THE ADVANCED ACCESS AS SOLUTION TO SPONTANEOUS DEMANDS OF THE FAMILY CLINIC SONIA MARIA FERREIRA MACHADO

Introduction and Objective: The Family Clinic Sonia Maria Ferreira Machado located in the west of Rio de Janeiro (RJ), currently has 29,785 registered patients that are assisted by eight medical unit serving the free and scheduled demands. This study aims to demonstrate the working process established at the clinic said it did significantly increase the numbers of consultations during the year 2015. Methods: For improved organization of demands was introduced the concept of advanced access in June 2015 after analysis of studies conducted in Brazil with emphasis on statistics of Curitiba (PR). The period under review covers the months from January to July 2015 and included the participation of doctors and nurses as well as unit manager who allowed the change in access and care of the unit.  Results and Conclusions: After instituted advanced access in June the number of medical consultations increased by 77.2% (an increase of 1233 quiries) and the number of non-medical consultations increased by 25.3% (an increase of 426 queries), in next month the number of medical consultations increased by 100.2% (an increase of 1,605 queries) and the number of non-medical consultations increased by 33.6% (an increase of 566 queries). It is therefore concluded that the increase in the number of queries caused by advanced access has generated significant decrease patient waiting time as well as increased the resoluteness seen patients have their queries on the same day.