Iniciamos a construção desta investigação o durante o processo de acolhimento vivenciado em um serviço de pronto-atendimento (PA) da Unidade Básica Distrital da Saúde do Centro de Saúde Escola da Faculdade de Medicina de Ribeirão Preto - USP (UBDS oeste), onde pudemos perceber que os mesmos usuários procuravam com grande frequência o serviço, sem o caráter de urgência ou emergência, resultando em uma demanda maior do que suporta o serviço, e sem uma efetiva resolutividade da atenção. Podemos pensar que nas UBSs o usuário não encontrou a resolução do seu problema; não fez vínculo com a equipe; não teve acesso ao serviço ou o cuidado não foi integral, entre outras possibilidades. A partir destes pressupostos, supomos que a acessibilidade aos serviços de saúde pode ser uma das causas disparadoras para a justificativa da procura pelo PA e mesmo sendo serviço de urgência, o serviço atende a prontidões e também atende os usuários considerados não urgentes, resultando no aumento da demanda do PA. Isto pode trazer dificuldades para a equipe que não consegue proporcionar um atendimento acolhedor por meio de orientações sobre a existência de outros serviços disponíveis na rede básica de atenção para seguimento de saúde. Objetivamos com este estudo analisar a procura pelo PA do distrito oeste de saúde do município de Ribeirão Preto, na ótica dos usuários. Trata-se de uma abordagem quantiqualitativa sobre os usuários que procuraram o PA. Coletamos dados de 330 fichas de atendimento do PA, a fim de caracterizar os usuários atendidos no PA quanto ao sexo, à faixa etária, ao bairro de procedência, à justificativa para a procura, à conduta e aos encaminhamentos realizados. Fizemos entrevista semiestruturada com 23 usuários do PA abordando questões relativas à acessibilidade, ao acesso e acolhimento aos serviços de saúde, aos aspectos relativos ao atendimento, à resolução das necessidades de saúde, ao motivo da procura do PA e à integralidade da atenção à saúde. Como resultados, encontramos que a demora pelo atendimento e agendamento das consultas na rede básica de atenção constituem uma das principais razões para a procura ao PA; o acesso mais facilitado à tecnologia e aos medicamentos no PA também justificou a preferência por este serviço. O horário de funcionamento coincidindo com a jornada de trabalho dos usuários também trouxe dificuldades para agendar ou procurar atendimento na rede básica. A obtenção de atendimento médico ainda pode ter forte influência na satisfação que o usuário tem por um serviço de saúde. Concluímos que diversas foram as justificativas para a procura pelo PA e entendemos que, se estes usuários fossem acolhidos e tivessem acesso aos atendimentos nas UBSs e USFs, consequentemente, a demanda pelo PA tenderia a diminuir e atenderia com maior tranquilidade às urgências e emergências. / Began this investigation during the reception experienced in an emergency care (PA) Basic Unit of district health, health center´s medical school , Ribeirão Preto- USP, Where we could see that the same users looking at higher frequency service, without the character of urgency or emergency, resulting in a greater demand service that supports and without the effective outcomes of primary health. we think that the basic health unit the users did not find the resolution of your problem, did not link with the team, did not have access to the service or the care was not fully, between other possibilities. From these assumptions ,we assume that accessibility to health services may be one of the cause triggering to the justification for seeking emergency care and even if the emergency service, the service meets the users considered non- urgent, resulting in increased demand for emergency care. This can cause difficulties for the team that can not provide a friendly service through orientations about the existence of other services available in the basic attention to health monitoring. We ain with this study to analyze to demand for emergency care at the west of the district health the municipality of Ribeirao Preto, the viewpoint of users. It is a quantitative and qualitative approach about the users who sought emergency care. We collect data from 330 medical records of emergency care , in order to characterize users assisted in the emergency care , about whether a man or woman, will age , the neighborhood of provenance, the justification for seeking, will conduct and referrals. We semistructured interview with 23 users of emergency care addressing questions related to accessibility access to care and health services, and aspects of the care, the resolution of health needs of the reason for seeking emergency care and comprehensive health care to health. As results ,found that the delay for serving and scheduling of consultations in the primary care are a major reason for seeking emergency care to; easier access to technology and medication in the emergency room also justified the preference for this service. .Opening hours coinciding with the day´s work also brought difficulties of users to schedule or seek care in the primary. Obtaining medical care can still have a strong influence on satisfaction that the user is a health service. Conclude that there have been several reasons for the demand for emergency care and understand that, if these users were welcomed and had access to basic care unit, (USF) health and, consequently, the demand for emergency care would tend to decrease with greater peace and meet urgencies and emergencies.

