DEMAND PROFILE OF USERS OF CLINICAL FAMILY AND UPA IN THE AREA WITH 100% COVERAGE OF PRIMARY CARE

Introduction: The Family Clinic (CF) has the role of offering shares and primary services, with the preferred gateway to the national health service. The Emergency Care Units (UPA) are defined as units of intermediate acting between primary care and hospital network, and should form a network with these articulated attention to the emergency room. However, in areas where coverage family health reaches the entire population, overlapping activities between these two modes of supply of services may occur. Objectives: To assess the demand profile of the users of CF Maria do Socorro Silva e Souza and UPA located in Rocinha in Rio de Janeiro and compare the satisfaction of the trainees in these units. Methods: This is a cross-sectional, quantitative study with structured interviews with users. We used a convenience sample consisting of 248 users who were waiting in the waiting room in 3 different shifts of care, 62 of the CF and 86 of UPA. Results: There was a predominance of females in both CF and in UPA (80.2% and 69.8%) and aged 20-39 years (45.5% and 58.1%). 88.3% of users of CF and 47.7% of the UPA, the team knows they belong. Reports of home visits by ACS and physician / nurse was respectively 78.4% and 59.9% in CF and 45.4% and 43.0% in the UPA. Two-thirds of users of CF are regulars unit with greater than or equal to 3 times use. Among the respondents of CF and UPA who have used both services (70.4% and 54.7%), was analyzed satisfaction with different aspects of service, most preferred the CF except in one respect. Conclusions: In both units the demand females predominate; UPA on demand male was a little bigger and younger. Not prevalence of urgent conditions that sobrepassariam resolving capacity of family health teams, existing shares substantial overlap between the two units was observed. In the interviewed population satisfaction was higher with CF than with the UPA.