PROFILE STUDY OF SPONTANEOUS DEMAND IN THE CLINIC OF FAMILY

This study evaluates the resoluteness of care at the primary care unity, with 5 Family Health teams, in Rio de Janeiro in spontaneous demand for services provided to patients who are treated in this clinic in 2014. Objectives: to quantify the health problems most prevalent in the spontaneous demand service; analyze the resoluteness of care provided by professionals; and contribute with proposals for strategies to reorganize the clinic for better qualification of health intervention. The study was based on the profile of patients of spontaneous demand, the most prevalent health problems and its solutions provided by the professionals. Patients are first welcomed by nurses, evaluating the clinical symptoms with guidance to the patient or to schedule a medical appointment for emergency treatment or consultation scheduled. Spontaneous demand reports an average of 26 calls per day. There is a greater afternoon service number (54%) than the demand in the morning (46%). There is a difference between male and female demand, which may reflect cultural issues. It is known that many men still have fear or difficulties to seek medical assistance, hence the importance of the link between the team and the community and permanent contact with the families and with the communitarian agents. The highest prevalence was of signs and symptoms related to respiratory and gastrointestinal disorders. In addition to these complaints, there were also episodes of hypertensive peak, chest pain, metabolic decompensation and other health problems that had no significant quantitative expression. This shows the greatest need to develop plans and strategies to meet this demand.