Considerando a magnitude global da tuberculose, destaca-se que os elementos da dimensão organizacional e de desempenho dos serviços de saúde que integram a Atenção Primária em Saúde (APS), são preponderantes para o controle da doença, quer seja em relação ao acesso, elenco de serviços, vínculo, coordenação da atenção, enfoque familiar, orientação na comunidade ou formação profissional. Nesta perspectiva, o presente estudo objetivou analisar a operacionalização do acesso e do vínculo, aos quais se integrou à adesão ao tratamento, dado que esta se refere, diretamente, as primeiras, além da sua importância para o controle da enfermidade. Trata-se de pesquisa quantitativa, ramo de um Projeto Matriz intitulado Avaliação das Dimensões Organizacionais e de Desempenho dos Serviços de Atenção Básica no Controle da Tuberculose em Municípios do Estado de São Paulo, tendo como referencial a teoria da determinação social do processo saúde-doença e o marco da APS. O projeto foi submetido e aprovado por Comitê de Ética em Pesquisa, e os dados foram coletados, de Julho a Setembro de 2008, por meio de instrumentos específicos, com questões fechadas, destinados a dois grupos de sujeitos: usuários portadores de tuberculose e profissionais de saúde que atuavam no controle da enfermidade, no âmbito de cinco Unidades Básicas de Saúde da Supervisão Técnica de Saúde da Subprefeitura Sé, no Município de São Paulo. Foram entrevistados 53 usuários e 40 profissionais de saúde. Apresentam-se os principais resultados: 79,2% dos usuários eram homens, em idade economicamente ativa (69,9%), com baixa escolaridade (77,3%) e que viviam sós (45,3%); 17,0% eram imigrantes provenientes da Bolívia e 90,5% viviam em áreas vulneráveis, que predispunham à ocorrência da tuberculose, como cortiços (39,6%), ocupações (7,5%) ou em situação de rua (43,4%); 62,2% tinham renda familiar mensal menor que um salário mínimo; 37,8% não tinham ocupação e importante parcela desenvolvia trabalhos esporádicos, com baixa qualificação; ressalta-se que 26,6% deixaram de trabalhar, após o início dos sintomas. Quanto aos profissionais entrevistados, 30,0% eram agentes comunitários de saúde, 30,0% eram auxiliares de enfermagem, 5,0% eram técnicos de enfermagem, 22,5% eram enfermeiros e 12,5% eram médicos. Quanto ao acesso, os principais pontos de estrangulamento foram: a restrição de benefícios; o número diminuído de visitas domiciliarias; dificuldade no encaminhamento para outros serviços, quando necessário; e oferecimento reduzido de informações acerca de outros problemas de saúde. Quanto ao vínculo, de modo geral, os entrevistados apontaram que se efetiva, destacando-se que, quanto menor a qualificação do trabalhador, mais importante é sua relação com os usuários. Quanto à adesão, os usuários apontaram que ocorre em função da motivação para a melhoria das condições de vida, para a recuperação da auto-estima e que os incentivos (cesta básica, vale-transporte e lanche) são importantes neste processo. Conclusão: ainda que o acesso e o vínculo se operacionalizem na região estudada, os resultados deste estudo apontam para a necessidade de aprimoramento da organização e do desempenho dos serviços de saúde da região, com o sentido de contribuir para a adesão ao tratamento e para o controle da tuberculose / Considering the global magnitude of tuberculosis, it is emphasized that the elements of the organizational and effectiveness dimensions of health services that integrate the Primary Health Care (PHC), are fundamental to the control of the disease, whether in relation to accessibility, continuity (bonding), comprehensiveness, coordination, interpersonal and technical accountability. Therefore, this study aimed to analyze the operation of the access and the bonding, to which was integrated the treatment adherence, as it refers directly to them and because of its importance to the control of the disease. It is quantitative research, a branch of a major project entitled Organizational and effectiveness dimensions of Primary Care Services in the Control of Tuberculosis in counties in the State of Sao Paulo\", adopting the theory of social determination of health-illness process and in the mark of PHC. The project was approved by a Committee of Ethics in Research, and the data were collected from July to September of 2008, through specific instruments, with closed questions, aimed at two groups of subjects: patients with tuberculosis and health professionals who worked with them in five Primary Care Units from the Technical Supervision of Health of the Sub-prefecture Sé, in the City of São Paulo. 