<?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>S2182-51732024000500432</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v40i5.13987</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Fatores determinantes na procura de cuidados de saúde a um SUB, por utentes de uma USF]]></article-title>
<article-title xml:lang="en"><![CDATA[Determining factors in the search for health care at a basic emergency service, by users of a family health unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Bárbara Duarte]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pais Neto]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loureiro]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Cátia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ULS de Entre Douro e Vouga USF Novo Norte ]]></institution>
<addr-line><![CDATA[Arouca ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS de Entre Douro e Vouga USF Novo Norte ]]></institution>
<addr-line><![CDATA[Arouca ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ULS de Entre Douro e Vouga USF Cuidar ]]></institution>
<addr-line><![CDATA[São João de Ver ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,ULS de Entre Douro e Vouga USF Novo Norte ]]></institution>
<addr-line><![CDATA[Arouca ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>5</numero>
<fpage>432</fpage>
<lpage>442</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732024000500432&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732024000500432&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732024000500432&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A compreensão dos determinantes na procura de cuidados de saúde irá contribuir para uma melhor organização dos serviços de saúde, promovendo uma melhoria na qualidade de atuação dos serviços e dos profissionais de saúde.  Objetivo:  Perceber quais os fatores determinantes na procura de cuidados de saúde por utentes da Unidade de Saúde Familiar (USF) Novo Norte, na escolha do Serviço de Urgência Básica (SUB) em detrimento dos cuidados de saúde primários (CSP).  Métodos:  Estudo transversal, descritivo e exploratório, durante o mês de fevereiro/2023, através da aplicação de um questionário aos utentes inscritos na USF Novo Norte com atendimento no SUB/Arouca. Após análise descritiva, as variáveis foram comparadas utilizando o teste exato de Fisher.  Resultados:  Verificou-se um predomínio de utentes do género feminino, com média de idades 47,52 anos e profissionalmente ativos; uma maior recorrência ao SUB durante a semana e de manhã; um predomínio de utentes que se dirigiram ao SUB por iniciativa própria, com sintomas a surgir nos últimos três dias e cujos principais motivos incluem a autoperceção de urgência e o atendimento hospitalar imediato. Apesar de a maioria considerar saber as situações nas quais deve recorrer à consulta aberta (CA), 21% dos utentes responderam inadequadamente e 66% não procuraram CA. Por fim, 61,87% estavam isentos de taxas moderadoras, o que se relaciona de forma estatisticamente significativa com o número de idas ao SUB.  Discussão:  A USF Novo Norte e o SUB/Arouca localizam-se no mesmo edifício, pelo que a dificuldade no acesso aos CSP não corresponde ao único motivo explicativo. Mantém-se uma conceção desinformada acerca dos CSP e dos cuidados prestados.  Conclusão:  É essencial a educação e consciencialização da população para a importância de recorrer primariamente aos cuidados de proximidade e na sensibilização para a utilização adequada dos SU.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Understanding the determinants of the demand for health care will contribute to a better organization of health services, and promote an improvement in the quality of service and health professionals&#8217; performance.  Objective:  Understanding the determining factors in the demand for health care by patients of Family Health Unit (FHU) Novo Norte, particularly when choosing basic emergency service (ES) over primary health care (PHC).  Methods:  Cross-sectional, descriptive, and exploratory study, during February/2023, through the application of a questionnaire to patients enrolled at FHU Novo Norte with care at the basic ES/Arouca. After a descriptive analysis, the variables were compared using Fisher's exact test.  Results:  There was a predominance of female patients, with an average age of 47.52 years, and professionally active; a greater recurrence of ES during the week and in the morning; a predominance of patients who went to the ES on their initiative, with symptoms appearing in the last three days, and whose main reasons include self-perception of emergency and immediate hospital care. Despite the majority considered knowing the situations in which they should resort to acute consultation (AC), 21% of patients responded inadequately. It was found that 66% did not seek AC. Finally, 61.87% were exempt from moderating fees, which is statistically significantly related to the number of visits to the ES.  Discussion:  The FHU Novo Norte and the basic ES/Arouca are located in the same building, so the difficulty in accessing the PHC does not correspond to the only explanatory reason. A misinformed conception of PHC and the care provided remains.  Conclusion:  It is essential to educate and raise awareness of the population regarding the importance of primarily resorting to local care, and the appropriate use of ES.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Acessibilidade]]></kwd>
<kwd lng="pt"><![CDATA[Serviço de urgência]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de saúde primários]]></kwd>
<kwd lng="en"><![CDATA[Accessibility]]></kwd>
<kwd lng="en"><![CDATA[Emergency service]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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