to primary care, namely, the standardized rates of hospitalization for asthma and heart failure, both of which are preventable by proper ambulatory care. Although the incidence of AIDS remained stable between 1998 and 2010, the other indicators showed a steady downward trend, suggesting improvement in the effectiveness of the health system. However, strong regional disparities remain that are unfavorable to the poorest regions.

本文考察了巴西卫生系统的有效性基于指标的条件是不希望和可预防的卫生行动:1)可预防的死亡，2)可预防的病例和3)可预防的住院治疗。为了评估可预防的死亡，对五岁以下儿童因腹泻和急性呼吸道感染造成的死亡率进行了检查。这些数据揭示了对初级和二级预防措施特别敏感的人口群体的健康状况。为了评估可预防的病例，考虑了艾滋病发病率，因为这是一个重大的公共卫生问题，为此已经制定了干预措施，以防止新病例的发生，并防止现有病例的血清反应呈阳性。为了评估可预防的住院情况，研究人员检查了对初级保健敏感的疾病的数据，即哮喘和心力衰竭的标准化住院率，这两种疾病都可以通过适当的门诊护理来预防。虽然艾滋病的发病率在1998年至2010年期间保持稳定，但其他指标显示出稳步下降的趋势，这表明卫生系统的有效性有所提高。然而，对最贫穷地区不利的巨大区域差距仍然存在。

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