53 users and 40 professionals were interviewed. The main results: 79.2% of the patients were men, in the economically active age (69.9%), with low education (77.3%) and living alone (45.3%); 17.0 % were immigrants from Bolivia and 90.5% were living in vulnerable areas, that predisposed the occurrence of tuberculosis, as tenements (39.6%), occupations (7.5%) or homeless (43, 4%); 62.2% had family income less than a minimum wage, 37.8% had no job and a important part had sporadic work, with low qualifications, emphasizing that 26.6% stopped working after the beginning of the symptoms. As for the professionals, 30.0% were community health workers, 30.0% were nursing assistants, 5.0% were nursing technicians, 22.5% were nurses and 12.5% were physicians. Regarding the accessibility, the main problems were the restriction of the treatment incentives; the decreased number of home visits; difficulty in being referral to other services, when in need; and limited offering of information about other health problems. Regarding the bonding, in general, the respondents indicated that was effective, pointing out that as lower is the qualification of the professionals, the better was its relationship with users. As for adherence, users indicated that it occurs according the motivation to improve living conditions, for the recovery of self-esteem and, also, the incentives (food basket, bus-tickets and snacks) are important in this process. Conclusion: Although the access and the bond occurred within the study area, the results of this study points to the necessity to improve the organization and effectiveness of health services in the area, in order to contribute to treatment adherence and the control of tuberculosis

AIMS Managed care is a market model of health care distribution, aspects of which are being incorporated into the Australian health care environment. Justifications for adopting managed care lie in purported claims to higher levels of efficiency and greater ‘consumer’ choice. The purpose of this research, then, is to determine the ethical implications of adapting this particular administrative model to Australia’s health care system. In general, it is intended to provide ethical guidance for health care administrators and policy-makers, health care practitioners, patients and the wider community. SCOPE Managed care emerges as a product of the contemporary, neo-liberal market with which it is inextricably linked. In order to understand the nature of this concept, then, this research necessarily includes a limited account of the nature of the market in which managed care is situated and disseminated. While a more detailed examination of the neo-liberal market is worthy of a thesis in itself, this project attends, less ambitiously, to two general concerns. Firstly, against a background of various histories of health care distribution, it assesses the market’s propensity for upholding the moral requirements of health care distributive decision-making. This aspect of the analysis is informed by a framework for health care morality the construction of which accompanies an inquiry into the moral nature of health care, including a deliberation about rights-claims to health care and the proper means of its distribution. Secondly, by way of offering a precautionary tale, it examines the organisational structures and regulations by which its expansionary ambitions are promoted and realised. CONCLUSIONS As a market solution to the problem of administering health care resources, the pursuit of cost-control, if not actual profit, becomes the primary objective of health care activity under managed care. Hence, the moral purposes of health care provision, as pursued within the therapeutic relationship and expressed through the social provision of health care, are displaced by the economic purposes of the ‘free’ market. Accordingly, the integrity of both health care practitioners and communities is corrupted. At the same time, it is demonstrated that the claims of managed care proponents to higher levels of efficiency are largely unfounded; indeed, under managed care, health care costs have continued to rise. At the same time, levels of access to health care have deteriorated. These adverse outcomes of managed care are borne, most particularly, by poorer members of communities. Further, contrary to the claims of its proponents, choice as to the availability and kinds of health care services is diminished. Moreover, the competitive market in which managed care is situated has given rise to a plethora of bankruptcies, mergers and alliances in the United States where the market is now characterised by oligopoly and monopoly providers. In this way, a viable market in health care is largely disproved. Nonetheless, when protected within a non-market context and subject to the requirements of justice, a limited number of managed care techniques can assist Australia’s efforts to conserve the resources of health care. However, any more robust adoption of this concept would be ethically indefensible.

