Indicadores de desempenho do Sistema Único de Saúde: uma análise de tendência

Abstract

Objective: To analyze the temporal trend of health services performance indicators. Methods: This is a quantitative ecological study of time series. We analyzed health services performance indicators in the regions belonging to the III Macro-region of the state of Pernambuco, namely Arcoverde (VI), Afogados da Ingazeira (X) and Serra Talhada (XI), in the period from 2008 to 2017. Simple linear regression was performed in the R software version 3.5.0. The indicators analyzed represent the dimensions of effectiveness, access, adequacy and acceptability of the model for assessment of the performance of the Brazilian health system. Results: An increasing trend was observed in the percentage of diabetic users who underwent lower limb amputation in the X and XI region, incidence of tuberculosis in the VI region, new cases of congenital syphilis, coverage of the Family Health Strategy, percentage of patients with stroke who underwent computed tomography, live births with more than 6 prenatal consultations, and cesarean deliveries in the VI, X and XI health regions (p<0.05). There was a decrease in hospitalizations for asthma and gastroenteritis in the three regions and in hospitalizations for conditions sensitive to primary care and for heart failure in the X and XI regions (p<0.05). Conclusion: The analysis of the performance indicators showed heterogeneous trends. The decrease in hospitalizations due to preventable conditions and the increase in the incidence of tuberculosis in the VI region and congenital syphilis in the three health regions should be highlighted.