Hipertensão arterial e diabetes mellitus: dados do 2º ciclo do programa de melhoria do acesso e da qualidade na atenção básica

Abstract

This study had the objective to analyze the epidemiological profile of the 21 cities of the 4th Regional Health Coordination from the data generated in the 2nd cycle of the Program of Improvement of Access and Quality of Basic Care regarding the chronic conditions Systemic Hypertension and Diabetes Mellitus. An observational cross-sectional epidemiological study was performed using the microdata, in which the variables of modules I, II and III generated by the External Evaluation Instrument of the Program for Improving Access and Quality of Primary Care were selected. To analyze the data, we used the model proposed by Donabedian that evaluates health services and quality of care through three axes: structure, process and results. Statistical analysis was performed in Statistical Program for Social Sciences software version 20.0. The study population was the 21 cities that joined the program. Participated in the external evaluation, 61 Basic Health Units, 66 teams and 261 users. As a result, we have that in the structure axis the observed health units have equipments that assist in the physical examination of the user with Arterial Hypertension and Diabetes Melitus. In the process axis, the interviewed teams, for the most part, affirm that they offer nursing consultations, have the registry of the territory and perform actions and attend the emergencies regarding people with Arterial Hypension and Diabetes Mellitus. Regarding the results, we have that 45.5% of the users interviewed would self refer that some doctor informed about high blood pressure and 15.5% diabetes. It is emphasized that from this analysis it is hoped to trigger processes that bring improvements to the units, teams and users in what concerns the planning, organization and care.