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HUCFF is an international reference in highly complex procedures and internationally recognized research in several clinical and surgical specialties, annually training around 200 residents and having, among its institutional functions, assistance to the population, qualified teaching and scientific research. The Outpatient Service is the Hospital's main gateway to tertiary care. OBJECTIVES: to identify the panorama of consultations carried out by the Specialized Nephrology Outpatient Clinic at HUCFF between 2011 and 2017 and to analyze the impacts of political guidelines on the number of consultations in the Outpatient Clinic. METHOD: retrospective study of medical consultations carried out to patients with CKD in outpatient treatment in the period from 2011 to 2017, by searching the record of scheduled consultations, performed and not performed, available in the unit's electronic medical record. RESULTS: In the analyzed period, 22,344 Nephrology and Transplant consultations (and also from the Specialized Osteodystrophy Clinic created in 2015) were performed, with an average of 3,192 consultations / year. In the first three years, more than 5,000 consultations were performed / year, however the number of visits decreased to an average of 4,638 visits in 2014 Brazilian Journal of health Review Braz. J. Hea. Rev., Curitiba, v. 3, n. 4, p. 8393-8408 jul./aug.. 2020. ISSN 2595-6825 8395 and 2015, reaching the lowest number in 2016, with 3,224 visits, while in the following year (2017) there were a small increase in the total number of visits (3,383). Regarding the capacity to handle extra medical records, 381 were registered over the seven years studied, with only 31 in the first three years (2011 to 2013). However, an increase was seen in subsequent years (2014 to 2017), with an average of 88 records / year (reaching 113 in 2017), of which only 6% have not been opened. CONCLUSIONS: despite the difficulties in staffing, persistent underfunding, scrapping of units and reduced demand for graduate students, there is no record in recent periods of suspension of medical services.

brazilian journal of health review

Panorama dos atendimentos realizados no ambulatório especializado de nefrologia no Hospital Universitário Clementino Fraga Filho (HUCFF), entre os anos de 2011 e 2017