Impacto da COVID-19 na Atenção Primária à Saúde e suas Condições Sensíveis: Revisão de Escopo

Autores

DOI:

https://doi.org/10.36489/saudecoletiva.2025v16i101p17732-17745

Palavras-chave:

Condições Sensíveis à Atenção Primária, Covid-19, Atenção primária à saúde, Hospitalização, Revisão

Resumo

Objetivo: mapear e sintetizar, a partir da literatura, os impactos da pandemia da Covid-19 nas hospitalizações por Condições Sensíveis à Atenção Primária à Saúde. Métodos: trata-se de uma revisão de escopo, realizada de acordo com as recomendações do JBI. As bases de dados utilizadas na busca foram Medline (Pubmed), Lilacs, Bdenf, Scielo, EMBASE, CINAHL, Scopus e Web of Science. Resultados: foram identificados 1066 documentos, dos quais 11 compuseram a revisão. Os principais achados apontam para diminuição das internações por CSAP, principalmente em função das medidas sanitárias adotadas no momento. Conclusão: Os resultados evidenciam as disparidades sociais em razão da maior proporção de internações por CSAP em populações mais vulneráveis.

Referências

Prado NM de BL, Rossi TRA, Chaves SCL, Barros SG de, Magno L, Santos HLPC dos, et al.. The international response of primary health care to COVID-19: document analysis in selected countries. Cad Saúde Pública [Internet]. 2020;36(12):e00183820. Available from: https://doi.org/10.1590/0102-311X00183820.

Lamberti-Castronuovo A, Valente M, Aleni C, Hubloue I, Ragazzoni L, Barone-Adesi F. Using Ambulatory Care Sensitive Conditions to Assess Primary Health Care Performance during Disasters: A Systematic Review. Int J Environ Res Public Health [Internet]. 2022 Jul 27;19(15):9193. Available from: https://pubmed.ncbi.nlm.nih.gov/35954559/

Mendes EV. O lado oculto de uma pandemia: a terceira onda da covid-19 ou o paciente invisível [Internet]. 2020 Dec. Available from: https://www.conass.org.br/wp-content/uploads/2020/12/Terceira-Onda.pdf

Göttems LBD, Camilo LP, Mavrot C, Mollo MLR. As reformas dos sistemas de saúde da América Latina: influências neoliberais e desafios aos Objetivos de Desenvolvimento Sustentável. Ciênc Saúde Coletiva [Internet]. 2021 Oct 25; 26(10):4383–96. Available from: https://doi.org/10.1590/1413-812320212610.11192021

Maciel FBM, Santos HLPC dos, Carneiro RA da S, Souza EA de, Prado NM de BL, Teixeira CF de S, et al. Community health workers: reflections on the health work process in Covid-19 pandemic times. Ciênc Saúde Coletiva [Internet]. 2020 Oct 1; 25(supl2):4185–95. Available from: https://doi.org/10.1590/1413-812320202510.2.28102020

Oct 7; Available from: https://www.sciencedirect.com/science/article/pii/S016885102200272X

Peters MD, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. JBI Manual for Evidence Synthesis - JBI Manual for Evidence Synthesis [Internet]. 2024. Available from: https://synthesismanual.jbi.global/

Wright B, Anderson D, Whitaker R, Shrader P, Bettger JP, Wong C, et al. Comparing health care use and costs among new Medicaid enrollees before and during the COVID-19 pandemic. BMC Health Serv Res. 2021 Oct 25; 21(1):1152 Available from: https://doi.org/10.1186/s12913-021-07027-6.

Kendzerska T, Zhu DZ, Pugliese M, Manuel DG, J. Mark FitzGerald, Povitz M, et al. Trends in all‐cause mortality and inpatient and outpatient visits for ambulatory care sensitive conditions during the first year of the COVID‐19 pandemic: A population‐based study. J Hosp Med. 2022 Sep;17(9):726-737. Available from: https://doi.org/10.1002/jhm.12920.

Pendrith C, Nayyar D, Chu C, O’Brien T, Lyons OD, Agarwal P, et al. Outpatient visit trends for internal medicine ambulatory care sensitive conditions after the COVID-19 pandemic: a time-series analysis. BMC Health Serv Res. 2022 Feb 14;22(1):198. Available from: https://doi.org/10.1186/s12913-022-07566-6.

White M, Craig S, Chu WL, Hiscock H. Changes in paediatric ambulatory care sensitive conditions in Victoria, 2018–20: the COVID-19 effect? Aust Health Rev [Internet]. 2022 Oct 20;47(1):77–87. Available from: https://doi.org/10.1071/AH22050

Green MA, McKee M, Massey J, Mackenna B, Amir Mehrkar, Bacon S, et al. Trends in inequalities in avoidable hospitalisations across the COVID-19 pandemic: a cohort study of 23.5 million people in England. BMJ Open [Internet]. 2024 Jan 1;14(1):e077948–8. Available from: https://doi.org/10.1136/bmjopen-2023-077948

Leuchter RK, Villaflores CWA, Norris KC, Sorensen A, Vangala S, Sarkisian CA. Racial Disparities in potentially avoidable hospitalizations during the COVID-19 Pandemic. Am J Prev Med [Internet]. 2021 Aug 1; 61(2):235–9. Available from: https://pubmed.ncbi.nlm.nih.gov/33820665/

Marasović Šušnjara I, Mijaković M, Jurčev Savičević A. The influence of the COVID-19 Pandemic on hospitalizations for ambulatory care-sensitive conditions in Split-Dalmatia County, Croatia. Medicina (Kaunas) [Internet]. 2024 Mar 22; 60(4):523. Available from: https://doi.org/10.3390/medicina60040523.

