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Perception of advanced access in a basic health care unit

Abstract

Introduction:

One of the guidelines of Primary Health Care (PHC) in Brazil is the person’s user’s first contact with the health system. Access or accessibility is an essential attribute of PHC that has been poorly assessed in Brazilian surveys. The appointment scheduling system certainly influences access in health units, and the model for advanced access (AA) has been implemented in Brazil, and has been achievinggetting better results than traditional scheduling models.

Objective:

The objective of the presentthis study is to understand the perception of professionals who work in a basic health unit in Uberlândia-MG (Centro de Saúde Escola Jaraguá) about the implementation of AA.

Method: It is a qualitative study that used the focus group methodology and content analysis.

Result:

The following thematic categories were delimited: Challenges in the consolidation of PHC and investment in minimal teams; Tensions regarding the increasedin the demand for individual careassistance and work overload; Education and health: necessary intersections between teaching, service, management and community.

Conclusion:

It was concluded that CEJAR presented specific characteristicsparticularities with the implementation of AA as it isfor being a teaching unit, doesfor not haveing a consolidated Family Health Strategy (FHS) and due to thefor the work overload resulting from this scheduleagenda, which can contribute to the planning of other teams that are interested in AA.

Keywords:
Primary Health Care; Access to health services; Perception; Professionals; Appointment scheduling

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