RT Journal Article
SR Electronic
T1 Hospitalizations for Cardiovascular Diseases Sensitive to Primary Health Care in Paraná State, Brazil: A Bayesian Spatiotemporal Model
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 140
OP 148
DO 10.1370/afm.3083
VO 22
IS 2
A1 Bonfim, Samile
A1 Massago, Miyoko
A1 de Carvalho Dutra, Amanda
A1 Arruda, Matheus Henrique Beltrame
A1 Oliveira, Fernanda Silva
A1 Thomaz, Érika Bárbara Abreu Fonseca
A1 de Souza, Eniuce Menezes
A1 Nihei, Oscar Kenji
A1 de Andrade, Luciano
YR 2024
UL http://www.annfammed.org/content/22/2/140.abstract
AB PURPOSE To analyze spatiotemporal trends in hospitalizations for cardiovascular diseases (CVD) sensitive to primary health care (PHC) among individuals aged 50-69 years in Paraná State, Brazil, from 2014 to 2019 and investigate correlations between PHC services and the Social Development Index.METHODS We conducted a cross-sectional ecological study using publicly available secondary data to analyze the municipal incidence of hospitalizations for CVD sensitive to PHC and to estimate the risk of hospitalization for this group of diseases and associated factors using hierarchical Bayesian spatiotemporal modeling with Markov chain Monte Carlo simulation.RESULTS There was a 5% decrease in the average rate of hospitalizations for PHC-sensitive CVD from 2014 to 2019. Regarding standardized hospitalization rate (SHR) according to population size, we found that no large municipality had an SHR >2. Likewise, a minority of these municipalities had SHR values of 1-2 (33%). However, many small and medium-sized municipalities had SHR values >2 (47% and 48%, respectively). A greater Social Development Index value served as a protective factor against hospitalizations, with a relative risk of 0.957 (95% credible interval, 0.929-0.984).CONCLUSIONS The annual risk of hospitalization decreased over time; however, small municipalities had the greatest rates of hospitalization, indicating an increase in health inequity. The inverse association between social development and hospitalizations for CVD sensitive to PHC raises questions about intersectionality in health care.