The Advanced Access as a strategy to organize the agenda and increase access in a Basic Health Unit of Family Health Strategy, Diadema, São Paulo, Brazil

• Autor(a) principal: Cirino, Ferla Maria Simas Bastos
• Data de Publicação: 2020
• Outros Autores: Schneider Filho, Douglas Augusto, Nichiata, Lucia Yasuko Izumi, Fracolli, Lislaine Aparecida
• 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/2111
• topic: Health Services Accessibility; Health Care Quality; Access and Evaluation; Primary Health Care; Comprehensive Health Care.; Accesibilidad a los Servicios de Salud; Calidad; Acceso y Evaluación de la Atención de Salud; Atención Primaria de Salud; Atención Integral de Salud.; Acesso aos Serviços de Saúde; Qualidade, Acesso e Avaliação da Assistência à Saúde; Atenção Primária à Saúde; Assistência Integral à Saúde.

Introduction: Pressured by demand and busy schedules, health teams have been discussing strategies for reorganizing the agenda and expanding access. Advanced Access has been gaining ground in this discussion as a strategy developed in the United States that has the principle “Do today’s work today!”. It was proposed to describe the influence of the implementation of Advanced Access on access to user care Advanced Access in a Family Health Unit in the city of Diadema. Methods: This was an experience report of the unit manager in the process of implementation of Advanced Access, with the proposal to analyze the agendas and production reports of health professionals (doctors, nurses and nursing technicians) during the period. January 2017 to April 2018 and present descriptive statistics of the influence of Advanced Access on the care of these professionals. Advanced Access has been extensively discussed with staff and management council in a process of jointly building flows and new agendas. Results: There was a 157% increase in the number of users served in consultations, from 1,048 in January 2017 to 2,694 calls in April 2018, and a drop from 13% to 2% in the rate of missed users. Conclusion: It was demonstrated that the strategy was effective in expanding access to health services, also generating positive effects on the organization of the agenda and work processes of teams. It is expected to contribute and foster discussions about the optimization of access to Primary Health Care (PHC), its complexities and peculiarities, and propose analysis of the influence of Advanced Access on the other attributes of PHC, particularly on the longitudinality and comprehensiveness attributes of care.