Association of the frequent users profile with the characteristics of using an emergency service
DOI:
https://doi.org/10.5935/1415-2762.20180001Keywords:
Emergency Service, Hospital, Health Services Misuse, Health Services Needs and DemandAbstract
Objective: to characterize the profile and outpatient care of frequent users of an emergency service, and to associate the sociodemographic and
clinical patterns of users with the purpose of the emergency service. Method: Retrospective analysis and analytical examination performed at the
Emergency Department of a university hospital, located in the city of São Paulo. Were used Patient records who sought emergency care at least four
times in a twelve-month period, from September 2013 to August 2014. Results: Included 480 patient records (2,808 visits). The mean number of visits
was 5.85, and the sample ranged from 4 to 28 visits. 44.4% of the patients were classified as green after a risk classification, 13.1% as orange and 8.1%
as red, and the majority of these visits were performed on Mondays. 69.1% had the outcome of hospital discharge. Non-urgency visits predominated.
Conclusion: Emergency services can develop strategies together with Basic Health Units that facilitate case management to fully meet users needs
at the appropriate level of care, implementing a system flow and counter flow of patients.
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