Prediction of house calls in primary care
a time series approach using the ARIMA model
DOI:
https://doi.org/10.5712/rbmfc17(44)3012Keywords:
Needs Assessment, Primary Health Care, House Calls, Forecasting.Abstract
Introduction: A new profile of demand for Brazil's public healthcare – Sistema Único de Saúde (SUS), is expected in the coming years, due to population-aging and increased prevalence of chronic diseases. Thus, it is necessary to use tools for planning the responsiveness of health services. Models for time series analysis such as the AutoRegressive Integrated Moving Average (ARIMA), can be useful. Objective: The aim of the study is to estimate the demand for home visits in Primary Health Care (PHC) of SUS, in Florianópolis (SC). Methods: Ecological study of time series using ARIMA for projections. Home visits carried out by the PHC, recorded in the electronic medical record of the Municipal Health Department, from January 2015 to February 2019 were used. Results: The forecast points to a maximum of 702 visits in August 2019, followed by a drop to 573 visits in December 2019, and subsequent recovery, with an estimate of 632 for October 2020. The forecast for each Health Center indicated variations in demand between units with the same number of Family Health Teams, between 11.3 to 1.3 visits/FHT, in the 20th month. Conclusions: ARIMA made it possible to carry out projections of home visits in the municipality, indicating a drop in the demand for home visits. The method can be of great value for the projection of other demands in the same municipality or in other municipalities that have historical series data. Future studies can expand the analysis in this regard, as well as compare ARIMA with models such as exponential smoothing.
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Mendes ACG, Sá DA, Miranda GMD, Lyra TM, Tavares RAW. Assistência pública de saúde no contexto da transição demográfica brasileira: exigências atuais e futuras. Cad Saúde Pública 2012;28(5):955-64. https://doi.org/10.1590/S0102-311X2012000500014 DOI: https://doi.org/10.1590/S0102-311X2012000500014
Rede Interagencial de Informações para a Saúde. Demografia e saúde: contribuição para análise de situação e tendências. Brasília: Organização Pan-Americana da Saúde; 2009.
Tarricone R, Tsouros AD. The solid facts: home care in Europe. Italy: World Health Organization; 2008.
Starfield B. Atenção primária: equilíbrio entre necessidades de saúde, serviços e tecnologia. Brasília : UNESCO, Ministério da Saúde; 2002.
Brasil. Ministério da Saúde. Secretaria-Executiva. Departamento de Monitoramento e Avaliação do SUS. Planejamento estratégico do Ministério da Saúde: 2011-2015: resultados e perspectivas. Brasília: Editora do Ministério da Saúde; 2013.
Totten AM, White-Chu EF, Wasson N, Morgan E, Kansagara D, Davis-O’Reilly C, et al. Home-based primary care interventions. Rockville: Agency for Healthcare Research and Quality. [Internet]. 2016 [acessado em 4 nov. 2019]. Disponível em: https://effectivehealthcare.ahrq.gov/products/home-based-care/research
De Jonge KE, Jamshed N, Gilden D, Kubisiak J, Bruce SR, Taler G. Effects of home-based primary care on Medicare costs in high-risk elders. J Am Geriatr Soc 2014;62(10):1825-31. https://doi.org/10.1111/jgs.12974 DOI: https://doi.org/10.1111/jgs.12974
Ornstein K, Wajnberg A, Kaye-Kauderer H, Winkel G, DeCherrie L, Zhang M, et al. Reduction in symptoms for homebound patients receiving home-based primary and palliative care. J Palliat Med 2013;16(9):1048-54. https://doi.org/10.1089/jpm.2012.0546 DOI: https://doi.org/10.1089/jpm.2012.0546
Unwin BK, Tatum 3rd PE. House calls. Am Fam Physician 2011;83(8):925-38. PMID: 21524032
Savassi LCM. Os atuais desafios da Atenção Domiciliar na Atenção Primária à Saúde: uma análise na perspectiva do Sistema Único de Saúde. Rev Bras Med Fam Comunidade 2016;11(38):1-12. http://orcid.org/0000-0001-6780-0377 DOI: https://doi.org/10.5712/rbmfc11(38)1259
Savassi LCM, Carvalho HRO, Mariano FM, Lamberti CA, Mendonça MF, Yamana GF, et al. Proposta de protocolo de classificação de risco para o atendimento domiciliar individual na atenção primária. J Manag Prim Health Care 2012;3(2):151-7. https://doi.org/10.14295/jmphc.v3i2.153 DOI: https://doi.org/10.14295/jmphc.v3i2.153
Coelho FLG, Savassi LCM. Aplicação de escala de risco familiar como instrumento de priorização das visitas domiciliares. Rev Bras Med Fam Comunidade 2004;1(2):19-26. https://doi.org/10.5712/rbmfc1(2)104 DOI: https://doi.org/10.5712/rbmfc1(2)104
Alves LC, Andrade PG, Maria PF, Pereira ACR, Marins RL, Brusse GPL, et al. Uma proposta de utilização do software R para a construção de algoritmos de avaliação da qualidade da declaração da idade. Campinas: Núcleo de Estudos de População “Elza Berquó” Unicamp; 2016.
