Please use this identifier to cite or link to this item:
Title: A Reappraisal in Sao Paulo, Brazil (2008) of ""The Ecology of Medical Care:"" The ""One Per Thousand's Rule""
Authors: RONCOLETTA, AdrianaGUSSO, Gustavo D.BENSENOR, Isabela M.LOTUFO, Paulo A.
Citation: FAMILY MEDICINE, v.44, n.4, p.247-251, 2012
Abstract: BACKGROUND AND OBJECTIVES: Medical ecology is a conceptual framework introduced in 1961 to describe the relationship and utilization of health care services by a given population. We applied this conception to individuals enrolled in a private health maintenance organization (HMO) in Sao Paulo, Brazil, with the aim of describing the utilization of primary health care, verifying the frequency of various symptoms, and identifying the roles of different health care sources. METHODS: This was a cross-sectional telephone survey among a random sample of people enrolled in a private HMO. We interviewed a random sample of non-pregnant adults over age 18 using 10 questions about symptoms and health care use during the month prior to interview. RESULTS: The final sample consisted of 1,065 participants (mean age 68 years, 68% female). From this sample, 424 (39.8%) reported the presence of symptoms, 311 (29.2%) had a medical office consult, 104 (9.8%) went directly to an emergency medical department, 63 (5.9%) were hospitalized, 22 (2.1%) used complementary medicine resources, seven (0.7%) were referred to home care, and one (0.1%) was admitted to an academic hospital. CONCLUSIONS: The proportion of study participants referred to an academic care center was similar to that observed in previous ""medical ecology"" studies in different populations.
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MCM
Departamento de Clínica Médica - FM/MCM

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

Files in This Item:
File Description SizeFormat 
art_RONCOLETTA_A_Reappraisal_in_Sao_Paulo_Brazil_(2008)_of_2012.PDFpublishedVersion (English)224.55 kBAdobe PDFThumbnail

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.