Acesso a atenção fonoaudiológica: intervenções para a melhoria da qualidade

Abstract

Objective: Improving the accessibility in its socio-organizational dimension for an Ambulatory Service of Speech-Language Pathology in the city of Natal, state of Rio Grande do Norte. Methods: Quantitative study of the quasi-experimental type of time series resulting from a cycle of quality improvement. The quality level was assessed by means of criteria related to the absence rate at the consultations, appointment for screening and for initiation of speech therapy. The evaluations took place from january 2017 to august 2018 and the data collection was performed through reports issued by the scheduling program and waiting lists. The data were compiled and subsidized the delineation of run charts graphs by means of which the presence of patterns indicative of situations significantly different from the expected ones (p <0.01) and the compliance with the quality criteria were verified. Results: The quality level established was achieved in some periods, however, it was not observed changes with statistical significance in the behavior of the indicator when related to the interventions. Conclusion: The changes in the organization of the service and the monitoring indicators show improvement in access, but there is still instability in the process highlighting the need for new interventions.