CLINICAL AUDIT: THE IMPACT OF ADVANCED ACCESS IN ACCESS AND SATISFACTION

Introduction/Objective: One of the challenges of Primary care in brasilians urban centers is the difficulty to achieve one essential attribute: access. Currently the advanced access is an important tool, but still underutilized in Belo Horizonte network. Therefore the objective was to evaluate the accessibility and user satisfaction before and after the introduction of advanced acess in four staffs in a health care Center, in “Barreiro de Cima”s. Methods: We developed a semi-structured questionnaire based on PCATool (Starfield,B.)To evaluate the waiting time for scheduled appointments and spontaneous demand. After the consultation, the user aided by a non-medical professional whote his satisfaction with the waiting time and the care received, and leave suggestions. This questionnaire was applied for people assisted in two distinct periods: before the introduction of advanced access and 1 year after it. Results/Conclusion: In 2012 in the each teams the waiting time to meet same day consultations were:1: 56h,2:38h,1:50h,2:23h.The waiting time between the request for consultation and the schedule was 24,32,11,49 days. Satisfaction with the waiting time was 64%,75%,78%,61% satisfaction with the care received was 88%,95%,85%, 91%.One year after advanced access, the waiting time for same day consultations was 2h,2:43h,0:43h.the waiting time between the request for consultation and the schedule was 2,8,5,1.5 days. Satisfaction with the wait time was75%,87%,67%,100% and satisfaction with the care received was 100%,92%,67%100%. The average waiting time for scheduled appointments decreased about 22 days in absolute analysis, although the values do not show statistical significance,it suggests the benefit of this tool in terms of access.