Background: In the last two decades Bogota, Colombia has seen a massive influx of internally displaced people (IDP) settling in its periphery where residents face the worst living, social, and economic conditions despite the 2011 passing of The Victims Law entitling IDP victims access to free shelter, food, education, and healthcare. Objective: To understand the circumstances and health care needs of Colombian IDPs, determine trends of health perceptions among IDPs and assess and quality of health services among IDPs in Bogota. Methods: Semi-structured, in-depth interviews were conducted with 12 professionals who work with IDPs and 36 IDPs. Interviews explored opinions of common health conditions and barriers to access health services in IDP communities. The EQ-5D survey about perceptions of health was administered measuring mobility, self-care, daily activities, pain, and depression/anxiety. All interviews were recorded, transcribed, coded for analysis. Results: Most IDPs did not indicate suffering with mobility, self-care, and ability to conduct daily activities. Seventy-five percent of participants indicated moderate to severe pain and 86.85% expressed feeling some form of depression or anxiety. Environmental factors are common contributors to poor health conditions. Individual and societal factors surfaced as detriments to accessing health services. The process to be included in The Victims Law registry is arduous. Although the Victims Law allows IDPs to access health services, many missing links in the system thwart quality health care delivery and discourage IDPs to utilize the health care system. Conclusion: Despite efforts to mitigate the struggles IPDs suffer there remain much needed health services and organizational improvements for the IDP community in Bogota.

Six out of every ten children in South Africa are living in poverty. This situation is aggravated by the AlDS pandemic. The pandemic is also the cause of a generation of AlDS orphans and as a consequence a lot of pressure is put on society's resources. Although the fundamental rights of children are entrenched in the Constitution of the Republic of South Africa, 1996, the current legal and administrative framework is not being implemented effectively in order to realise these rights. The Constitutional Court has adjudicated upon several matters regarding the realisation of socio-economic rights, thereby confirming that socio-economic rights are indeed justiciable. This research is specifically concerned with the realisation of children's right to have access to health care as entrenched in sections 27 and 28(l)(c) of the Constitution. Read with section 7(2) of the Constitution, this right places negative as well as positive obligations on the state to respect, protect, promote and fulfil children's right to have access to health care. Children's right to health care are however dependent on the internal limitations contained in section 27(2) of the Constitution which states that the state must take reasonable legislative and other measures, within its available resources, to achieve the progressive realisation of these rights. Having ratified the UN Convention on the Rights of the Child (CRC), the state is further bound to recognize the right of the child to the enjoyment of the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health. Parties to the CRC shall also strive to ensure that no child is deprived of his or her right of access to such health care services. Good health is dependent on more than a mere right to have access to health care. In order to ensure the highest attainable standard of health for all children, it is necessary that the available services are affordable and accessible on an equitable basis. Access to health care should be seen as part of a more comprehensive social protection package to ensure a minimum standard of living, consistent with the value of human dignity in our Constitution. In order to achieve this, the fragmented health care system which existed before 1994 and which was mainly a result of the previous dispensation of oppression and racial discrimination, had to be transformed in order to reach the ideal of improving the quality of life of all citizens as contained in the preamble of the Constitution. Ten years after the inception of the new constitutional dispensation, it can be said that the government is making progress with the transformation of the health system and making it accessible to all people, including children. After extensive research on the legislative and other measures that the government has implemented in order to realise children's right to access to health care, the following conclusions has been reached: State policies regarding health care are taking account of the needs of children as a vulnerable group of society and it can be said to be reasonable