Morbidity in users of Family Health teams in the northeast of Minas Gerais based on the International Classification of Primary Care

Abstract

This study aimed to characterize the profile of morbidity among users of family health teams in the northeastern macroregion of Minas Gerais, Brazil. This is a cross-sectional population-based study, developed with the teams of the Family Health Strategy (FHS). It was conducted by data collection, using semi-structured questionnaires with specific instruments adjusted for three categories of professional teams of the FHS: physicians, nurses and community health agents (CHA). We used the International Classification of Primary Care, second edition (ICPC-2) to encode morbidity. Information was collected from 17,988 people, and 10,855 (60.3%) were females; 1,662 (9.2%) questionnaires were related to care by the physician; 2,530 (14.1%) were related to care by nurses and 13,796 (76.7%) corresponded to visits by and meetings with the CHA. The main health problems were: circulatory diseases (especially hypertension), musculoskeletal problems (especially back pain) and diseases of the digestive tract (especially intestinal parasites), which accounted for more than 40% of the medical consultations. Nonspecific complaints and visits related to women's health were the most prevalent in the care by nurses. In meetings with CHA, complaints about respiratory, musculoskeletal and cardiovascular diseases were the most pointed. The morbidity profile observed does not differ substantially from the results of other studies. Small differences can be attributed to regional particularities.

Main characteristics of patients of primary health care services in Brazil

“…The percentage of hypertension in people with 15 years of age or over was: 9% according to SIAB, in December 2015; among those over 17 years old, in PNS 2013 6 , 21%; in Vigitel 2014 14 , 25%; in PNAUM – Household Survey, 24%; and in PNAUM – Services, 39%. In the survey among patients of Family Health teams, in the northeast of Minas Gerais 21 , the main problem was related to circulatory system diseases, basically arterial hypertension. In Portugal 19 , arterial hypertension (non-aggravated) accounted for 6.4%.…”

Perfil sociodemográfico e qualidade de vida de mulheres com doenças cardiovasculares e respiratórias: estudo de base populacional

“…Na amostra de mulheres deste estudo, identificou-se que doenças crônicas cardiovasculares foram mais prevalentes que doenças crônicas respiratórias. Silva et al 9 objetivou caracterizar o perfil de morbidade referida por usuários das equipes de saúde da família na macrorregião nordeste de Minas Gerais. Eles encontraram porcentagens de morbidade referida no aparelho circulatório e respiratório de 37,1 e 25,4 para as mulheres, corroborando os dados encontrados neste estudo.…”

Aprimoramento do serviço de triagem por simulação realística na estratégia de saúde da família.

“…O presente estudo demonstrou que a principal demanda da CFNC é a troca de receitas, seguida pela cefaleia, hipertensão e febre. Esse perfil pode ser correlacionado com outras séries brasileiras 11,13,15 , nas quais a troca de receitas, cefaleia, febre, tosse e hipertensão arterial foram identificadas como temas centrais de vital importância no cotidiano da sala de triagem. Nesse sentido, as demandas nas variadas Clínicas da Família parecem seguir um arquétipo semelhante.…”