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Updated: Jan 31, 2026

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

Isabela Oliveira Almeida1, Débora de Souza Santos1, Dalvani Marques1

  • 1Universidade Estadual de Campinas. Campinas, São Paulo, Brazil.

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Summary

This study examined the Advanced Access method in a Family Health Unit. While professionals reported satisfaction and improved problem-solving, challenges in team size and chronic patient care impacted comprehensive healthcare delivery.

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Area of Science:

  • Primary Health Care
  • Health Services Management

Background:

  • The Advanced Access (AA) method aims to improve patient access to primary care.
  • Understanding healthcare professional perspectives is crucial for successful implementation.

Purpose of the Study:

  • To analyze the implementation of the Advanced Access method in a Family Health Unit.
  • To evaluate the AA method from the perspective of healthcare professionals.

Main Methods:

  • Qualitative research approach.
  • Participant observation and semi-structured interviews.
  • Involved 19 multidisciplinary team members in São Paulo's countryside.

Main Results:

  • Healthcare professionals expressed satisfaction and enhanced problem-solving capabilities.
  • Compromised longitudinality and comprehensiveness of care were noted.
  • Deficits in team size and chronic patient management were identified.

Conclusions:

  • Successful Advanced Access implementation requires consideration of the unit's history and local Primary Health Care context.
  • Municipal policy plays a significant role in the success of AA.