%0 Journal Article
%T A study of pent-up demand in ophthalmology: Divinolandia Hospital/Unicamp Estudo da demanda reprimida em Oftalmologia: hospital de Divinolandia/Unicamp
%A Maria Cecilia Machado
%A Newton Kara-Jos¨¦
%A Carlos Eduardo Leite Arieta
%A Jos¨¦ Leonardo Garcia Louren£¿o
%J Revista Brasileira de Oftalmologia
%D 2012
%I Sociedade Brasileira de Oftalmologia
%X OBJECTIVE: To assess the waiting time for eye care identifying the number of patients with each complaint; to investigate how the waiting time may worsen the patient's condition; to check the screening of urgent cases for effectiveness; and to devise means of increasing the medical-surgical care capacity. METHODS: A retrospective descriptive survey was conducted using data obtained on 12 occasions during collaborative team visits to provide eyecare services. These initiatives were designed to decrease the waiting time and to treat urgent cases that occurred on each occasion; eyecare services were provided every Saturday, in the period from June to August 2006, in 16 cities of the region covered by Conderg (Consortium for the Development of the S o Jo o da Boa Vista Administrative Region). RESULTS: Referrals used 1,743 (87.1%) of the 2,000 places available. The most frequent diagnoses were refractive errors, with 683 cases, corresponding to 39.1% of the total, followed by cataracts, with 296 cases, corresponding to 20.9%. Of the 238 surgeries indicated, 54.6% were phakectomies. Thirty-five (2.0%) cases were considered urgent. CONCLUSION: The most common diagnoses made during the team visits to manage the excess demand for eyecare were refractive errors and cataracts, which, together, accounted for the majority of the cases. The Divinolandia Hospital has the necessary human and material resources to meet the demand left unattended by the local SUS network. Immediate referral of urgent cases by the primary units' screeners proved effective. OBJETIVO: Avaliar a fila de espera pelo atendimento oftalmol¨®gico detectando os problemas oculares; estudar o agravo que esta espera pode acarretar ao paciente; verificar a efic¨¢cia na triagem dos casos de urg¨ºncia e averiguar a possibilidade de aumento da capacidade de atendimento cl¨ªnico e cir¨²rgico. M¨¦TODOS Foi realizada pesquisa retrospectiva e descritiva dos dados obtidos durante 12 mutir es de atendimento oftalmol¨®gico. Os mutir es foram realizados com a inten  o de diminuir a fila de espera e atender as urg¨ºncias que surgiram nos dias de atendimento; ocorreram aos s¨¢bados durante os meses de junho a agosto no ano de 2006, em 16 munic¨ªpios da regi o do Conderg(Cons¨®rcio de Desenvolvimento da Regi o de Governo de S o Jo o da Boa Vista). RESULTADOS: Das 2.000 vagas disponibilizadas, foram utilizadas 1.743 (87,1%) dos encaminhados. Nos diagn¨®sticos realizados se destacam os v¨ªcios de refra  o com 683 casos, correspondendo a 39,1 % seguido de catarata com 296, correspondendo a 20,9. Das 238 cirurgias indicadas, 54,6%
%K Necessidades e demandas de servi os de sa¨²de
%K Listas de espera
%K Atendimento m¨¦dico
%K Sa¨²de ocular
%K Aten  o prim¨¢ria ¨¤ sa¨²de
%K Health services needs and demand
%K Waiting lists
%K Medical care
%K Eyehealth
%K Primary health care
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802012000600010