Agendamento eletrônico ambulatorial: análise de melhorias após a implantação

Abstract

With the objective of analyzing the results of the implantation of electronic systems and tools, used to perform the regulation of high complexity access, that is, consultation schedules and specialized outpatient exams, this research starts from an exploratory descriptive analysis, promoting a greater knowledge on the history of the Regulation of Access to Assistance (Also called regulation of access or care regulation) and the implementation of a computerized system that acts in this practice. With the 1988 Constitution, the Unified Health System was defined as the right of all, and the State should guarantee equal access. At the outset, it found difficulties in broadening access to citizens and decentralize health actions, dividing the responsibility between States and Municipalities. The approach used was qualitative and quantitative, because it intends to describe and interpret the phenomena, besides analyzing the information collected. The regulation of access to care had its mark with publication of NOA / SUS 2001(Health Care Operational Standard), and has intensified over the years, even with the challenges encountered in achieving the quality required by SUS users and meet the needs that vary according to your individual profile. Since its inception in 2008 through ordinance no. 1,559, presented advances related to the improvement of the quality of care flows making this dimension of regulation can be considered the user's access door to public health services. That is why the main objective of the research consists of analyzing the indicators of satisfaction and absenteeism, because, these are the ones that reveal how the image of the institution is and their use in relation to supply and demand. In August 2010, the Central of Regulation of the Health Services Offering - CROSS, and was implanted in the Hospital of this work with its various functions, allowing a more practical and organized flow to promote access to SUS users, so in this work will be evaluated the impact of the schedules made through the CROSS system allowing outpatient access and evaluating the indicators that effectively present the impact of its implementation. The obtained results indicate positive changes and improvements in the quality of care, since it adopts more adequate protocols in the practice of health care regulation.