Evolución de las hospitalizaciones potencialmente evitables por condiciones crónicas en España
Resumen: Analizar la evolucio´n de las tasas de hospitalizaciones potencialmente evitables (HPE) que afectanapacientescro´nicosofra´gilesenEspan ~aduranteelperiodo2002-2013.
Me´todos: Estudio observacional, ecolo´gico, sobre la evolucio´n de las tasas estandarizadas de hospitaliza- ciones por seis condiciones cli´nicas, y su variacio´n, en las 203 a´reas sanitarias del Sistema Nacional de Salud.
Resultados: En el periodo estudiado hubo un descenso relativo del 35% en las tasas de HPE, pero la variacio´n sistema´tica se mantuvo en cifras moderadas, alrededor de un 13% sobre lo esperado por azar. Las admi- siones por angina experimentaron la mayor reduccio´n, seguidas de las de asma y enfermedad pulmonar obstructiva cro´nica. Por el contrario, las hospitalizaciones por deshidratacio´n doblaron su frecuencia. Conclusiones: A pesar del descenso observado en las tasas de HPE, sigue existiendo una variacio´n siste- ma´tica entre a´reas, que apuntari´a a un manejo diferencial de las condiciones cro´nicas que conduciri´a a resultados sanitarios distintos.

Objective: To analyse the trend in potentially avoidable hospitalisations (PAH) in frail patients or those with chronic conditions in Spain during the period 2002-2013. Methods: An observational, ecological study was conducted to analyse the trend in age-sex standardised rates of PAH affecting six clinical conditions, and their variation, in the 203 health care areas composing the publicly-funded health system in Spain. Results: During the period 2002-2013, overall PAH standardised rates decreased by 35%, but systematic variation remained moderately high, around 13% above that expected by chance. Angina admissions showed the largest reduction, followed by those for asthma and chronic obstructive pulmonary disease. In contrast, the prevalence of admissions for dehydration doubled. Conclusions: Despite the decrease in PAH rates, systematic variation among areas remains, indicating differences in chronic care management that lead to distinct healthcare outcomes.

Idioma: Español
DOI: 10.1016/j.gaceta.2015.10.008
Año: 2016
Publicado en: Gaceta Sanitaria 30, 1 (2016), 52-54
ISSN: 0213-9111

Factor impacto JCR: 1.768 (2016)
Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 68 / 157 = 0.433 (2016) - Q2 - T2
Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 95 / 176 = 0.54 (2016) - Q3 - T2

Factor impacto SCIMAGO: 0.481 - Public Health, Environmental and Occupational Health (Q2)

Financiación: info:eu-repo/grantAgreement/ES/MICINN/ISCIII-RD12-0001-0004
Tipo y forma: Article (Published version)

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