Modelos de Agendamento na Atenção Primária à Saúde: Uma revisão integrativa

Abstract

Provide greater conceptual understanding regarding the scheduling systems found in current literature, while investigating and evaluating its effects on Primary Health Care, emphasizing their advantages, disadvantages and implementation methods. This is an integrative literature review carried out in the following eletronic databases: MEDLINE, WPRIM, LILACS, BDENF, IBECS, COLECIONA SUS, BBO, SEC. MUN. SAÚDE SP, RDSM, WHO IRIS, AIM, INDEX PSICOLOGIA, CUMED and SEC. EST. SAÚDE SP, being considered articles without language delimitation within a 10-year period. Of the 16 selected articles, cross-sectional studies were the majority, followed by prognostic studies using mathematical models and simulation programs, with exclusive and comparative studies. Most of the research was on Carve-Out and Advanced Acess systems, as they represent the duality between both current and disruptive scheduling models. The following dimensions, inherent to each model, were contemplated: systemic, organizational, operational and individual, with a critical analysis based on the specifications of the National Primary Care Policy. Thus, all studies that whose scope included Avanced Acess indicated its superiority over the remaining systems. Therefore, despite fully satisfying the requirements of Primary Care, its effectiveness is conditioned by the implementation of permanent education and care systematization policies, supported by leadership, commitment, clinical and administrative support.