in the formulation thereof. Regarding the implementation of these policies, much remains to be done to ensure that the benefits thereof reach the children, especially more vulnerable groups such as street children and child-headed households - a common occurrence with the high prevalence of HIVIAIDS in South Africa. The enactment of the National Health Act 61 of 2003 is still awaited although it has already been signed. This legislation provides a national framework of norms and standards regarding the health care system and it is mainly based on the rights of patients. A new Children's Bill [B32 - 20031 has been introduced to parliament. The bill deals extensively with the rights of children as contained in the Constitution and also aims to give effect to governments' obligations in terms of the CRC. The enactment of the bill should be given priority, although measures should be implemented to ensure that health care services are also accessible to children who are not assisted by adults such as child-headed households. The allocation of public funds should be considered in order to provide better social assistance to families in dire need but mechanisms to ensure that children benefit from social grants must be implemented. Many of these grants are being abused by parents which means that although the grants are available, the money is not always spent to better the plight of the children. This is especially important in the light of the fact that the primary obligation to take care of children vests in the parents. The courts and especially the Constitutional Court, has taken their role in realising socio-economic rights seriously and very important guidelines has been formulated regarding the reasonableness of legislative and other measures in this regard. After the Khosa-case it should be said that although the courts are allowed to overstep the boundaries of separation of powers, they should not rewrite these boundaries by not taking appropriate account of the availability of financial resources. This also applies to the executive and legislature which should act more effectively to implement the court's decisions. The Human Rights Commission is playing an important role with regard to the realisation of socio-economic rights by monitoring and evaluating the implementation of government programmes and legislation. The Commission also provides valuable guidelines with regard to the realisation of socio-economic rights in the form of annual reports submitted to parliament. It is submitted that the Commission should however consider to define minimum core obligations of socio-economic rights since the Commission is better equipped to do this than the courts are. / Thesis (LL.M. (Public Law))--North-West University, Potchefstroom Campus, 2005.

Access to primary health care is an important determinant of health. Within current research there has been limited examination of neighbourhood level variations in access to care, despite knowledge that local contexts shape health. The objective of this research is to examine neighbourhood-level access to primary health care in the city of Mississauga, Ontario. Street address locations of primary care physicians were obtained from the College of Physicians and Surgeons of Ontario (CPSO) website and analyzed using geographic information systems (GIS). A 'Three Step Floating Catchment Area' (3SFCA) method was derived and used to measure multiple dimensions of access for the population as a whole, for specific linguistic groups and for recent immigrants. This research identifies significant neighbourhood-level variations in access to care for each dimension of access and population subgroup studied. The research findings contribute to a more nuanced understanding of neighbourhood-level variability in access to health care.

Access to primary health care is an important determinant of health. Within current research there has been limited examination of neighbourhood level variations in access to care, despite knowledge that local contexts shape health. The objective of this research is to examine neighbourhood-level access to primary health care in the city of Mississauga, Ontario. Street address locations of primary care physicians were obtained from the College of Physicians and Surgeons of Ontario (CPSO) website and analyzed using geographic information systems (GIS). A 'Three Step Floating Catchment Area' (3SFCA) method was derived and used to measure multiple dimensions of access for the population as a whole, for specific linguistic groups and for recent immigrants. This research identifies significant neighbourhood-level variations in access to care for each dimension of access and population subgroup studied. The research findings contribute to a more nuanced understanding of neighbourhood-level variability in access to health care.

