PROFILE OF USERS OF AMBULATORY AND HOSPITAL SERVICES

Autores

  • Flávio Alberto Oliva Universidade do Oeste Paulista
  • Maria Lúcia Ribeiro Universidade de Araraquara - Uniara
  • Marina Armelin Silva Universidade do Oeste Paulista - Unoeste
  • Marjori Leiva Camparoto Universidade do Oeste Paulista - Unoeste
  • Telma Reginato Martins Universidade do Oeste Paulista - Unoeste

Resumo

The goal of this study was to understand the gender and age profile of the users of ambulatory services at public hospital. Gender and age are fundamental elements for the construction of public policies at local and regional level. We performed a 3-year retrospective data collection, regarding age and gender of the population of the outpatient clinic of the public hospital between 2013 and 2015. It is a research with quantitative approach performed through three databases from january 2013 to December 2015 totaling 460.505 consultations. The database of the public hospital was adopted as the primary source, it was also consulted the database of the last two censuses of the Brazilian Institute of Geography and Statistics (IBGE) and the database of the Regional Health Division. The cross-checking of data, through Microsoft Excel and the Online Analytical Processing (OLAP) software, allowed the construction of a graph structured by gender and age according to the standards defined by IBGE on 2010, as well as the comparison between age and gender profile of the total population attended by public hospital and its consultations. The female audience represents 60.5% of the attendances, while the male population accounts for 39.5%. Only in the age groups between 0 and 14 and 85 to 89 years the male audience is larger. The difference in care is accentuated in the middle of the pyramid, in the ranges between 30 and 69 years, during which time women are responsible for 65.5% of the attendances against 34.5% of men. Such gender proportional differences are maintained on the total population, the only significant variation is on the age group from 80 and older where although there is a female majority of users, there is also a larger female majority on the population. Studies show that women make more references to health problems than men, as these represent, according to the male imagination, virility and strength, not representing vulnerability to the disease. Men do not recognize themselves as targets of health care and they are less likely to seek health services for cultural reasons, mainly, opening space for discussion about social inequalities in health between men and women.

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Referências

Escrivão Júnior A. A epidemiologia e o processo de assistência à saúde. In: Neto GV, Malik AM. Gestão em saúde. Rio de Janeiro: Guanabara Koogan; 2012. p.115.

Lefebvre H. Lógica formal, lógica dialética. 2.ed. Rio de Janeiro: Civilização Brasileira; 1995.

Bourdieu P. O poder simbólico. 12.ed. Rio de Janeiro: Bertrand Brasil; 2009.

Oliveira GN, Silva MFN, Araújo IEM, Carvalho Filho MA. Perfil da população atendida em uma unidade de emergência referenciada. Rev Latino-Am Enferm. 2011;19(3):1-9.

Silva FA, Romagna ES, Silva MCA. Perfil dos pacientes adultos atendidos em ambulatório de reumatologia em um hospital geral em Porto Alegre-RS. Rev AMRIGS. 2009; 53:257-60.

Basch PF. Textbook of international health. 6.ed. New York: Oxford University Press; 2012.

Mendes IAC. Desenvolvimento e saúde: a declaração de Alma-Ata e movimentos posteriores. Rev Latino-Am Enferm. 2004;12(3):447-8. DOI: https://doi.org/10.1590/S0104-11692004000300001

Gilpin M. Update Cuba: On the road to a family medicine nation. J Public Health Policy. 2010; 12:183-203.

Franco CM, Franco TB. Linhas do cuidado integral: uma proposta de organização da rede de saúde. 2016. Acesso em 20 Fev 2017. Disponível em: http://www.saude.sp.gov.br/resources/humanizacao/homepage/acesso-rapido/formacao-tecnica-em-acolhimento-na-atencao-basica/passo_a_passo_linha_de_cuidado.pdf

Gomes R, Nascimento EF, Araújo FC. Por que os homens buscam menos os serviços de saúde do que as mulheres? As explicações de homens com baixa escolaridade e homens com ensino superior. Cad Saúde Pública. 2007;23(3):565-74. https://doi.org/10.1590/S0102-311X2007000300015

