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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSILVA, Adna Thaysa Marcial da
dc.contributor.authorMENEZES, Camila Lohmann
dc.contributor.authorSANTOS, Edige Felipe de Sousa
dc.contributor.authorMARGARIDO, Paulo Francisco Ramos
dc.contributor.authorSOARES JR., Jose Maria
dc.contributor.authorBARACAT, Edmund Chada
dc.contributor.authorABREU, Luiz Carlos de
dc.contributor.authorSORPRESO, Isabel Cristina Esposito
dc.identifier.citationBMC WOMENS HEALTH, v.18, article ID 8, 8p, 2018
dc.description.abstractBackground: The association between gynecological diagnoses and their distribution in the health sectors provides benefits in the field of women's health promotion and in medical and interdisciplinary education, along with rationalization according to level of care complexity. Thus, the objective is analyze the clinical-demographic characteristics, main diagnoses in gynecological ambulatory care, and their distribution in health services. Method: This is a research project of retrospective audit study design with a chart review of data from 428 women treated at University Ambulatory Clinic of Women's Health, the facility in gynecology and training for Family and Community Medical Residents, Sao Paulo, Brazil, from 2012 to 2014. Clinical and demographic information, gynecological diagnoses (International Classification of Diseases), and distribution of health services (primary, secondary, and tertiary) were described. Results: The female patients present non-inflammatory disorders of the female genital tract (81.07%, n = 347) and diseases of the urinary system (22.66%, n = 97) among the gynecological diagnoses. The chances of having benign breast disease and non-inflammatory disorders of the female genital tract during the reproductive period corresponds to being 3.61 (CI 1.00-16.29) and 2.56 times (CI 1.58-4.16) higher, respectively, than during the non-reproductive period. The noninflammatory disorders of the female genital tract (93.33%, n = 28) are most related to the tertiary sector. The distribution in health services was the following: 71.30% (n = 305) in the primary sector, 21.70% (n = 93) in the secondary sector and 7% (n = 30) in the tertiary sector. Conclusion: The studied women presented non-inflammatory disorders of the female genital tract and diseases of the urinary system as determined by gynecological diagnoses. Low-assistance complexity followed in most cases.
dc.relation.ispartofBMC Womens Health
dc.subjectAmbulatory care
dc.subjectHealth services use
dc.subjectWomen's health
dc.subjectHealth care levels
dc.subject.otherincreased menstrual loss
dc.subject.otherwomens health
dc.titleReferral gynecological ambulatory clinic: principal diagnosis and distribution in health services
dc.rights.holderCopyright BIOMED CENTRAL LTD
dc.subject.wosPublic, Environmental & Occupational Health
dc.subject.wosObstetrics & Gynecology
dc.type.categoryoriginal article
dc.type.versionpublishedVersion, Edige Felipe de Sousa:ABC Med Sch, Lab Study Design & Sci Writing, Sao Paulo, SP, Brazil, Luiz Carlos de:ABC Med Sch, Lab Study Design & Sci Writing, Sao Paulo, SP, Brazil
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Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MOG
Departamento de Obstetrícia e Ginecologia - FM/MOG

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - HU
Hospital Universitário - HU

Artigos e Materiais de Revistas Científicas - LIM/58
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular

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