Six out of every ten children in South Africa are living in poverty. This situation is aggravated by the AlDS pandemic. The pandemic is also the cause of a generation of AlDS orphans and as a consequence a lot of pressure is put on society's resources. Although the fundamental rights of children are entrenched in the Constitution of the Republic of South Africa, 1996, the current legal and administrative framework is not being implemented effectively in order to realise these rights. The Constitutional Court has adjudicated upon several matters regarding the realisation of socio-economic rights, thereby confirming that socio-economic rights are indeed justiciable. This research is specifically concerned with the realisation of children's right to have access to health care as entrenched in sections 27 and 28(l)(c) of the Constitution. Read with section 7(2) of the Constitution, this right places negative as well as positive obligations on the state to respect, protect, promote and fulfil children's right to have access to health care. Children's right to health care are however dependent on the internal limitations contained in section 27(2) of the Constitution which states that the state must take reasonable legislative and other measures, within its available resources, to achieve the progressive realisation of these rights. Having ratified the UN Convention on the Rights of the Child (CRC), the state is further bound to recognize the right of the child to the enjoyment of the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health. Parties to the CRC shall also strive to ensure that no child is deprived of his or her right of access to such health care services. Good health is dependent on more than a mere right to have access to health care. In order to ensure the highest attainable standard of health for all children, it is necessary that the available services are affordable and accessible on an equitable basis. Access to health care should be seen as part of a more comprehensive social protection package to ensure a minimum standard of living, consistent with the value of human dignity in our Constitution. In order to achieve this, the fragmented health care system which existed before 1994 and which was mainly a result of the previous dispensation of oppression and racial discrimination, had to be transformed in order to reach the ideal of improving the quality of life of all citizens as contained in the preamble of the Constitution. Ten years after the inception of the new constitutional dispensation, it can be said that the government is making progress with the transformation of the health system and making it accessible to all people, including children. After extensive research on the legislative and other measures that the government has implemented in order to realise children's right to access to health care, the following conclusions has been reached: State policies regarding health care are taking account of the needs of children as a vulnerable group of society and it can be said to be reasonable in the formulation thereof. Regarding the implementation of these policies, much remains to be done to ensure that the benefits thereof reach the children, especially more vulnerable groups such as street children and child-headed households - a common occurrence with the high prevalence of HIVIAIDS in South Africa. The enactment of the National Health Act 61 of 2003 is still awaited although it has already been signed. This legislation provides a national framework of norms and standards regarding the health care system and it is mainly based on the rights of patients. A new Children's Bill [B32 - 20031 has been introduced to parliament. The bill deals extensively with the rights of children as contained in the Constitution and also aims to give effect to governments' obligations in terms of the CRC. The enactment of the bill should be given priority, although measures should be implemented to ensure that health care services are also accessible to children who are not assisted by adults such as child-headed households. The allocation of public funds should be considered in order to provide better social assistance to families in dire need but mechanisms to ensure that children benefit from social grants must be implemented. Many of these grants are being abused by parents which means that although the grants are available, the money is not always spent to better the plight of the children. This is especially important in the light of the fact that the primary obligation to take care of children vests in the parents. The courts and especially the Constitutional Court, has taken their role in realising socio-economic rights seriously and very important guidelines has been formulated regarding the reasonableness of legislative and other measures in this regard. After the Khosa-case it should be said that although the courts are allowed to overstep the boundaries of separation of powers, they should not rewrite these boundaries by not taking appropriate account of the availability of financial resources. This also applies to the executive and legislature which should act more effectively to implement the court's decisions. The Human Rights Commission is playing an important role with regard to the realisation of socio-economic rights by monitoring and evaluating the implementation of government programmes and legislation. The Commission also provides valuable guidelines with regard to the realisation of socio-economic rights in the form of annual reports submitted to parliament. It is submitted that the Commission should however consider to define minimum core obligations of socio-economic rights since the Commission is better equipped to do this than the courts are. / Thesis (LL.M. (Public Law))--North-West University, Potchefstroom Campus, 2005.

