Lima Ana Cláudia Medeiros Galvão de, Nichiata Lúcia Yasuko Izumi, Bonfim Daiana
Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação, São Paulo, SP, Brazil.
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2019 Jan 31;53:e03414. doi: 10.1590/S1980-220X2017042103414.
To describe emergency department visits for ambulatory care sensitive conditions.
Exploratory, descriptive, ecological, quantitative study. From January 2015 to December 2016, was accessed the database with information of visits performed in an emergency department located in the region of Campo Limpo, municipality of São Paulo. A 99% confidence interval was considered for the incidence of visits with identification of ambulatory care sensitive conditions, and a margin of error of 0.4%. The analyzes were performed with use of the statistical package SPSS.
We found 434,883 visits, of which 17.1% were due to ambulatory care sensitive conditions, mostly of women and children up to 4 years of age. The reason for most visits were ear, nose and throat infections (45.4%). There was a higher chance of visits for the indicator in chronic patients (p<0.001).
This study demonstrated the emergency department ambulatory care sensitive conditions visits that may indicate poor access to primary care.
描述因可在门诊治疗的病症而前往急诊科就诊的情况。
探索性、描述性、生态学定量研究。2015年1月至2016年12月期间，访问了位于圣保罗市坎波林波地区的一家急诊科的就诊信息数据库。对于识别出可在门诊治疗的病症的就诊发生率，采用99%的置信区间，误差幅度为0.4%。使用统计软件包SPSS进行分析。
我们共发现434,883次就诊，其中17.1%是因可在门诊治疗的病症，患者大多为女性和4岁以下儿童。就诊的最主要原因是耳鼻喉感染（45.4%）。慢性病患者因该指标就诊的可能性更高（p<0.001）。
本研究表明，急诊科因可在门诊治疗的病症而就诊的情况可能表明初级保健可及性较差。
