ADVANCED ACCESS IMPLEMENTATION ON PRIMARY CARE

Introduction: The access reorganization in primary care has been highly discussed in several levels at SUS. However the most involved parties in the process are, without a doubt, the professionals playing the straight attendance role to the user/client. Organize this demand process, ensure attendance quality and promote health is a challenge to primary care clinics in the city of Rio de Janeiro.   Objective: Report experience and critical analysis of indicators on the electronic medical records, of health team transformation in which their procedure was scheduling and became advanced access in March 2015. Analysis of the past 2 years.   Method: Critical analysis of indicators on the electronic medical records, describing differences found on the electronic medical records.   Results: Improvement on user’s access to effective problem resolution appointment, absenteeism reduction, more effectiveness on consultations, better bond between doctor-patient, higher number of consultation per user versus attendance time. Need for interaction from community agent till high-educated professionals. Clear understanding of work process and better interaction between admission team and professional involved.