IMPLEMENTATION OF ADVANCED ACCESS STRATEGY IN THE “CONFEDERAÇÃO SUIÇA” TEAM

Introduction and Objectives: After a first turbulent year of residency in Family Medicine, the need to reshape access regarding “Confederação Suiça” team urged. The large repressed demand due to the high turnover of doctors, population vulnerability and more than forty-five days waiting time for a consultation made the labor day stressful for users and frustrating for professionals. It was then suggested the possibility to implement the advanced access strategy and a comparative study between models within the team was aimed. Method: Data analysis in electronic medical records, case review and reports of experiences lived during the transition by team members. Results and conclusion: Objectively the first aspect to be noted was a drastic reduction in absenteeism, as well as increasing numbers of consultations offered to patients with waiting time reduction to one day. There was also stress reduction on the professionals previously involved in discussions driven by frustration and difficulties to ensure access. Yet, it was noticed an increase in effective resolution, a higher number of procedures and reduction in the need for referrals. Although a previous organization in the agenda may seem more convenient for professionals and the doctor, it is important to adjust the access to the community where the clinic is located, adapting to the territory peculiarities, reducing unnecessary wear and directing focus to important issues.