FAMILY HEALTH PROGRAM IMPLICATIONS IN ENTRANCE DOOR ORGANIZATION IN A MIXED UNIT: CHANGING OF USER EMBRACEMENT PROFILE IN THE TERRITORY

Introduction and aim: Primary health units can solve gateway and timely the most of health problems of the population. Thus, the host extends from the user's reception in the health system and full accountability needs to solving their problems. From this, this study aims to understand how is access organization to spontaneous demand from a primary care unit in Rio de Janeiro. Methodology: 12 months experience Reporting (January-December 2015) the implementation of the risk rating system in family health in a mixed unit, which serves 4965 patients for fulfilling spontaneous demand. Therefore, this process included 03 stages: 1) introductory training of the teams; 2) pilot project; 3) implementation itself. Results: The stage 1 realized in five meetings for the establishment of classification of claims according to the need of urgency of care in: red, yellow, green and blue. To this end, the nurses and doctors were trained. In the pilot project, a family health team was established to initiate this process. After two months, the results were discussed and analyzed by the protocol team. It was found that most of the visits (70%) comprised in blue cases, as trading revenues. Subsequently, for deployment, set up schedule times free to physicians (03 visits per shift) for easier access. A minority of cases, 3% was sent to emergency. As a conclusion, The risk classification organized access, most of the demands as possible scheduling. However, it presents the need for free medical schedules for ease and improvement of solving the demands found.