Post-visit at ophthalmology emergency service: frequency and perception of the doctors on duty and users

Arquivos Brasileiros de Oftalmologia

Regina De Souza Carvalho²  Newton Kara-josé¹  Newton Kara-junior¹ 

[1],Universidade de São Paulo Faculdade de Medicina São Paulo SP ,Brazil

关键词: Emergency Service;    Hospital;    Eye Diseases;    Referral and consultation;    Physician-patient relations;    Emergency medical services;    Serviço Hospitalar de Emergência;    Oftalmopatias;    Referência e consulta;    Relações médico-paciente;    Serviços médicos de emergência;   

DOI  :  10.1590/S0004-27492010000500007

来源: SciELO

【 摘 要 】

PURPOSE: To check the occurrence of post-visit, the patient's understanding and the assessments of the doctor on duty about the efficacy of the process, at the ophthalmology emergency sector. METHODS: It was conducted a transversal, analytical research among doctors on duty and patients being seen consecutively in the ophthalmology emergency sector of Hospital das Clínicas da Universidade de São Paulo. RESULTS: The sample was made of 28 doctors on duty and 561 patients, 51.3% male and 48.7% female, with a mean age of 39.8 years old. From 34.1% of the patients who were previously seen by other sectors, 8.4% looked for two services and 5.7% three or more services. In the previous visits, 56.9% of the patients mentioned that they did not receive any explanation about their diagnostic. From the patients seen at Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo - FMUSP, 95.1% mentioned that the ophthalmologists explained the diagnostic and from those 84.0% understood what was explained. Among 40.4% of the patients who received medicine prescriptions in the previous services, 85.5% mentioned that they received explanation about its use and 82.9% followed the orientation. At Hospital das Clínicas - FMUSP 95.0% of the patients understood how and why to use the medicine. At the ophthalmologists point of view, more than 90.0% of the patients understood the diagnostic and the prescribed treatment. CONCLUSION: According to this research, for most of the patients, it was provided post-visit orientation and patients' understanding about the disease and the treatments proposed.

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