INCREASING THE VULNERABLE GROUPS ASSIDUITY TO PRIMARY CARE SCHEDULED CONSULTS

Introduction / objectives The consult is the most complex practice activity in health care and is the core of patient-doctor relationship. In our institution, it was registered that considered vulnerable groups have a high number of missing schedule consults. This core point queries the maintenance of individual and population health, reflecting the care quality. We aim to calculate the absenteeism rate in these groups; identify the reasons and implement a strategy to reduce absenteeism. Methods The number of missed scheduled consults was registered (January 1st to June 30th – 2015). After, between July 1st and September 30th, the patients were contacted by phone in order to assess the reasons of missing. A strategy was carried out to promote patient compliance and its results evaluated during October 1st and December 31st. Study dimension: scientific and technical efficiency; Unity study: patients with schedule consultation in vulnerable and risk groups, during 2015; Sample: unit study; Data type and source: “SClínico” and “SINUS” programs; Evaluation: internal; Evaluated criteria: presence and missed consults; Quality standard: 10% excellent; Type of intervention: educational and structural. Results / conclusion From 3370 scheduled consults during analysed period, 8,8% were not performed. After contact, the main identified reason was “forgetfulness” (60,7%). We start to call patients to remind the scheduled consults, one week before it. In the last analysed period, 5,28% of the total consults weren’t performed. There was an excellent (40%) absenteeism reduction rate. Our team aim to keep with this procedure with evaluation during 2016.