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The purpose of the article is to present a part of the demand study to the Porto Alegre, Brazil Mobile Emergency Service (SAMU) considered not pertinent (NPD) by the service. This not pertinence is established when the case is not configured, by the regulator physician, as death risk situation, being unnecessary, therefore, sending ambulances to attend.  The research occurred in two stages. At first, was accomplish an analysis of telephone calls at SAMU in 2009. These data were analyzed using the Statistical Package for the Social Sciences. In second stage, 31 applicants from de NPD were interviewed following the premises of Grounded Theory.  Among the results, it is highlighted that, in 2009, the NPD to SAMU of Porto Alegre represented 33,2% (26.233) of calls directed to 192. In qualitative analysis, factors were described that influenced people to request ambulances.  The results pointed out that the demand is the result of a complex process of interaction between those who ask for help and the resources they have / use to solve their problems. In other words, a call for ambulance is not just a health problem. The call for help involves social needs, economic need, divergences with health professionals in the meanings of what is risk of death, lack of notion of first aid and access problems for the treatment of health problems.  Therefore, service regulation needs to be careful when listening for help. The patients often have needs that go beyond the focus of the service. The ambulance nursing, in turn, needs to be prepared to meet this NPD.  The study showed that urgent health problems are not exclusive to the health sector. The complexity of health emergencies also has implications for the sectors of education, health promotion, social assistance, security, construction and infrastructure, transport, among others. Such findings reinforce the need for user-centered assistance, thus reducing the difficulties in coping with their health problems and justifying inter-sectoral actions that may be proposed based on this research.  The study was approved by the ethic and research committee of the Municipal Health Department of the city hall of Porto Alegre.

Social and Economic Needs of the Not Pertinent Demand by the Mobile Emergency Service in Porto Alegre, RS, Brazil