Trend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District.
Isabel Pintas Marques Horta, Flávia Reis de Andrade, Lorena da Silva Luz Santos and 3 others
PMID 37162045WHAT IT FOUND
Hospitalizations for conditions treatable in primary care remained stable overall in the Federal District from 2009 to 2019.
While admissions for hypertension and diabetes fell, those for epilepsy and ear, nose, and throat infections rose.
Key findings
01Overall hospitalization rates for ambulatory care-sensitive conditions showed a stationary trend for both men and women.
02Hospitalizations for hypertension and diabetes mellitus decreased significantly for both sexes.
03Hospitalizations for epilepsy and ear, nose, and throat infections increased for both sexes.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study uses aggregate data, so it cannot control for individual patient factors or confounding variables. Data quality depends on hospital coding practices, which may have errors or undernotification. The analysis only includes public health system hospitalizations, excluding those paid for by private insurance, which accounted for a significant portion of the population's care.
Declared interests
The authors declared no conflicts of interest. The study used secondary public domain data.
The easy way to misread this
Do not interpret these trends as direct evidence of the effectiveness of specific nursing interventions or primary care programs. The study observes hospital admission rates, which are influenced by many factors including coding changes, population shifts, and access barriers, rather than isolating the impact of clinical care.