EXAM FLOW IN PRIMARY HEALTH CARE

INTRODUCTION: Strategic planning has a range of subject-actors in the act of planning and summons to the ongoing dialogue, with a view to collective questioning of actions in health services. Substancial aspect in this process is the quest for integration in order to overcome everyday management challenges. Such that the flow of test requests, for example, can become a parley object within an extended rationale. METHODS: Evaluate the requests for laboratory tests ordered between January and June of 2015, in a primary Healthcare facility in Rio de Janeiro in order to measure the number of requests contained in the Subsecretaria de Atenção Primária, vigilância e promoção à saúde (SUBPAV) guidelines with those outside of it. OUTCOMES In most months analyzed, tests ordered out of the basic guidelines is exceeded. In January, from the total of 2352 requests, 498 were outside of the protocol, which is 21%. In February, of 3515 applications, 47% did not belong to the protocols. In March 6266 tests were requested and in June, 6119, of which 56% and 62%, respectively, did not belong to the Protocols. CONCLUSION: The high number of laboratory tests outside of the basic protocol is indispensable to questioning of the issues involved in these results, which need to be interpreted carefully. The return to physicians and nurses, along with a permanent education work aimed at presentation of the SUBPAV protocols, will be relevant to discuss laboratory tests requests among the professionals who request them.