NEW CARE MODEL: PRIMARY HEALTH CARE AT UNIMED JABOTICABAL

Introduction and objective: The currently health care model at Unimed is based on specialized care, fragmented, with out coordinated and centered in the hospital. What is proposed in this New Care Model (NCM) is the introduction of Primary Health Care (PHC) as a gateway to Unimed customers in the health system, organizing their "navigation" in this complex and medical system - centric. The PHC at Unimed Jaboticabal (UJ) started a pilot project in August 2013, applying the main principles; access, longitudinality, integrality and coordination of care (Starfield, 2002). The triple aim of the PHC in the UJ is to improve the health of individuals and communities, improve the population experience with heath care and reduce healthcare costs (waste). Method: The method used was The Science of Continuous Improvement by the Institute for Healthcare Improvement. This methodology exploits the team to plan, test and implement the changes needed to achieve a defined objective. To understand the impact of interventions on the indicators we used the methodology of Shewhart or control charts. Results and conclusions: Monthly control charts are analyzed by indicators: access (94% already consulted), health (breast cancer screenings increased from 54% to 75%, cervix from 55% to 78% and colorectal 19% to 65%), satisfaction (70% scored 5 (maximum 5) to the NCM - PHC) and Financial (costs remained), demonstrating the sustainability and viability of the NCM - PHC.