Coelho MO, Jorge MSB. Tecnologia das relações como dispositivo do atendimento humanizado na atenção básica à saúde na perspectiva do acesso, do acolhimento e do vínculo. Ciên Saúde Coletiva. 2009;14(Suppl1):1523-31. https://doi.org/10.1590/S1413-81232009000800026

Merhy EE. Saúde: a cartografia do trabalho vivo. Cad Saúde Pública. 2008;24(8):1953-5. https://doi.org/10.1590/S0102-311X2008000800023

Berg F, Faria AJA, Rosa JRM, Ramos MCA, Santos MW, Sousa MB, Pinto RM, Picoli RP. Desenvolvimento de metodologia para análise de serviços ambulatoriais em um hospital de ensino de alta complexidade. RAS. 2012;14(57):143-50.

IBGE. Censo 2010. Acesso em 05 Ago 2018. Disponível em: https://ww2.ibge.gov.br/home.estatistica/populacao/indic_sociosaude/2009/default.shtm

IBGE. Estimativas populacionais enviadas para o TCU, estratificadas por idade e sexo pelo MS/SGEP/Datasus. Brasília: IBGE; 2011-2012. Acesso em 24 Nov 2017. Disponível em: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?ibge/cnv/popbr.def

Ministério da Saúde (Brasil), Secretaria de atenção à saúde, Departamento de ações programáticas estratégicas. Política nacional de atenção integral à saúde da mulher: princípios e diretrizes: Ministério da Saúde; 2004. 79p.

Rochedo MPRR, Guedes MAB. Perfil dos pacientes do ambulatório de clínica médica. Estudo preliminar. Rev Bras Clin. Med. 2010;8:33-36.

Keijzer B. Hasta donde el cuerpo aguante: género, cuerpo y salud masculina. In: Cáceres CF. et al. (Ed.) La salud como derecho ciudadano: perspectivas y propuestas desde América Latina. Lima: Universidad Peruana Cayetano Heredia; 2014. p.137-52.

Welzer-Lang D. A construção do masculino: dominação das mulheres e homofobia. Rev Estudos Feministas. 2001;9(2):460-82. https://doi.org/10.1590/S0104-026X2001000200008

Gomez D, Haas B, Mestral C, et al. Gender-associated diferences in access to trauma center care: a population-based analysis. Surgery. 2012;152:179-85. https://doi.org/10.1016/j.surg.2012.04.006

Leung Yinko SS, Pelletier R, Behlouli H, Norris CM, Humphries KH, Pilote L. Health‐related quality of life in premature acute coronary syndrome: does patient sex or gender really matter? J Am Heart Assoc. 2014;3(4):e000901. https://doi.org/10.1161/JAHA.114.000901

Hansen AH, Hoye A. Gender differences in the use of psychiatric outpatient specialist services in tromso, Norway are dependent on age: a population-based cross-sectional survey. BMC Health Serv Res. 2015;15:477. https://doi.org/10.1186/s12913-015-1146-z

Bean-Mayberry BA, Chang CCH, Neil MA, Whittle J, Hayes PM, Hudson Scholle S. Patient satisfaction in women´s clinics versus traditional primary care clinics in the veterans administration. J Gen Intern Med. 2003;18:175-81. https://doi.org/10.1046/j.1525-1497.2003.20512.x

Case AC, Paxson C. Sex differences in morbidity and mortality. Demography. 2005; 42(2):189-214. https://doi.org/10.1353/dem.2005.0011

Kramer HU, Ruter G. Schottker B, Rothenbacher D, Rosemann T, Szcsenyi J, Brenner H, Raum E. Gender differences in healthcare utilization of patients with diabetes. Am J Management Care. 2012;18(7):362-9.

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Publicado

2020-09-17

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PROFILE OF USERS OF AMBULATORY AND HOSPITAL SERVICES. (2020). Colloquium Vitae. ISSN: 1984-6436, 12(2), 70-79. https://journal.unoeste.br/index.php/cv/article/view/3362