Banca de DEFESA: FERNANDA MARTINS SOBRINHO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : FERNANDA MARTINS SOBRINHO
DATE: 29/04/2021
TIME: 09:00
LOCAL: Ambiente virtual (Google Meet)
TITLE:

Improvement in the use of an outpatient secondary health care service

KEY WORDS:

Secondary Care; Quality Improvement; Facilities and Services Utilization; Health Services Accessibility.

PAGES: 97
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Access to specialized secondary care services is considered a “bottleneck” for the effectiveness of comprehensive care, precisely because of the restriction of access that, consequently, generates repressed demand for these services. A government policy in the state of Bahia aims to fill the care void linked to diagnostic support and specialized clinical care, through the implementation of Regional Polyclinics. However, in an implanted Polyclinic, 26.3% of the vacancies offered were not used in the second half of 2018. Thus, it is justified to carry out an improvement cycle, in order to optimize the use of the services offered. Objective: To improve the use of the services offered by the Regional Health Polyclinic, through the application of an improvement cycle.

Methodology: This is an improvement cycle, a quasi-experimental study, without a control group, with before and after evaluations, combined with time series analysis, carried out in the 2019/2020 biennium, in a regional Health Polyclinic in the state from Bahia, Brazil. For the proposed cycle, three quality indicators were established to assess the use of services offered in two moments, pre-intervention and post-intervention. The analysis was performed based on absolute and relative frequency and absolute and relative improvement. Statistical significance was tested using the z-value test, using the OpenEpi statistical program. For graphical analysis, trend graphs were used. This study was approved by the Research Ethics Committee, according to opinion 4,378,642.

Results: Before the interventions, an average service utilization of 75.4% in the quarter was identified in the assessment. From the implementation of the interventions, the first three quarters became more used than in the evaluation, with 80.4%, 79.5% and 79.3% of use, respectively. Only in the last quarter, the percentage of use was lower than in the evaluation, being 74.7%, influenced by the low use of exams / procedures. However, these differences were statistically significant, with a p-value <0.001.

Conclusion: Through the application of improvement cycles, the objective of this study was achieved, since there was an improvement in the use of the services offered by the Polyclinic by the consortium municipalities. This study is expected to continue and to optimize the use of services to carry out new improvement cycles. 

BANKING MEMBERS:
Presidente - 2149485 - ANTONIO MEDEIROS JUNIOR
Interno - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA
Externa à Instituição - MERY NATALI SILVA ABREU - UFMG