Di Martino M, D’Ovidio M, Alagna M, Balducci M, Cappai G, Lallo A, et al. Evaluation of the indirect impact of the Sars-CoV-2 epidemic on primary and ambulatory care processes using synthetic quality measures and graphic representations. Recenti Prog Med [Internet]. 2023 Apr;118(4):222-9. Available from: https://doi.org/10.1701/4009.39889

Green MA, McKee M, Hamilton OK, Shaw RJ, Macleod J, Boyd A, et al Associations between self-reported healthcare disruption due to covid-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England. BMJ [Internet]. 2023 Jul 19;382:e075133. Available from: https://doi.org/10.1136/bmj-2023-075133.

Marshall EG, Stock D, Buote R, Andrew MK, Breton M, Cossette B, et al. Emergency department utilization and hospital admissions for ambulatory care sensitive conditions among people seeking a primary care provider during the COVID-19 pandemic. CMAJ Open [Internet]. 2023 Jun 20; 11(3):E527-E536. Available from: https://doi.org/10.9778/cmajo.20220128.

Gwon YG, Han SJ, Kim KH. Trends in the Quality of Primary Care and Acute Care in Korea From 2008 to 2020: A Cross-sectional Study. J Prev Med Public Health [Internet]. 2023 May;56(3):248-254. Available from: https://doi.org/10.3961/jpmph.23.015.

Lu S. Ambulatory Care Sensitive Conditions in Pediatrics: Time for a Reassessment. Pediatrics [Internet]. 2021 Aug;148(2):e2021050598. Available from: https://doi.org/10.1542/peds.2021-050598.

Dague L, Badaracco N, DeLeire T, Sydnor J, Tilhou AS, Friedsam D. Trends in Medicaid Enrollment and Disenrollment During the Early Phase of the COVID-19 Pandemic in Wisconsin. JAMA Health Forum [Internet]. 2022 Feb 4; 3(2):e214752. Available from: https://doi.org/10.1001/jamahealthforum.2021.4752

Jardim BC, Migowski A, Corrêa F de M, Silva GA e. Covid-19 in Brazil in 2020: impact on deaths from cancer and cardiovascular diseases. Rev Saúde Pública [Internet]. 2022; 56:22. Available from: https://doi.org/10.11606/s1518-8787.2022056004040

Mendonça CS, Rosset I, Gonçalves MR, Bastos CGM, Medeiros AF de, Dias AV, et al. Resposta assistencial de um serviço docente assistencial de APS à pandemia da COVID-19. APS em revista [Internet]. 2020 Apr 15; 2(1):33–7. Available from: https://aps.emnuvens.com.br/aps/article/view/63/46

Alves JCT, Lopes CRC, Guzzi GP, Pinto MV, Ribeiro LMM, Silva SBIMe, et al. Impacto da pandemia de COVID-19 na epidemiologia pediátrica. Resid Pediatr [Internet]. 2020;10(3). Disponível em: https://doi.org/10.25060/residpediatr-2020.v10n3-382

Viacava F, Carvalho CC, Martins M, Oliveira RD. Internações por Condições Sensíveis à Atenção Primária (ICSAP): análise descritiva por sexo e idade e diagnósticos principais. Boletim Informativo Projeto de Avaliação do Desempenho dos Sistemas de Saúde [Internet]. 2022, 9. Disponível em: https://www.proadess.icict.fiocruz.br/Boletim_n9_PROADESS_ICSAP_out2022.pdf

Oliveira RG de, Cunha AP da, Gadelha AG dos S, Carpio CG, Oliveira RB de, Corrêa RM. Desigualdades raciais e a morte como horizonte: considerações sobre a COVID-19 e o racismo estrutural. Cad Saúde Pública [Internet]. 2020; 36(9). Available from: https://doi.org/10.1590/0102-311X00150120

Ribeiro EG, Pinheiro PC, Nascimento BR, Cacique JPP, Teixeira RA, Nascimento J de S, et al. Impact of the COVID-19 pandemic on hospital admissions for cardiovascular diseases in a large Brazilian urban center. Rev Soc Bras Med Trop [Internet]. 2022;55:e0264–2021. Available from: https://doi.org/10.1590/0037-8682-0264-2021

Publicado

2025-10-28

Como Citar

Brasil, V. P., Ferigollo, J. P., Amadigi, F., & Nedel, F. B. (2025). Impacto da COVID-19 na Atenção Primária à Saúde e suas Condições Sensíveis: Revisão de Escopo. Saúde Coletiva (Barueri), 16(101), 17732–17745. https://doi.org/10.36489/saudecoletiva.2025v16i101p17732-17745

Edição

Seção

Revisão de Literatura