Assimetrias na informação da atenção básica ao diabetes em municípios do Rio Grande do Sul

Abstract

Diabetes mellitus has become a worldwide epidemic and depends on preventive actions in primary health care to contain its progress. In the Brazilian context, despite the autonomy among its Federation tiers, the Union has established a contractual relationship with the states and municipalities where it acts as the principal, formulating and financing part of the national health policy, and the municipalities act as executors of such a policy. The purpose of this study was to measure the risk of asymmetry of minimum information to the principal about diabetes in the main context of the municipalities of Rio Grande do Sul between the years of 2007 and 2012. A logistic regression was modeled from 2,103 records of 443 municipalities covering 31 variables. The significant variables (p <0.05) that reduced chances of diabetes minimum information to the principal were the years of 2007 and 2012 and the municipality link to Regional Health Coordination (RHC) agencies #1, #2, #8, #11 and #19, as well as the number of Primary Health Care units. On the other hand, significant variables (p <0.05) contributing to the reduction of the minimum information asymmetry to the principal in the considered period were the the municipality link to RHC #4, the population size besides the informed rate of populational basic health monitoring. The model demonstrated that the probability of Rio Grande do Sul municipalities adopting a diabetes monitoring and control culture was very small, which is consistent with the discontinuity of DATASUS databases.