The most common reasons for health encounters in a community assisted by a health team in Fortaleza, Ceará

Authors

  • Karina de Paula Bastos Santos Sistema Municipal Saúde Escola. Fortaleza, CE
  • Marco Túlio Aguiar Mourão Ribeiro Escola de Saúde Pública do Ceará. Fortaleza, CE

DOI:

https://doi.org/10.5712/rbmfc10(37)831

Keywords:

Primary Health Care, Disease Classification, Medical Records

Abstract

Objective: the aim of this study was to establish the main reasons for engaging in consultations with a health team in Fortaleza, Ceará. Methods: the data were collected from medical records covering the first semester of 2012. They were extracted from a secondary database, coded using ICPC, and then entered into an Excel spreadsheet. Results: there were 1,044 different encounters recorded, 68% with female patients and 32% with males. Most of the patients were between 20 and 39 years old. There were 1,985 reasons for encounters, the most common of which were categorized as General and Unspecified, Respiratory, Digestive, Musculoskeletal, and Cardiovascular. The main 30 reasons for encounters accounted for 51.49% of the total number. People raised a great number of demands, most of which related to the program. Conclusion: the ICPC2 program helped to precisely evaluate patients’ demands. Therefore, this study showed that the program was a tool by which the health team could take care of people through capacitation, managing the clinic, and developing actions for the individuals and community to face issues that arise ive, Musculoskeletal, and Cardiovascular. The main 30 reasons for encounters accounted for 51.49% of the total number. People raised a great number of demands, most of which related to the program. Conclusion: the ICPC2 program helped to precisely evaluate patients’ demands. Therefore, this study showed that the program was a tool by which the health team could take care of people through capacitation, managing the clinic, and developing actions for the individuals and community to face issues that arise.

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Author Biographies

Karina de Paula Bastos Santos, Sistema Municipal Saúde Escola. Fortaleza, CE

Sou médica de família, fiz residência no PRMMFC pela Prefeitura de Fortaleza e atualmente trabalho em Florianópolis, num centro de saude.

Marco Túlio Aguiar Mourão Ribeiro, Escola de Saúde Pública do Ceará. Fortaleza, CE

Professor da Universidade Federal do Ceará e Diretor de pós-graduação em Saúde da Escola de Saúde Pública do Ceará. Exerce a preceptoria na Residencia de Medicina de Famíla e Comunidade do município de Fortaleza . 

References

Starfield B. Atenção Primária: equilíbrio entre necessidades de saúde, serviços e tecnologia. Brasília: UNESCO, Ministério da Saúde; 2002. 726p.

McWhinney IR, Freeman T. Manual de medicina de família e comunidade. 3a ed. Porto Alegre: Artmed; 2010. p.472.

Gusso GDF. Diagnóstico de demanda em Florianópolis utilizando a classificação internacional de atenção primária. 2a ed (CIAP 2) [Tese de doutorado]. São Paulo: Universidade de São Paulo; 2009. 212p.

Lamberts H, Meads S, Wood M. Classification of reasons why persons seek primary care: pilot study of a new system. Public Health Rep. 1984;99(6):597-605.

Soler JK, Okkes I, Wood M, Lamberts H. The coming of age of ICPC: celebrating the 21st birthday of the International Classification of Primary Care. Fam Pract. 2008;25(4):312-7. DOI: http://dx.doi.org/10.1093/fampra/cmn028 DOI: https://doi.org/10.1093/fampra/cmn028

Lebrão ML. Classificação internacional de motivos da consulta para atenção primária: testes em algumas áreas brasileiras. Rev Saúde Pública. 1985;19(1):69-78. DOI: http://dx.doi.org/10.1590/S0034-89101985000100008 DOI: https://doi.org/10.1590/S0034-89101985000100008

Landsberg GAP, Savassi LCM, Sousa AB, Freitas JMR, Nascimento JLS, Azagra R. Análise de demanda de Medicina de Família no Brasil utilizando a Classificação Internacional de Atenção Primária. Ciênc Saúde Coletiva. 2012;17(11):3025-36. DOI: http://dx.doi.org/10.1590/S1413-81232012001100019 DOI: https://doi.org/10.1590/S1413-81232012001100019

Gusso GDF. Classificação Internacional de Atenção Primária (CIAP 2) [Tese de Doutorado]. São Paulo: Faculdade de Medicina da Universidade de São Paulo; 2009.

Pimentel IRS, Coelho BC, Lima JC, Ribeiro FG, Sampaio FPC, Pinheiro RP et al. Caracterização da demanda em uma Unidade de Saúde da Família. Rev Bras Med Fam. 2011;6(20):175-81. DOI: http://dx.doi.org/10.5712/rbmfc6(20)95 DOI: https://doi.org/10.5712/rbmfc6(20)95

Okkes IM, Polderman GO, Fryer GE, Yamada T, Bujak M, Oskam SK, et al. The role of family practice in different health care systems: a comparison of reasons for encounter, diagnoses, and interventions in primary care populations in the Netherlands, Japan, Poland, and the United States. J Fam Pract. 2002;51(1):72-3. http://www.jfponline.com/pages.asp?aid=1085.

Wun Y, Lu X, Liang W, Dickinson J. The work by the developing primary care team in China: a survey in two cities. Fam Pract. 2000;17(1):10-5. DOI: http://dx.doi.org/10.1093/fampra/17.1.10 DOI: https://doi.org/10.1093/fampra/17.1.10

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Saúde Sexual e Saúde Reprodutiva. Cadernos de Atenção Básica número 26. Brasília; 2010.

Mash B, Fairall L, Adejayan O, Ikpefan O, Kumari J, Mathee S, et al. A morbidity survey of South African primary care. PLoS One. 2012;7(3):e32358. DOI: http://dx.doi.org/10.1371/journal.pone.0032358 DOI: https://doi.org/10.1371/journal.pone.0032358

Moth G, Olesen F, Vedsted P. Reasons for encounter and disease patterns in Danish primary care: changes over 16 years. Scand J Prim Health Care. 2012;30(2):70-5. DOI: http://dx.doi.org/10.3109/02813432.2012.679230 DOI: https://doi.org/10.3109/02813432.2012.679230

Rosendal M, Vedsted P, Christensen KS, Moth G. Psychological and social problems in primary care patients - general practitioners’ assessment and classification. Scand J Prim Health Care. 2013;31(1):43-9. DOI: http://dx.doi.org/10.3109/02813432.2012.751688 DOI: https://doi.org/10.3109/02813432.2012.751688

Gusso GDF, Poli Neto P. Gestão da Clínica. In: Gusso GDP, Lopes JMC, eds. Tratado de medicina de família e comunidade: princípios, formação e prática. Porto Alegre: Artmed; 2012. p.159-66.

Published

2015-12-30

How to Cite

1.
Santos K de PB, Ribeiro MTAM. The most common reasons for health encounters in a community assisted by a health team in Fortaleza, Ceará. Rev Bras Med Fam Comunidade [Internet]. 2015 Dec. 30 [cited 2024 Jul. 3];10(37):1-11. Available from: https://rbmfc.org.br/rbmfc/article/view/831

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Section

Research Articles

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