Acesso avançado: reduzindo o tempo de espera por consultas na Atenção Primária à Saúde

Abstract

Primary Health Care faces challenges in ensuring timely access, one of its essential attributes. In a Family Health Unit located in an area of social vulnerability in the interior of the state of São Paulo, a critical scenario is observed, with waiting times for appointments longer than 60 days, a no-show rate above 15%, and the suggestion of inappropriate practices, such as prescription renewals without in-person assessment, which undermine continuity of care. This intervention project aims to implement the Advanced Access model to reorganize the appointment schedule, improve access, and reduce waiting time. The methodology is based on a phased 12-month implementation, beginning with team preparation and training, followed by restructuring the schedule into a model with approximately 90% of slots left open for same-day demand. Monitoring will be continuous, using quantitative indicators from the electronic health record (waiting time, no-show rate) and qualitative satisfaction assessments. The expected results include a drastic reduction in waiting time, a decrease in the no-show rate to below 5%, and improved satisfaction among users and professionals, strengthening the therapeutic bond and the problem-solving capacity of the service.