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 model. A sub-study was also conducted based on the test requests received during one workday in all laboratories in the city processing requests from both the public and private sectors. RESULTS:Fifty-five percent of subjects reported having had medical appointments during the three-month period investigated. Of these, 60% reported more than one appointment, generating a total 4,167 appointments, most of which were paid for by health plans (38%). Diagnostic test were requested in 55% of appointments. Women and diabetic patients were more likely to have tests ordered. The greater the age (p<0.001) the higher the socioeconomic level (p=0.04), and the number of medical appointments (p<0.001), the greater the proportion of appointments leading to test requests. Mean waiting time between test request and sample collection was six days for the private sector and 21 days for the public sector (p<0.001). The mean number of tests per request was 4.4. CONCLUSIONS:The proportion of appointments leading to the request for some type of diagnostic test was in accordance with Brazilian recommendations. The waiting time before sample collection indicates an excessive number of tests per request and/or insufficient financial resources to fulfill the demand for tests.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Capilheira MF,Santos ISdoi
10.1590/s0034-89102006000200015subject
Has Abstractpub_date
2006-04-01 00:00:00pages
289-97issue
2eissn
0034-8910issn
1518-8787pii
S0034-89102006000200015journal_volume
40pub_type
杂志文章abstract：:A project concerned with the study of intra-urban health differentials in S. Paulo city, Brazil, is described. A brief outline of urban problems in the city is presented, followed by a review of the locally published literature on the subject of geographical differentials (stratification by socioeconomic status and en...
journal_title：Revista de saude publica
pub_type： 杂志文章,评审
doi：10.1590/s0034-89101994000400013
更新日期：1994-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the role of psychiatric disorders and alcohol dependence as possible risk factors for cocaine abuse/dependence. METHODS:The case-control study used the "snowball" technique in order to select untreated cocaine users (cases) and to match sex, age and friendship. Information was gathered using the ...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89101999000500007
更新日期：1999-10-01 00:00:00
abstract：OBJECTIVE:To analyze the profile of gross human rights violations, and the relationship between these violations and socioeconomic and demographic indicators. METHODS:Cross-sectional ecological study of 96 census districts of the city of São Paulo (Southeastern Brazil) in the year 2000. The data used came from the gro...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102009000300018
更新日期：2009-06-01 00:00:00
abstract：:Resting adults Culicidae were collected from January 1992 through January 1993 in several habitats of the Ribeira Valley region. The diversity of species found among them suggested that the vegetation remaining within human settlements favored the survival and the population increase of some mosquitoes. Among there ar...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89101993000600002
更新日期：1993-12-01 00:00:00
abstract：OBJECTIVE:To investigate how stressful life events and social support relate to central adiposity in Southern Brazil. METHODS:Data included information from 802 participants in the 1982 Pelotas Birth Cohort that was collect in 2004-2005 and 2006. Stratifying by sex, we studied self-reported stressful life events durin...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.11606/s1518-8787.2018052000161
更新日期：2018-01-01 00:00:00
abstract：:Consumption of trans fat has been proven to be harmful to human health. This lipid is found mainly in partially hydrogenated vegetable fat, which is widely used in processed foods. The aim of this study was to analyze official publications on maximum limits for consumption of trans fat and the regulations for its mand...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102012000500020
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To analyze the direct medical costs of HIV/AIDS in Portugal from the perspective of the National Health Service. METHODS:A retrospective analysis of medical records was conducted for 150 patients from five specialized centers in Portugal in 2008. Data on utilization of medical resources during 12 months and ...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-8910.2013047004598
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:to analyze the temporal trend, identify the factors related and elaborate a predictive model for unfavorable treatment outcomes for multidrug-resistant tuberculosis (MDR-TB). METHODS:Retrospective cohort study with all cases diagnosed with MDR-TB between the years 2006 and 2015 in the state of São Paulo. The...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.11606/s1518-8787.2019053001151
更新日期：2019-09-23 00:00:00
abstract：OBJECTIVE:To estimate the prevalence of the contraindicated use of oral contraceptives and the associated factors in Brazilian women. METHODS:20,454 women who answered the VIGITEL survey in 2008 also participated in this study, of which 3,985 reported using oral contraceptives. We defined the following conditions for ...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/S1518-8787.2017051006113
更新日期：2017-01-12 00:00:00
abstract：OBJECTIVE:To describe the mortality pattern among children enrolled in public day care centers. METHODS:This was a descriptive study of the mortality pattern among children aged from 0 to 6 years and 11 months who were enrolled in all the public day care centers in the city of São Paulo, Brazil, from 1995 to 1999. The...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102004000100006
更新日期：2004-02-01 00:00:00
abstract：OBJECTIVE:To analyze geographic access to hospital childbirth in Brazilian municipalities. METHODS:Information on deaths and births were analyzed in regards to appropriateness for calculating the infant mortality rate during the period 2005 to 2007, for the 5,564 Brazilian municipalities. Indicators of supply and geog...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102012005000003
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:To analyze whether two simplified indices, "DMF in 6 Teeth"(DMF6T) and "DMF in two quadrants" (DMF2Q), could be indicated for epidemiological surveys of oral health according to dental caries distribution. METHODS:The sample came from epidemiological data in 29 municipalities. A total of 2,378 examinations w...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102005000200021
更新日期：2005-04-01 00:00:00
abstract：:Many countries have acknowledged that vaccination programs call for a mastery of technical and organizational elements if they are to become accessible to the population. One of these elements has been greatly underestimated: the participation of populations and their motivations. Experiences in several countries are ...
