Operational research for scheduling adjustment in a primary care service
DOI:
https://doi.org/10.5712/rbmfc12(39)1459Keywords:
Health Services Accessibility. Appointments and Schedules. Accommodation. Patient-Centered Care. Patient Care Continuity.Abstract
Introduction: In 2014 “Unidade de Saude Mae Curitibana” (Curitiba Maternal Health Center) adopted the carve-out model of schedule organization, allocating half of the medical appointments as advanced booking and half as same-day appointments. Objectives: To evaluate the application proportion of the scheduled and same-day appointments offered. Methods: Observational descriptive study, applying a variables form to all the patients registered in the electronic agenda of the Green Team of the Curitiba Maternal Health Center from the 22nd of June to the 24th of July 2015. Results: There were 393 (67%) women and 194 (33%) men, with 35.43% of appointments being with people over 60 years old. A total of 451 (77%) were records of the area and 136 (23%) were records of other areas. The application rate of appointments (attendance/total of appointments offered) was 78.77% (271/344) for scheduled appointments and 67.89% (239/352) for same-day appointments. Among the same-day appointments, 45% were delivered for patients from other primary care providers. Conclusion: The application rate is greater for scheduled appointments, demonstrating a necessity to adjust the balance between scheduled and same-day appointments. The proportion of appointments of patients from other providers compromises the continuity of care.
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