Program for improving access and quality of basic care: analysis of the welcoming in two cycles
International Journal of Development Research
Program for improving access and quality of basic care: analysis of the welcoming in two cycles
Received 17th June, 2019; Received in revised form 26th July, 2019; Accepted 11th August, 2019; Published online 30th September, 2019
Copyright © 2019, Flávio Araújo Prado et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The objective of this study was to analyze the process of welcoming the spontaneous demand in the Basic Health Care of a municipality from the perspective of professionals from the Program for Improving Access and Quality of Basic Care (PMAQ-AB). An exploratory and documentary study with a quantitative approach, carried out in the Primary Health Care services of a municipality, through the results of the first and second cycles of the external evaluation of the PMAQ-AB, in the years from 2012 to 2015, about the process of welcoming with assessment / classification of risk and vulnerability through themes such as access, protocols and risk and vulnerability criteria, and work organization. Increasing data were observed when comparing the two cycles, mainly related to welcoming implantation, the use of protocols with definition of therapeutic guidelines to accommodate the spontaneous demand / urgency and the availability of services to remove users. However, there was a decline in the frequency of occurrence the assessment of risk and vulnerability in the elcoming of users, reservation of same-day service places and the definition of maximum scheduling time. Thus, the welcoming still presents limitations in its implantation and consolidation within the Basic Healh Unit.
