Study of the demand for a Family Health Strategy (FHS) team that uses advanced access (AA) as a model for organizing the agenda

• Autor(a) principal: Ecco Canuto, Liliane
• Data de Publicação: 2021
• Outros Autores: Silva, Angela Fernandes Leal da, Pinheiro, Luiza Sanchez Palacio, Canuto Júnior, Júlio Cesar Arruda, Santos, Nereida Lúcia Palko dos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2378
• topic: Primary Health Care; Family Health Strategy; Health Services Accessibility; Appointments and Schedules; International Classification of Primary Care; Atención Primaria de Salud; Estrategia de Salud Familiar; Accesibilidad a los Servicios de Salud; Citas y Horarios; Clasificación Internacional de la Atención Primaria; Atenção Primária à Saúde; Estratégia Saúde da Família; Acesso aos Serviços de Saúde; Agendamento de Consultas; Classificação Internacional de Atenção Primária

Introduction: Timely access and continuity of care are two important operational measures for the practice of care in Primary Health Care (PHC). Purpose: Conduct a study of the demand for a Family Health Strategy (FHS) team that uses advanced access (AA) as a model for organizing the schedule. Methods: It is a documentary, quantitative, descriptive and retrospective analysis carried out in an FHS team in Rio de Janeiro. The 1410 pieces of data were collected in a Microsoft® Excel® spreadsheet in Google Drive, used in the team’s work process and were tabulated and arranged in Microsoft Excel® spreadsheets. Records from August and September 2017 were included, while records in which the reason for the consultation (RC) was not filled out were excluded. The RC were coded based on the demands, complaints and needs expressed in the users’ narratives, and adapted to the conformity of the ICPC (International Classification of Primary Care). Results: Of the 1392 RC records of the remaining users, 149 were not attended due to absence, rescheduling or evasion, totaling 1243 records covered. There was a predominance of the following variables: females, aged between 55 and 59 years old, spontaneous demand queries, visits in the morning, mainly in the first hours of the reception and about general and non-specific complaints. Conclusions: With AA there seems to be greater accessibility for users who receive first contact access more easily to solve their problems. Carrying out the demand study makes it possible to collect data for the elaboration of a plan for a better organization of the agenda, reflecting in a better service to the population in a resolute, timely and integral way.