Qualificação da atenção primária e internações sensíveis em Campinas: série temporal controlada (2013-2024)

Guilherme Coelho; Giovana Miho Kawamoto; Igor de Lima Peixoto Rocha; Danielle Satie Kassada

doi:10.1590/SciELOPreprints.14764

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Guilherme Coelho State University of Campinas (UNICAMP) https://orcid.org/0000-0003-3045-4057
- Conceptualization
- Data Curation
- Formal Analysis
- Methodology
- Investigation
- Writing – Original Draft Preparation
- Writing – Review & Editing
- Visualization
- Validation
Giovana Miho Kawamoto State University of Campinas (UNICAMP) https://orcid.org/0009-0007-9905-4912
- Writing – Review & Editing
- Writing – Original Draft Preparation
- Conceptualization
- Data Curation
- Formal Analysis
- Investigation
- Methodology
- Resources
Igor de Lima Peixoto Rocha State University of Campinas (UNICAMP) https://orcid.org/0009-0007-7603-138X
- Data Curation
- Conceptualization
- Methodology
Danielle Satie Kassada State University of Campinas (UNICAMP) https://orcid.org/0000-0002-6960-6444
- Conceptualization
- Data Curation
- Formal Analysis
- Investigation
- Methodology
- Writing – Original Draft Preparation
- Writing – Review & Editing
- Supervision
- Validation
- Visualization

DOI:

https://doi.org/10.1590/SciELOPreprints.14764

Keywords:

Primary Health Care, Hospitalization, Family Practice, Internship and Residency, Health Policy

Abstract

This study evaluated the effect of implementing a municipal residency program in Family and Community Medicine on hospitalizations for ambulatory care sensitive conditions (ACSC). A quasi-experimental study design was adopted, employing a controlled time-series analysis of secondary hospitalization data over the study period. The results demonstrated a significant reduction in ACSC rates following the implementation of the program, with a greater impact on chronic conditions amenable to primary health care. These findings suggest that local policies focused on training Family and Community physicians can help strengthen primary health care and reduce avoidable hospitalizations within the Brazilian Unified Health System, particularly when sustained over time. The study highlights the importance of professional training as a strategic component of public health policies.