THE USE OF AN ONLINE SHEET IN ADVANCED ACCESS FOR A HIGH DEMANDING VULNERABLE POPULATION

Introduction and Objective: The advanced access is a complex access method applied in many countries and some cities in Brazil, presenting good indexes, such as higher patients’ satisfaction and less use of the urgency services. In this work, we present the study of the use of an online sheet in the communication between the members of a Family Health Team to facilitate advanced access and generate health primary data in a high demanding vulnerable population in a favela in Rio de Janeiro. Method: The Family Health Team used a shared sheet Google Drive, in which each patient demanding any service was put by the Health Communitary Agent, along with some identification data (sex, age, pathological history) and his demand (clinical or burocratic). At the same time, the technical professional (doctor or nurse) could check it, and quickly respond to this demand based on the clinical urgency, number of patients, and immediate and long term disponibility of the professionals of the team. Results and Conclusion: As a result, we could organize the professionals’ same day appointments and activities, as well as schedule consultations and better distribute the health care between doctor and nurse, as we dealed with the high demanding and vulnerable population. Because the sheet also counted with each patient’s health information, we could trace a health profile of our demanding population, in quantity and quality. This tool also helped us to evaluate our own work and access quality, by giving us concrete data on the approach and schedule system.