The AcolheSUS Project in Primary Health Care in Brazil’s Federal District

Martins, Ana Carolina Tardin; Paula, Ana Patrícia de; Cardoso, Janaína Rodrigues; Borges, Maria Inês Guedes; Botelho, Maira Batista

doi:10.1590/1413-81232018246.08492019

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ARTICLE • Ciênc. saúde colet. 24 (6) • June 2019 • https://doi.org/10.1590/1413-81232018246.08492019 copy

The AcolheSUS Project in Primary Health Care in Brazil’s Federal District

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The recent change in model of primary health care introduced for the Family Health Strategy, to one centred on the user and territorialisation, provided the ideal opportunity to implement the AcolheSUS Project in a Basic Health Unit (UBS) of the Central Region of Brasília, in Brazil’s Federal District. The UBS team conducted a situational diagnosis of the unit and situational strategic planning with a view to reorganising the service to address the problems identified, focusing on the work processes. With introduction of AcolheSUS, the number of individual user registrations performed by the teams increased from 135 to 3525, the number of nursing visits increased by 193.7% and the number of procedures performed by nurses increased by 121.2%. During changeover to the new care model, 71% of residents in the catchment area attended the basic health unit; after introduction of AcolheSUS, the percentage reached 90.5%. The monthly average of users received and classified was 1099.8. The joint construction of solid protocols and adjustments to work processes contributed to improving service delivery and afforded users greater access to the health care unit.

Keywords
Reception; Health management; Strategic planning; Primary health care; Family health strategy

Objectives	Activities	Deadline	Responsibility of
Dimension: care management and organisation
Organise health professionals’ work schedule in compliance with PHC guidelines	Organisation of teams’ schedules to assure home visits, team meetings, and doctors and nurses present every day at the UBS	Nov/2017	UBS management
	Organisation of team nursing technicians’ shifts in vaccination rooms	Nov/2017	UBS management
	Organisation of representatives for the collegiate management group comprising team coordinators and representatives of the professions at the UBS	Nov/2017	UBS management
	Introduction of the oral health team and nutritionist into the new model of care	Jan/2018	UBS management and Local Executive Group
	Introduction and discussion of the schedule of PHC services with all workers at the UBS	Nov/2017	UBS management
Organise HT, DM, CD and antenatal patients for monitoring by the team	Preparation of spreadsheets for monitoring of appointments and routine examinations	Feb/2018	UBS management /Team coordinators
Use Ministry of Health PHC booklets (CAB MS) for consultation	Record MoH PHC booklets on all teams’ computers	Nov/2017	UBS management
Monitor patient no-shows	Organise no-shows by noting on schedules	Feb/2018	Team coordinators
Dimension: Reception
Care that solves user problems	Organise appointments by block of hours	Dec/2017	UBS management
	Set up reception and pre-care room for each team	Dec/2017	UBS management
	Reorganise specialised care appointment-setting flow	Nov/2017	UBS management
	Organise waiting list for pre-care and appointment scheduling	Nov/2017	UBS management
	Use risk classification in MoH CAB No. 28	Nov/2017	UBS management
Rearrange teams’ areas	Reorganise the teams’ coverage areas	Nov/2017	UBS collegiate body
Dimension: Ambience
Receive users arriving at the UBS in such a way as to solve their problems	UBS reception balcony always open during working hours	Nov/2017	UBS management
Evaluate user satisfaction	Conduct user satisfaction survey	Dec/2017	UBS management and Local Executive Group

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E-mail: cienciasaudecoletiva@fiocruz.br

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[1] Collaborations

JM Cardoso, MB Botelho Alves and MIG Borges worked on the conception of the introduction, interpretation and final writing of the article and the approval of the version for submission to the publication. AP Paula worked on designing, designing, analyzing and interpreting data, writing the final article and approving the version for submission to publication. ACT Martins worked on designing, designing, collecting and organizing data, analyzing and interpreting data, writing the initial and final article, and approving the version for submission to publication.