A introdução do acesso avançado como instrumento de gestão de agenda na Unidade Básica de Saúde Praia da Baleia, em Itapipoca-CE.

Abstract

Primary Health Care has, among its key attributes, care coordination, which, in order to be effectively achieved, requires schedule management that enables the organized and consolidated attendance of all population groups. In this context, the Baleia Basic Health Unit (BHU), located in Itapipoca, Ceará, does not present an efficient scheduling system, resulting in long queues, extended waiting times, high absenteeism rates, and disorganized appointments among priority groups. This problem is mainly associated with two critical issues: schedule management based on specific assistance programs and the lack of adequate and systematic follow-up of patients by nurses and physicians. Advanced Access, therefore, becomes an important methodology to be implemented in order to improve the management of appointments among the various professionals of the Family Health Team, as it promotes maximum daily problem solving capacity by performing “today’s work today.” This approach aims to reduce waiting times and absenteeism while ensuring compliance with scheduled appointments. To achieve this, it is necessary to train Family Health Team members, optimize care according to severity and need, and foster active patient participation. Moreover, establishing a routine of alternating consultations between nurses and physicians is essential, using electronic platforms capable of organizing proper follow up for each individual within the unit, thus preventing professional overload while ensuring at least one annual appointment with both the nursing and medical professionals. Therefore, the introduction of Advanced Access at the Baleia BHU represents a fundamental strategy to overcome the identified challenges in service delivery. However, despite its demonstrated benefits, this implementation poses considerable challenges, such as the need for continuous professional training, allocation of financial and technological resources, and potential initial resistance from both team members and patients. Nevertheless, the successful implementation of this project is expected to consolidate schedule organization and promote effective follow up of each user within the Unified Health System.