Community demand diagnosis in a area of Sao Paulo

B. Brunelli1, W.S. Brunelli2 1 UBS Luar do Sertão, UNASP, São Paulo, Brazil; 2 Centro de Parto, Hospital Municipal do Campo Limpo, São Paulo, Brazil

Although the International Classifi cation of Diseases (ICD) is the most used, to many researchers its applicability in primary health care is controversial (PHC), since there are common complaints which do not fi t in any of its chapters. Thus, a system was developed to count it: the International Classifi cation of Primary Care (ICPC). It makes possible the construction of a community demand diagnosis, a task essential to develop preventive vision and manage resources in order to ensure fairness. This study sought to build a community demand diagnosis: the main reasons for medical consultation and the main interventions proposed under the ICPC in an area of   São Paulo for a month. The average age of users was 34.57 years. 370 consultations were held, with an average of 1.41 motives and 2.30 intervention proposals for consultation. 87.03% had their problems solved at the level of PHC, with only 12.97% destined. Physiotherapy was the main destination with 12.50% of the total, followed by gynecology, general surgery and emergency clinics with 10.42% each. 158 reasons for consultation were found, 15 were most prevalent (50.29% of total). Hypertension was the most prevalent (10.86%), followed by without disease (8%) and pregnancy (4.95%). Through the diagnostic demand the healthcare team can better meet the needs of users, having data to guide their actions in the search for the proper management of resources.

Poster below in pdf file