Avaliação das ações em hipertensão arterial sistêmica na atenção básica

Abstract

OBJECTIVE:To evaluate the effi ciency of the Family Health Strategy in actions related to hypertension. METHODS:Evaluative, cross-sectional quantitative research based on secondary data of 66 small municipalities located in the state of Santa Catarina, Southern Brazil, with maximum potential coverage of 100% by the Family Health Strategy in 2007. Input indicators, products and results were evaluated. The municipalities' effi ciency of services production and results production was compared through data envelopment analysis. RESULTS:The municipalities were more effi cient in services production (37.8%) than in results production (16.6%). Forty-one municipalities (62.2%) were ineffi cient in the services: enrolment in the Hypertension and Diabetes Information System, individual assistance and home visit for hypertensive users, and 55 (83.3%) were ineffi cient in the production of impact against hypertension. CONCLUSIONS:The evaluation model used in this study proved to be capable of measuring effi ciency in primary healthcare by evaluating the productivity of services and results.

Hospitalização por acidente vascular encefálico isquêmico no Brasil: estudo ecológico sobre possível impacto do Hiperdia

“…Such health policy allowed the control of blood pressure and of glucose through the use of drugs and strategies to changing lifestyle habits 16,17 . Probably, the fall in HIS in Brazil is due to these preventive measures that mitigate the modifiable risk factors of great impact in the occurrence of the disease 24,25 .…”

“…In 2002, it was implemented in Brazil the national assistance program for people with high blood pressure (hypertension) and DM, called Hiperdia, which consists in the continuous monitoring of such patients, with the basic health units of the Unified Health System (Sistema Único de Saúde -SUS), with the supply of drugs and the promotion of healthy life habits 16,17 . Despite its existence for more than a decade, there are still no studies estimating the effects of the implementation of Hiperdia nationwide about the most common outcome of cerebrovascular events, which is hospitalization by IS.…”

Validade da hipertensão autorreferida associa-se inversamente com escolaridade em brasileiros

“…The multidisciplinary teams of the Basic Health Care Units are in charge, among their other responsibilities, of the prevention, control and diagnosis of the most common diseases, such as hypertension in adults. The percentage of hypertensive individuals undergoing follow-up is one of the indicators for monitoring and evaluation of this strategy 26,27 . In São Paulo, where the estimated coverage of the FHS is 30%, we observed a distinct pattern in the morbidity profile in areas covered and not covered by the program, suggesting greater awareness of the health status regarding chronic diseases in the areas covered by the FHS 28 .…”

Depression and anxiety in subjects with chronic non‑communicable diseases

“…Its diagnosis is obtained through a mapping of blood pressure levels, measuring blood pressure (BP) regularly, in which if the elevation of these levels is observed repeatedly in the casual measurements the individual will be diagnosed as hypertensive (6) . The follow-up of this disease is necessary in order to prevent the development of serious cardiovascular diseases, such as acute myocardial infarction and congestive heart failure (7) . Multiple risk factors are linked with the development of this pathology, such as aging, unhealthy diet, alcohol and tobacco abuse, absence of regular exercise and obesity.…”