OPTIMIZATION OF THE WAITING LINE IN THE REGULATION SECTOR AT THE JARDIM MITSUTANI PRIMARY CARE UNIT: RESOLUTION AND FOCUS ON THE PATIENT

Optimizing the waiting list for medical specialties in Primary Health Care Center “Jardim Mitsutani”:resolubility and focus at the patient. Introduction and Objective The referral system for specialists in question was not adequate to local protocols with waiting times lasting more than 6 months in some cases. The goalsare to optimize the waiting list and improve the follow up of the provided care to users; improving quality and rationalizing the health expenditures in a more efficient way by guidance of clinical protocols and predefined pathways. Method The cases in the waiting line were reviewed by: the technical support area;training of the medical staff was conducted based on the difficulties encountered; reinforcement for the adherence of the referral protocols already established; actions for awareness addressed for the health team aimed to improve communication with the referral departmentforthe proper functioning andestablishment ofthe clinical referral manager position. Results and Conclusions In nine months the waiting list for medical specialties was reduced by 90%, and for diagnostics tests in approximately 89%; even if eventually the tax of referrals raise the trend of the waiting list is to remain stable as long as the conditions obtained are sustained. The reduction in the non-referral rate and waitingtime were due to greater interaction between teams and sectors, rational use of the sector; through trained and aware doctors; as well as the partnership with the technical support area. In this way we areensuringefficiency, quality, and comprehensive care to all patients.