2006
DOI: 10.1590/s0034-89102006000200015
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Abstract: OBJECTIVE:To identify type of service, frequency, and individual patient determinants associated with diagnostic test ordering in medical appointments. METHODS:A population-based study included 3,100 adults aged 20 years or older, living in the city of Pelotas, Southern Brazil. Sampling was carried out in multiple stages. Information were collected by means of a questionnaire, administered between October and December 2003. Multivariate analyses were carried out using Poisson Regression, based on a conceptual … Show more

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Cited by 13 publications
(13 citation statements)
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“…Fieldwork took place between October and December 2003, using methods described in a previous publication. 4 In order to determine the prevalence of medical appointments in the studied period, it would be necessary to interview 2.873 subjects. Sampling was carried out in multiple stages, and was based on the latest Brazilian populational census, conducted in 2000 by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute for Geography and Statistics -IBGE).…”
Section: Methodsmentioning
confidence: 99%
“…Fieldwork took place between October and December 2003, using methods described in a previous publication. 4 In order to determine the prevalence of medical appointments in the studied period, it would be necessary to interview 2.873 subjects. Sampling was carried out in multiple stages, and was based on the latest Brazilian populational census, conducted in 2000 by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute for Geography and Statistics -IBGE).…”
Section: Methodsmentioning
confidence: 99%
“…Lembrando que devido ao fato de que vários exames possam dar resultados falso-positivo ou falso-negativo, alguns diagnósticos podem ser feitos de forma equivocada 2,3,4,6 . Ademais, o exagero no número e indicação dos estudos de diagnóstico por imagem possui outros riscos que devem ser levados em consideração, como: custo financeiro para o paciente e para o sistema; ansiedade do paciente devido à um possível resultado ruim; e um "congestionamento" nos laboratórios em consequência do desbalanço entre a demanda e a capacidade de realização dos exames 5,8 . Dados nacionais do SUS mostraram que no Brasil, 52% a 76% das consultas terminam com a solicitação de exames, sendo que estes pedidos ocorrem principalmente na rotina de pronto-socorro, seguido dos ambulatórios de hospitais e faculdades, indicando maior complexidade desses locais na atenção à saúde 8 .…”
Section: Introductionunclassified
“…No estudo de Borém et al 2 é feita uma análise comparativa entre profissionais que atuam na APS e outros no serviço de Urgência. Embora os resultados evidenciem deficiências notórias acerca do conhecimento de ambos os grupos médicos em relação à indicação correta e noções básicas sobre os exames complementares, os melhores resultados foram obtidos entre os profissionais da APS, com uma superioridade 1,82 vezes no seu desempenho 2,8 . É necessário rever alguns critérios que o médico ou estudante de medicina considera no momento de solicitar algum exame de imagem.…”
Section: Introductionunclassified
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“…Because of its guiding principles (10) , primary health care (PHC), primarily represented by family doctors, has been considered an important way to prevent the indiscriminate utilization of complementary exams (9) . Family doctors, among all physicians, are pointed out in the international literature as those who generate the lowest costs with complementary (11) .…”
Section: Introductionmentioning
confidence: 99%