<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732022000600583</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v38i6.13434</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Impacto da pandemia COVID-19 na utilização da consulta aberta de uma Unidade de Cuidados de Saúde Primários]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of the COVID-19 pandemic on the walk-in appointment in a Primary Health Care Unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fróis]]></surname>
<given-names><![CDATA[Ana Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sampaio]]></surname>
<given-names><![CDATA[Ângela Freitas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos USF Horizonte ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>6</numero>
<fpage>583</fpage>
<lpage>593</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732022000600583&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732022000600583&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732022000600583&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A consulta aberta é uma consulta com marcação no próprio dia para resolver situações de doença aguda. A sua desadequada utilização é um problema recorrente que gera incapacidade de resposta adequada aos utentes. Durante a pandemia por COVID-19 foi necessário reformular a atividade assistencial nos cuidados de saúde primários, limitando o contacto presencial com os utentes.  Objetivos:  Conhecer o impacto da COVID-19 na utilização da consulta aberta, bem como fazer a caracterização sociodemográfica dos utentes utilizadores e compreender os motivos de utilização mais frequentes.  Métodos:  Estudo observacional descritivo com componente analítica da consulta aberta em abril/19, abril/20 e abril/21, numa unidade de saúde familiar, com caracterização sociodemográfica dos utentes e avaliação dos motivos de consulta e sua adequação.  Resultados:  Realizaram-se uma média diária de 18 consultas em 2019, 19 em 2020 e 31 em 2021. Não se observaram diferenças sociodemográficas dos utentes entre os períodos analisados, havendo sempre predomínio do sexo feminino e idade média entre 45 e 52 anos. Em pré-pandemia prevaleciam os motivos gerais e músculo-esqueléticos. Em 2020 aumentou o peso relativo das queixas respiratórias e, em 2021, foi restabelecido o padrão pré-pandemia. O ano relacionou-se com a adequabilidade do motivo (p&lt;0,001), com valores de inadequabilidade de 47% em 2019, 19% em 2020 e 31% em 2021. Os motivos inadequados mais frequentes foram os mesmos - queixas não agudas, visualização de exames e renovação/pedido de certificado de incapacidade para o trabalho -, mas com pesos relativos diferentes (p&lt;0,001).  Conclusões:  A pandemia COVID-19 associou-se a um aumento da adequação dos motivos de utilização da consulta aberta, o que mostra que não só é fundamental uma adequada educação dos doentes quanto aos motivos corretos para recurso à consulta aberta, mas também assegurar uma adequada acessibilidade às restantes modalidades de consulta para não motivar o recurso indevido à consulta aberta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The walk-in appointment is an appointment scheduled on the same day, to solve situations of acute illness. Its&#8217; inappropriate use is a recurrent problem that causes a failure to respond adequately to users. During the COVID-19 pandemic, there was a reformulation of activity in primary health care as it was necessary to limit face-to-face contact with patients.  Objectives:  Identifying the impact of COVID-19 on the walk-in appointment demand, as well as making a sociodemographic characterization of the users and a descriptive analysis of the most frequent motives for consultation.  Methods:  Descriptive observational study with an analytical component of the walk-in appointment on April/19, April/20, and April/21, in a family health unit, with sociodemographic characterization and identification of the motives for an appointment and their adequacy.  Results:  An average of 18 daily appointments were conducted in 2019, 19 in 2020, and 31 in 2021. There were no differences in the users&#8217; sociodemographic characteristics between the analyzed periods, with a transversal predominance of females and a mean age between 45 and 52 years. Before the pandemic, general and musculoskeletal reasons prevailed. In 2020, the relative weight of respiratory complaints increased and in 2021 the pre-pandemic pattern was restored. The year was related to the adequacy of the reason (p&lt;0.001), with inadequacy values of 47% in 2019, 19% in 2020, and 31% in 2021. The most frequent inadequate motives were the same - non-acute clinical complaints, delivery of exam results, and renewal/request of sick leaves - but with different relative weights (p&lt;0.001).  Conclusion:  COVID-19 pandemic was associated with higher adequacy of motives for walk-in appointments, highlighting the importance of adequate patient education about the correct reasons for using the walk-in appointment, as well as to ensure adequate access to other appointment modalities, so as not to motivate the improper use of the walk-in appointment.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Cuidados de saúde primários]]></kwd>
<kwd lng="pt"><![CDATA[Consulta aberta]]></kwd>
<kwd lng="pt"><![CDATA[Gestão de recursos da equipa de assistência à saúde]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
<kwd lng="en"><![CDATA[Acute appointments]]></kwd>
<kwd lng="en"><![CDATA[Healthcare crew resource management]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Missão para os Cuidados de Saúde Primários</collab>
<source><![CDATA[Glossário para as unidades de saúde familiar]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Ministério da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>Missão para os Cuidados de Saúde Primários</collab>
<source><![CDATA[Guião de apoio à preparação de candidaturas a Unidades de Saúde Familiar (USF): modelo A]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Ministério da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<collab>Unidade Local de Saúde de Matosinhos</collab>
<article-title xml:lang=""><![CDATA[Anexo 4 - Processos-chave: consulta aberta]]></article-title>
<source><![CDATA[Manual de Procedimentos da USF Horizonte]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Matosinhos ]]></publisher-loc>
<publisher-name><![CDATA[ULS de Matosinhos]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<collab>Associação Portuguesa de Medicina Geral e Familiar</collab>
<collab>Sociedade Portuguesa de Medicina Interna</collab>
<source><![CDATA[Gestão do doente agudo em Portugal: reunião do Grupo de Estudo da Gestão do Doente Agudo em Portugal da MI e da MGF]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[APMGF]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Proença]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Grijó]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Beirão]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Peixoto]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterização das consultas abertas]]></article-title>
<source><![CDATA[Rev Port Med Geral Fam]]></source>
<year>2018</year>
<volume>34</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>361-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cavadas]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Neves]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Faria]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterização da consulta aberta de uma Unidade de Saúde Familiar quem, quando e porquê?. Rev Port Med Geral]]></article-title>
<source><![CDATA[Fam]]></source>
<year>2020</year>
<volume>36</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>200-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<collab>Serviços Partilhados do Ministério da Saúde</collab>
<source><![CDATA[Bilhete de identidade dos cuidados de saúde primários]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[SPMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<collab>Missão para os Cuidados de Saúde Primários</collab>
<source><![CDATA[Consulta aberta: consulta de agudos, não programada versus consulta aberta no hospital e centro de saúde]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Administração Central do Sistema de Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moynihan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sanders]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Michaleff]]></surname>
<given-names><![CDATA[ZA]]></given-names>
</name>
<name>
<surname><![CDATA[Scott]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Clark]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[To]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of COVID-19 pandemic on utilisation of healthcare services a systematic review]]></article-title>
<source><![CDATA[BMJ Open]]></source>
<year>2021</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mann]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chunara]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Testa]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Nov]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[COVID-19 transforms health care through telemedicine evidence from the field]]></article-title>
<source><![CDATA[J Am Med Inform Assoc]]></source>
<year>2020</year>
<volume>27</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1132-5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dong]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Du]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Gardner]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An interactive web-based dashboard to track COVID-19 in real time]]></article-title>
<source><![CDATA[Lancet Infect Dis]]></source>
<year>2020</year>
<volume>20</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>533-4</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Scaramuzza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tagliaferri]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bonetti]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Soliani]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Morotti]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bellone]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Changing admission patterns in paediatric emergency departments during the COVID-19 pandemic]]></article-title>
<source><![CDATA[Arch Dis Child]]></source>
<year>2020</year>
<volume>105</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>704-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
