A s organizações têm um papel central na vida das pessoas. O trabalho, per se, não faz uma pessoa feliz, mas uma pessoa não pode ser genuinamente feliz se for infeliz no trabalho. 1 As USF (Unidades de Saúde Familiar) e as UCSP (Unidades de Cuidados de Saúde Personalizados) são unidades funcionais e multiprofissionais com aspetos similares no que respeita à sua composição, mas com diferenças na sua organização e formação. As USF distinguem-se por serem unidades funcionais com autonomia administrativa, técnica e funcional, que se
Introduction:
Little is known about iron deficiency anemia (IDA)'s treatment in Portugal. We aim to estimate the proportion of anemia, IDA, and iron deficiency without anemia; characterize the diagnostic procedures and prescription patterns; assess anemia's impact over work absenteeism, in a Local Health Unit.
Material and methods:
Cross-sectional study that evaluated complete blood counts, iron-containing prescriptions, comorbidities, economic failure, and disability certificates issued in 2015 at the Local Health Unit.
Results:
We evaluated 62,794 complete blood count. The proportion of anemia was 16.5%, higher in patients with economic failure, pregnant women, and patients with congestive heart failure. Of the patients with anemia 87.8% had not serum iron and/or ferritin dosing, and of those with serum iron/ferritin levels tested 50.6% had IDA. IDA was higher in pregnant women, women aged ≥15 years and in patients with congestive heart failure. Approximately 56.2% of patients with IDA did not receive iron-containing medication, and in 38% of the cases the prescribed dose was subtherapeutic. Of the total iron prescriptions 44.1% were association therapies. Anemia accounted for 5.2% of the disability certificates issued in 2015 (1749 workdays lost).
Discussion:
Most patients with anemia are not being adequately evaluated and a major proportion does not undergo treatment or has subtherapeutic doses of iron. These results may explain the anemia's impact on work capacity.
Conclusion:
This is one of the largest studies on anemia in Portugal. An effort to adapt to the established recommendations is urged, to minimize the consequences of this disease.
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