Advanced Access in the Family Health Strategy: progress or setback for the nursing team?

家庭健康策略中的高级准入:对护理团队而言是进步还是挫折?

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Abstract

OBJECTIVES: to analyze the implementation of the Advanced Access method in a Family Health Unit from the perspective of the team's healthcare professionals. METHODS: qualitative research, using participant observation techniques and semi-structured interviews, carried out with 19 members of the multidisciplinary team of a Basic Health Unit in the countryside of São Paulo from February 2019 to March 2020. RESULTS: the results indicate satisfaction and greater problem-solving, but with compromised longitudinality and comprehensiveness of care due to deficit in team size, population size, and care for chronic patients. The categories of analysis found were "The context of Advanced Access in the access dimensions" and "Nursing as a power for the Advanced Access model". CONCLUSIONS: the implementation of Advanced Access and its success must consider the history and context of Primary Health Care in each unit and in municipal policy.

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