<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2025000100009</article-id>
<article-id pub-id-type="doi">10.24950/rspmi.2582</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Comportamento do Utilizador do Serviço de Urgência do Hospital da Horta-Açores]]></article-title>
<article-title xml:lang="en"><![CDATA[User Behaviour at the Horta-Azores Hospital Emergency Department]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Simas]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amorim]]></surname>
<given-names><![CDATA[Nuno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrita]]></surname>
<given-names><![CDATA[Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veloso]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morais]]></surname>
<given-names><![CDATA[Juvenal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suzano]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital da Horta Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[ Açores]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>1</numero>
<fpage>9</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2025000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2025000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2025000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O uso inapropriado dos serviços de urgência, com todas as consequências negativas para os sistemas de saúde, é um fenómeno generalizado multifactorial e com tendência crescente.  Métodos:  Para conhecer a nossa realidade fizemos um estudo do comportamento do utilizador do serviço de urgência do Hospital da Horta através de um inquérito, tendo sido analisados 463 casos, representando 6,5% de todos os episódios do período de estudo, dos quais 44% eram do género masculino e 56% feminino e dois terços dos quais tinham idades entre 24 e os 66 anos.  Resultados:  Com base na triagem de Manchester 60% dos inquiridos foram classificados não urgentes (Verdes, Azuis e Brancos). Apenas 5% tinha contactado a linha Saúde24 e só 12% tentou consulta no médico de família.  Conclusão:  Os motivos principais pela opção hospitalar foram a auto percepção de urgência clínica, a busca na celeridade do Serviço de Urgência para resolução do problema, o menor tempo de espera no atendimento, a maior probabilidade de acesso a um especialista hospitalar e/ou a exames diagnósticos e a uma expectativa de maior qualidade no serviço prestado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The inappropriate use of emergency services, with all the negative consequences for health systems, is a widespread, multifactorial phenomenon with an increasing trend.  Methods:  To understand our reality, we carried out a study of the user behavior of the emergency service at Hospital da Horta through a survey, having analyzed 463 cases, representing 6.5% of all episodes during the study period, of which 44% were male and 56% female and two-thirds of whom were aged between 24 and 66 years old.  Results:  Based on the Manchester triage, 60% of respondents were classified as non-urgent (Green, Blue and White). Only 5% had contact with the Saúde24 line and only 12% tried to consult any family doctor.  Conclusion:  The main reasons for choosing a hospital were the self-perception of clinical urgency, the search for speed in the Emergency Department to solve the problem, the shorter waiting time for care, the greater probability of access to a hospital specialist and/or diagnostic tests and an expectation of higher quality in the service provided.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Azores]]></kwd>
<kwd lng="en"><![CDATA[Emergency Service, Hospital/statistics &amp; numerical data]]></kwd>
<kwd lng="en"><![CDATA[Health Services Misuse/statistics &amp; numerical data]]></kwd>
<kwd lng="en"><![CDATA[Surveys and Questionnaires.]]></kwd>
<kwd lng="pt"><![CDATA[Açores]]></kwd>
<kwd lng="pt"><![CDATA[Inquéritos e Questionários]]></kwd>
<kwd lng="pt"><![CDATA[Mau Uso de Serviços de Saúde/estatísticas e dados numéricos]]></kwd>
<kwd lng="pt"><![CDATA[Serviço de Urgência Hospitalar/estatística e dados numéricos.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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