DEMAND ANALYSIS IN FLORIANOPOLIS PRIMARY HEALTHCARE CONTEXT

Introduction and Objective: Accsess is one of the essential attributes of primary healthcare (PHC). In Brazilian’s PHC forums the debate of this attribute has been recurrent. A major focus is its reorganization, regarding the change from a traditional model (vertical and programmatic), for one that prioritizes same-day appointments. In the evaluation of access it is important to conduct the demand analysis, which may be qualitative or quantitative. The aim of this study was to perform a quantitative demand analysis of the 49 healthcare centers (HCs) of Florianópolis, during the year 2015, with the specific objective to ascertain the following variables: provider visits per day (PV), visits per inhabitant per year (VI), visits per patient per year (VP) and utilization rate (UR). Method: This is a cross-sectional study, which used the medical consultations data, from the electronic medical record database, in addition to population estimates of each HC. Results and Conclusions: In the analysis of PV, the average number of visits was 16.8 (9.9 to 24.6). With regard to VI and VP the average was 1.14 (0.24 to 3.08) and 2.72 visits (1.8 to 3.91), respectively. The average UR was 41.2% of the population (4.3% to 91.0%). The study showed great variability in indicators of performed medical consultations, with marked workload inequity between professionals and access of the enrolled population between the different HCs analyzed. It is expected that it can contribute to the management of access and health human resources of the different PHC realities in the city.