Soyiri IN, Reidpath DD. Evolving forecasting classifications and applications in health forecasting. Int J Gen Med 2012;5:381-9. https://doi.org/10.2147/IJGM.S31079 DOI: https://doi.org/10.2147/IJGM.S31079
Soyiri IN, Reidpath DD. An overview of health forecasting. Environ Health Prev Med 2013;18(1):1-9. https://doi.org/10.1007/s12199-012-0294-6 DOI: https://doi.org/10.1007/s12199-012-0294-6
Box GEP, Jenkins GM, Reinsel GC, Ljung GM. Time series analysis: forecasting and control. 5th ed. New Jersey: John Wiley & Sons; 2015.
Após 19 dias, termina greve dos servidores de Florianópolis [Internet]. G1 Santa Catarina; 2015 [acessado em 4 out. 2020]. Disponível em: http://g1.globo.com/sc/santa-catarina/noticia/2015/06/apos-19-dias-termina-greve-dos-servidores-de-florianopolis.html
Greve de servidores de Florianópolis encerra após 17 dias [Internet]. G1 Santa Catarina; 2016 [acessado em 4 out. 2020]. Disponível em: http://g1.globo.com/sc/santa-catarina/noticia/2016/03/greve-de-servidores-de-florianopolis-encerra-apos-17-dias.html
Após 38 dias, servidores decidem encerrar greve em Florianópolis [Internet]. G1 Santa Catarina; 2017 [acessado em 4 out. 2020]. Disponível em: http://g1.globo.com/sc/santa-catarina/noticia/2017/02/apos-38-dias-servidores-decidem-encerrar-greve-em-florianopolis.html
Prefeitura e sindicato assinam acordo para pôr fim à greve dos servidores da Capital [Internet]. ND+; 2018 [acessado em 4 out. 2020]. Disponível em: https://ndmais.com.br/noticias/prefeitura-e-sindicato-assinam-acordo-para-por-fim-a-greve-dos-servidores-da-capital/
Hyndman RJ, Athanasopoulos G. Forecasting: principles and practice [Internet]. Austrália: Monash University; 2021 [acessado em 16 set. 2020]. Disponível em: https://Otexts.com/fpp3/
Peres EM, Andrade AM, Dal Poz MR, Grande NR. The practice of physicians and nurses in the Brazilian Family Health Programme – evidences of change in the delivery health care model. Hum Resour Health 2006;4:25. https://doi.org/10.1186/1478-4491-4-25 DOI: https://doi.org/10.1186/1478-4491-4-25
Gusso GDF. Diagnóstico de demanda em Florianópolis utilizando a Classificação Internacional de Atenção Primária: 2a edição (CIAP-2) [dissertação de mestrado]. São Paulo: Faculdade de Medicina da Universidade de São Paulo; 2009. [Internet]. [acessado em 4 nov. de 2019]. Disponível em: https://teses.usp.br/teses/disponiveis/5/5159/tde-08032010-164025/publico/GustavoGusso.pdf
Secretaria Municipal de Saúde de Florianópolis. Relatório anual de gestão 2018 [Internet]. Florianópolis: Prefeitura de Florianópolis; 2019 [acessado em 24 jan. 2021]. Disponível em: http://www.pmf.sc.gov.br/arquivos/arquivos/pdf/22_04_2020_15.34.48.bff1178f060e36cf7fbbd2db3e202227.pdf
Mueller Y, David S, Cohidon C, Locatelli I, Senn N. Home visits made by general practitioners in the canton of Vaud between 2006 and 2015. Swiss Med Wkly 2019;149:w20037. https://doi.org/10.4414/smw.2019.20037 DOI: https://doi.org/10.4414/smw.2019.20037
Seah JY. Barriers to making house calls by primary care physicians and solutions: a literature review. Malays Fam Physician 2020;15(3):3-9. PMID: 33329858
Totten AM, Womack DM, Eden KB, McDonagh MS, Griffin JC, Grusing S, et al. Telehealth: mapping the evidence for patient outcomes from systematic reviews [Internet]. Rockville: Agency for Healthcare Research and Quality (US); 2016. PMID: 27536752
Braga PP, Sena RR, Seixas CT, Castro EAB, Andrade AM, Silva YC. Oferta e demanda na atenção domiciliar em saúde. Ciênc Saúde Colet 2016;21(3):903-12. https://doi.org/10.1590/1413-81232015213.11382015 DOI: https://doi.org/10.1590/1413-81232015213.11382015
Kojima N, Klausner JD. Virtual House calls: telemedicine and reforming the health care delivery model with strategies implemented in a novel coronavirus pandemic. J Gen Intern Med 2020;35(7):2243. https://doi.org/10.1007%2Fs11606-020-05867-2 DOI: https://doi.org/10.1007/s11606-020-05867-2
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