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The authors wish to acknowledge the Dr. Claudio Leone, Associate Professor, Department of Public Health, University of Public Health of So Paulo. The .gov means its official. 2005 Aug;19(5):769-77. doi: 10.1016/j.bpobgyn.2005.06.002. In conclusion, the attended and referenced women are in the late-reproductive period. de Vries CJH, Wieringa-de Waard M, C-LAG V, Ankum WM, PJE B. Abnormal vaginal bleeding in women of reproductive age: a descriptive study of initial management in general practice. Abdo CH, Oliveira Jr. WM, MoreiraJr. 2015;12(6):683241. The aim of ambulatory gynaecology is to admit, treat and discharge the patient on the same day in an outpatient setting. Benign breast diseases are more likely to be diagnosed during the reproductive period, but their clinical management was mostly performed in medium- and high-complexity healthcare, demonstrated in our study with presence in the secondary and tertiary sectors. INRAE center Clermont-Auvergne-Rhne-Alpes Dall TM, Chakrabarti R, Storm MV, Elwell EC, Rayburn WF. The variables were grouped by demographic characteristics (age, ethnicity, profession) and clinical characteristics (main complaint, clinical and gynecological diagnosis, concomitant diseases multimorbidity, age of menarche and menopause, onset of sexual activity, parity and smoking). FOIA Perinatologists are highly specialized doctors who provide comprehensive care throughout the entire prenatal period. Solomon CG, Hu FB, Dunaif A, et al. Braslia:CONASS, 2007. Jha S, Gopinath D. Prolapse or incontinence: what affects sexual function the most? These patients are sexually and economically active, which creates psychological and social consequences. With regard to the destination of the patients, following the distribution of health services utilization since the Womens Health Ambulatory Clinic of the University Hospital at So Paulo University (Fig. - Braslia, Centro de Documentao do Ministrio da Sade, 1984. 10a rev. The Clermont-Auvergne-Rhne-Alpes Centre brings together the units located in the Auvergne region, from Bourbonnais to Aurillac via Clermont-Ferrand, with 14 research units and 14 experimental facilities, representing 840 staff (permanent and contractual staff). Accessed 16 Oct 2017. 2012;14(4):2318897. In Table2, the main health diagnoses for non-oncological gynecology, considering both reproductive and non-reproductive periods, were the non-inflammatory disorders of the female genital tract (81.07%, n=347) and diseases of the urinary system (22.66%, n=97). This patient has been referred to Perinatology for further examination and assessment. All authors read and approved the final manuscript. There were a higher proportion of non-inflammatory disorders of the female genital tract (62.36%, n=111) and diseases of the urinary system (29.78%, n=53) in the non-reproductive period. The novelty of this study correlates the main diagnoses in womens health and the hierarchy of the health services levels, associating the demands brought by women and the need of health that is addressed in the different levels of health care. Mayo encourages referring physicians to register for a portal account. 2016;27(4):60711. The levels of secondary and tertiary care are responsible for performing diagnoses and specific treatments, as well as providing the primary level of continuing education in service [57]. PubMed Central This service receives female patients with unsatisfactory or unexpected clinical management from seven Basic Health Units at Unify Health System - So Paulo, Brazil. Conselho Nacional de Secretrios de Sade. Poltica Nacional de Ateno integral Sade da Mulher: princpios e diretrizes.