Medical Auditing: care to asthmatic children in a Family Health Unit, Pelotas, RS

Revista Brasileira de Epidemiologia

Stephan, Ana Maria Siga¹  Hoefel, Ana Lúcia¹  Costa, Juvenal Soares Dias da¹ 

[1] Universidade do Vale do Rio dos Sinos

关键词: Asthma;    Child health;    Primary health care;    Medical audit;    Medical records;   

DOI  :  10.1590/S1415-790X2009000200007

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

This is a descriptionof the process of medical care to children with asthma, through an audit carriedout concomitantly with a cross-sectional study with children living in the catchmentarea of a Family Health Unit, to find the prevalence of asthma and to assessmaternal knowledge about the disease. Medical records of families whose childrenhad asthma and visited doctors in the previous 12 months were used as sourcesof data.
Of the 258 children identified with asthma, 69 (26.7%) had visited the unitbecause of the disease. Weight was recorded in 76.8% of the medical records,respiratory frequency in 26.1%, intercostal retractions in 21.7%, cyanosis in1.4%, and orientations on the use of medication in 33.3%. Orientations on thesigns and symptoms of severity and crisis management were recorded in 15.9%of the charts and trigger factors, environmental changes, and behavior wererecorded in 14.5% of them. There were records of prescription of bronchodilatorsfor 55.1% of the children and of bronchodilator plus corticosteroid for 42.0%of them. The low percentage of records of orientation is an evidence of thedeficiencies of medical care in Family Health Units, especially regarding educationin health.

【 授权许可】

CC BY