Regulation of the access of SUS users to the outpatient clinic of a Uuniversity Hospital

• Grant number: 14/50053-6
• Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)
• Start date: July 01, 2014
• End date: December 31, 2015
• Field of knowledge: Health Sciences - Collective Health
• Agreement: CNPq - PPSUS
• Principal Investigator: Marcos Felipe Silva de Sa
• Grantee: Marcos Felipe Silva de Sa
• Host Institution: Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da USP (HCMRP). Secretaria da Saúde (São Paulo - Estado). Ribeirão Preto , SP, Brazil

Abstract

The insertion of hospitals in the health care network is a factor of preponderant importance in the organization of SUS. The regulation of patient flow between hospitals and health services with the structuring of a regionalized care network is a challenge to be overcome. This was the proposal of HCFMRP-USP when, in 2000, it decentralized the scheduling of elective visits for new patients and organized Centers of Regulation of Elective Visits with the Regional Health Departments (DRS) of its area of coverage. A study carried out between 2000 and 2005 demonstrated that the system still required adjustment, since no Department scheduled all visits that were available and cases of low complexity were still an important part of the cases scheduled. From 2005 onwards measures were adopted by both HC and DRS to improve regulation and organize the flow of patients, in an attempt to make HC the terciary reference for the regional health system. Objective: To assess the impact of the implantation of Centers of regulation, between 2005 and 2013, on the scheduling of available visits and on the organization of patient flow and the effective designation of HCFMRP-USP as a tertiary unit in the regional service network. Methodology: The degree of observance of the scheduled visits offered by HC to the DRSs will be determined in order to evaluate the results regarding the organization of patient flow. A descriptive quantitative study will be conducted using secondary data from the period of 2005 to 2013. In order to assess the effective designation of HC as a tertiary unit, the coherence between the complexity of the referred cases and the mission of the Hospital will be analyzed. A cross-sectional investigation will be conducted at two different times, 2005 and 2013, by sampling the new visits scheduled via the Centers of Regulation and held at the Hospital. (AU)