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[巴西南部紧急医疗服务需求的特征]

[Characteristics of the emergency health service demand in Southern Brazil].

作者信息

Carret Maria Laura Vidal, Fassa Anaclaudia Gastal, Paniz Vera Maria Vieira, Soares Patrícia Carret

机构信息

Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, RS 96030-002.

出版信息

Cien Saude Colet. 2011;16 Suppl 1:1069-79. doi: 10.1590/s1413-81232011000700039.

Abstract

This study evaluated the demand of emergency health service. It was performed a descriptive analyses of 1647 adults that consulted at emergency public service of Pelotas, Brazil. Older subjects, non white skin color, lower schooling, without partner, and smokers presented higher prevalence of consultations at this service when compared with the general population. Individuals waited, on average, 15 minutes to have their consultations, exams were requested in more than 40% of the visits, and intravenous medication were administered in one third of the visits. Elderly waited longer before searching the service, but they had lowest awaiting time after arriving at emergency service and had higher percentage of regular doctor and social support. Elderly had more diagnosis related to circulatory system, while among the youngest, external causes were the most frequent. The low waiting average for consultation suggest this service provide an immediate care while the great number of ill-defined signs or symptoms indicate that the provided care is provisional. It is necessary to train emergency professionals to reduce the number of tests requested and to assure that either professional as the population is conscious about the importance of a continuity of care.

摘要

本研究评估了紧急医疗服务的需求。对在巴西佩洛塔斯市公共紧急服务部门就诊的1647名成年人进行了描述性分析。与普通人群相比,年龄较大的受试者、非白种肤色、受教育程度较低、没有伴侣以及吸烟者在该服务部门的就诊率较高。患者平均等待15分钟进行就诊,超过40%的就诊需要进行检查,三分之一的就诊需要静脉用药。老年人在寻求该服务之前等待的时间更长,但到达紧急服务部门后等待时间最短,并且有常规医生和社会支持的比例更高。老年人与循环系统相关的诊断更多,而最年轻的人群中,外部原因最为常见。咨询的平均等待时间较短表明该服务提供了即时护理,而大量不明症状或体征表明所提供的护理是临时的。有必要培训急救专业人员,以减少检查的数量,并确保专业人员和公众都意识到持续护理的重要性。

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