How return a value with mysql query depending on condition?

Solution 1:

Do something like this

SELECT MAX(result)
FROM (
 SELECT CASE WHEN COUNT(*) > 0 THEN 1 ELSE 0 END AS result
 FROM cl_convenios_do_medico
 WHERE med_id = 8
 AND conv_id = 9
 UNION
 SELECT CASE WHEN COUNT(*) = 0 THEN 1 ELSE 0 END
 FROM cl_convenios_do_medico
) c

DEMO