Made available in DSpace on 2016-12-23T13:54:32Z (GMT). No. of bitstreams: 1 Rozane Cristina Schwab Alves Rasseli.pdf: 1306246 bytes, checksum: 94606879b01cb9326465909b26052ca1 (MD5) Previous issue date: 2013-06-26 / A saúde bucal é um componente essencial da saúde geral, por isso é relevante e necessário que os serviços de saúde bucal conheçam o perfil de seus usuários com a finalidade de planejar melhor a assistência prestada. O objetivo deste estudo foi descrever o perfil dos usuários atendidos na clínica odontológica da Secretária de Assuntos Comunitários (SAC), atual Departamento de Atenção à Saude (DAS) da Universidade Federal do Espírito Santo (Ufes). Trata-se de um estudo descritivo seccional, em que foram analisados 415 prontuários de pacientes que realizaram tratamento odontológico na SAC/DAS/Ufes, no período de julho de 2010 a julho de 2012. Foi elaborado um instrumento, com base nesses prontuários, com o objetivo de registrar e organizar as informações coletadas nos prontuários, a saber: dados demográficos, histórico de saúde, hábitos e condição de saúde bucal, razão da procura do serviço e tratamentos realizados. A maioria dos usuários possuía idade superior a 40 anos, e o gênero feminino foi o mais prevalente (59,8%). Verificou-se que 40% dos usuários eram servidores federais e 34,7%, estudantes. Quanto ao motivo principal da procura pelo atendimento, 51,6% dos usuários da clínica relataram ser para controle, 22,9% para prevenção e 14% devido à doença cárie. Em relação aos hábitos de higiene bucal, todos os usuários utilizam a escova de dente (100%), 20% não usam o fio dental e 34,2% dos que o utilizam, o fazem apenas uma vez ao dia. Somente 28,9% dos usuários estão há um ano ou menos sem realizar uma consulta odontológica. Conclui-se que o perfil do usuários da SAC/DAS/Ufes reflete o modelo adotado pela instituição de saúde, entretanto são necessárias mudanças no modelo odontológico oferecido na SAC/DAS/Ufes, passando de modelo cirúrgico restaurador para um modelo de promoção de saúde bucal / Oral health is an essential component of general health that is why it is relevant and necessary that oral health services know the profile of their consumers with the intent to improve the quality of services. With that in mind, the objective of this study was to identify the profile of consumers seen at the Department of Community Issues (SAC), currently known as the Health Attention Department (DAS) of the Federal University of Espírito Santo (Ufes). A sectional descriptive study was conducted, analyzing the charts of 415 patients who received dental treatment at SAC/DAS/Ufes between July 2010 and July 2012. An instrument was elaborated with the objective of registering and organizing the information gathered in the charts, which included: demographic data, health history, oral health habits and its conditions and reasons for treatment search. The majority of consumers were over 40 years old, and female was the most prevalent gender 59.8%. It was verified that 40% of consumers were federal employees and 34.7% were college students. As for the main reason for treatment search, 51.6% of the clinic consumers identified it to be for maintenance, 22.9% for prevention and 14% due to cavity disease. In relation to dental hygiene habits, every consumer use a tooth brush (100%), 20% do not use dental floss, and 34.2% of those who use dental floss, do so once a day. Only 28.9% of consumers have been without an dental consult for one year or less. In conclusion, the consumer s profile of SAC/DAS/Ufes reflects the model adopted by the health institution; however, changes in the dental model offered at SAC/DAS/Ufes are necessary to transition from the surgical restoration model to an oral health promotion model

O trabalho buscou conhecer os motivos que levaram mulheres do município de Piraí, estado do Rio de Janeiro, agendadas para realizar o exame de mamografia, a não comparecer ao mesmo / The study sougth to know the reasons why women Piraí