journal_title：Revista de saude publica
pub_type： 杂志文章,评审
doi：10.1590/s0034-89101997000300015
更新日期：1997-06-01 00:00:00
abstract：OBJECTIVE:To study the influence of the distance between infested and non-infested areas in the geographical spread of Aedes aegypti and Aedes albopictuspopulations in the state of S. Paulo. Regional patterns were also studied, considering the determinants related to soil occupation. METHODS:Information related to the...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102000000600002
更新日期：2000-12-01 00:00:00
abstract：:The attraction of Schistosoma mansoni miracidea by snails genetically selected for susceptibility to infection is considered. Miracidea were exposed to snails or to snail conditioned water in a specially devised three-chamber glass apparatus. Ten miracidea were used for each test and were deposited in the middle chamb...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89101991000200008
更新日期：1991-04-01 00:00:00
abstract：:OBJECTIVE To characterize the organization of Brazilian general hospitals that provide services to the Unified Health System using indicators that describe the main dimensions of hospital care. METHODS A 2015 cross-sectional observational study, comprising the range of general hospitals that serve the Unified Health S...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.11606/s1518-8787.2020054001982
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:To assess spatial distribution of risks for work-related injuries controlled for nutritional variables and other covariables. METHODS:Hospital-based spatial case-control study with work-related injuries spatial distribution as the main variable of interest. A total of 794 workers were selected between May an...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102008000200014
更新日期：2008-04-01 00:00:00
abstract：:The applicability of tuberculin test in children under five years of age, BCG-vaccinated during their first year of life, is a controversial matter. With a view to clarifying the subject the predictive positive value of the test in a region of high BCG coverage and low prevalence of tuberculous infection was analysed....
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89101992000400008
更新日期：1992-08-01 00:00:00
abstract：OBJECTIVE:To analyze the spatial distribution of mortality due to motorcycle accidents in the state of Pernambuco, Northeastern Brazil. METHODS:A population-based ecological study using data on mortality in motorcycle accidents from 01/01/2000 to 31/12/2005. The analysis units were the municipalities. For the spatial ...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102011005000010
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:To estimate the prevalence and severity of dental caries in Brazilian children and the association with individual and contextual factors. METHODS:Data were taken from the Brazilian Oral Health Survey (SBBrasil 2010) a sample of 7,247 12-year-olds. The data were collected using clinical examinations and inte...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-8910.2013047004322
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:The purpose of the study was to assess the frequency of dental anxiety and/or fear among patients in an emergency dental service. METHODS:Research was based on interviews with 252 patients, aged 18 years old and over, attended at an emergency dentistry service of São Paulo, Brazil, from August to November, 2...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102003000600015
更新日期：2003-12-01 00:00:00
abstract：OBJECTIVE:To assess dietary patterns by socioeconomic gradient of Brazilian infants and young children in 2006 and 2013. METHODS:Data from the National Demographic Survey (2006) and the National Health Survey (2013) were used. Food intake were described by wealth index, age range and survey year. Dietary patterns were...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.11606/S1518-8787.2019053000679
更新日期：2019-01-31 00:00:00
abstract：:In view of the fact that information about how teachers and students conceptualize illness and their ideas of health preservation have important implications of health education, these two concepts were studied in a sample population of teachers and pupils, of a school course of up to 14-year-olds, representative of t...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89101991000600002
更新日期：1991-12-01 00:00:00
abstract：OBJECTIVE:The Integrated Management of Childhood Illness is a strategy designed to address major causes of child mortality. The aim of this study was to assess the impact of the strategy on the quality of child health care provided at primary facilities. METHODS:Child health quality of care and costs were compared in ...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102008000200001
更新日期：2008-04-01 00:00:00
abstract：INTRODUCTION:Mortality data are important for monitoring violence, making it possible to assess the trends and the impact of interventions towards its reduction. The objective of the study is to assess the quality of the filling out and codification of the death certificates for unspecified accidents and events of unde...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89101999000300008
更新日期：1999-06-01 00:00:00
abstract：:From January 2001 to October 2002 captures were made in domicile and peridomiciliary areas of 13 cities of region of Cariri, south of the State of Ceará. As results, the occurrence of P. lutzi in this area was noticed, for the first time, in three cities: the presence of one adult in chicken house in Altaneira, one ad...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102004000400015
更新日期：2004-08-01 00:00:00
abstract：OBJECTIVE:To determine the intensity of Pediculus capitis infestation (abundance) among Argentinean schoolchildren. Children's sex and social stratum were analyzed as modifiers of the general prevalence and degree of parasitism. METHODS:The study included 1,370 schoolchildren (692 girls, 678 boys) from 26 schools of t...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89102005000300015
更新日期：2005-06-01 00:00:00
abstract：:The relationship between diastolic blood pressure and the variables "total cumulative working time" and "age" was examined by regression analysis. The study was carried out among 839 bus drivers and conductors, users of an occupational health center in Campinas, S. Paulo State, Brazil. The main results were a positive...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89101993000500007
更新日期：1993-10-01 00:00:00
abstract：OBJECTIVE:To analyze the obstacles and challenges faced by managers and coordination professionals in their practices in municipal coordinating centers. METHODS:An exploratory descriptive study with a qualitative focus, applied in 40 managers and coordination professionals, from September 2017 to November 2018, with s...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.11606/s1518-8787.2020054001512
更新日期：2020-02-17 00:00:00
abstract：:Principal Components Analysis is a multivariate statistical technique for the purpose of examining the interdependence among variables. The main characteristic of this technique is the ability to reduce data, and it is currently used as an adjunct for the development of psychiatric research tools and the classificatio...
journal_title：Revista de saude publica
pub_type： 杂志文章
doi：10.1590/s0034-89101994000400003
更新日期：1994-08-01 00:00:00
