The Profile of Users Looking for An Upa of Rio De Janeiro and Its Impact on Brazilian's Public Health

Introduction: The "Sistema Único de Saúde" proposes the regionalization and hierarchy where the primary attendance works as a main door of entrance. Against the difficulty to deploy this proposal, a featured one is to implement the family health strategy and most recently the restructure of the emergency care through the implementation of the "Unidades de Pronto Atendimento" (UPA). Objective: Describe the reason for seeking and the profile of UPA’ users (located in the North Side of Rio de Janeiro). Material and Methods: Transversal descriptive study, using a questionnaire containing demographic, social, health and economical data applied to UPA’s users. Results: 413 questionnaires were analyzed. The average age of the interviewed was 40,18 years old (SD± 39,11) and the dominant gender was the feminine (59,8%). Referring the residence, 54,1% of the people were from the programmatic area (PA) 3.3 where the UPA is placed. It was observed that 58,7% had a family income of 1 to 3 minimums wages and on each house, an average of 3,32 people reside. From the respondents, 45.8% had a minimum of high school degree. The main reason to go to UPA was the proximity (53.5%) followed by the assurance of treatment (16,7%). It can be confirmed that 12,6% have health insurance. Around 33,7% reported to make regular appearance on medical post and 8,2% are registered in some program. Conclusion: There isn’t a lot of registering on medical posts. It reflects on medical consultations in the UPA followed by complaints that could be resolved with primary attention and care. With a finer care and also with the adoption of popular strategies are extremely needed to vent the secondary attendance. Only with a bigger and more qualified primary attendance, the need of emergency care will decrease, and the implemented services by the SUS will meet the demand.