Atenção primária em diabetes no Sul do Brasil: estrutura, processo e resultado

Assunção, Maria Cecília Formoso; Santos, Iná da Silva dos; Gigante, Denise Petrucci

doi:10.1590/s0034-89102001000100013

Cited by 61 publications

(63 citation statements)

References 11 publications

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“…Recente estudo identificou diversas barreiras à integralidade do cuidado ao câncer de colo principalmente o acesso e a qualidade da atenção. 15 Vários outros estudos que investigaram a qualidade dos serviços prestados na rede básica de saúde e, via de regra, identificaram uma ampla gama de deficiências, como relatado por Assunção et al, 16 ao avaliar a rede na atenção aos diabéticos, de Costa et al 17 em relação ao pré-natal, de Saparolli et al 18 ao avaliar a atenção à criança dispensada pela enfermagem e de Costa et al 19 para a saúde da criança na Estratégia Saúde da Família. Estudo que comparou o desempenho da ESF em relação ao modelo de assistência tradicional nas Regiões Sul e Nordeste, não encontrou diferença na estrutura física entre estas unidades, que foram identificadas como precárias e improvisadas.…”

Section: Discussionunclassified

Estrutura e processo de trabalho na prevenção do câncer de colo de útero na Atenção Básica à Saúde no Brasil: Programa de Melhoria do Acesso e da Qualidade – PMAQ

Tomasi

Oliveira

Fernandes

et al. 2015

Rev. Bras. Saude Mater. Infant.

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Section: Discussionunclassified

Estrutura e processo de trabalho na prevenção do câncer de colo de útero na Atenção Básica à Saúde no Brasil: Programa de Melhoria do Acesso e da Qualidade – PMAQ

Tomasi

Oliveira

Fernandes

et al. 2015

Rev. Bras. Saude Mater. Infant.

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“…Health center infrastructure and medical care were also assessed and have been published previously. 3 Briefly, information on medication and supplies availability (oral hypoglycemic agents, insulin, and blood glucose strips); adoption of a specific diabetes management program; use of special registration forms for diabetic patients; health center opening hours; appointment scheduling; and distribution of educational material directed to self-care of diabetic patients, were gathered by interviewing health facilities' managers. All medical doctors attending diabetic patients in every health center were interviewed concerning their medical specialty, current number of jobs, duration of tenure at the health center, and self-reported satisfaction with care delivered.…”

Section: Methodsmentioning

confidence: 99%

Blood glucose control in diabetes patients seen in primary health care centers

Assunção

Santos²,

Valle³

2005

Rev. Saúde Pública

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OBJECTIVE: To identify factors associated to poor glycemic control among diabetic patients seen at primary health care centers. METHODS: A cross-sectional study was carried out in a sample of 372 diabetic patients attending 32 primary health care centers in southern Brazil. Data on three hierarchical levels of health unit infrastructure, medical care and patient characteristics were collected. RESULTS: The frequency of poor glycemic control was 50.5%. Multivariate analysis (multilevel method) showed that patients with body mass indexes below 27 kg/m², patients on oral hypoglycemic agents or insulin, and patients diagnosed as diabetic over five years prior to the interview were more likely to present poor glycemic control when compared to their counterparts. CONCLUSIONS: Given the hierarchical data structuring, all associations found suggest that factors associated to hyperglycemia are related to patient-level characteristics.

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“…n recent decades thousands of people have been affected by diabetes mellitus (DM) worldwide regardless of their social condition (1) placing a growing burden to health systems. Diabetes is a leading non-communicable chronic disease with sudden and insidious onset, and may be associated with the risk of cardiovascular complications and high morbidity and mortality rates.…”

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confidence: 99%

Diabetic retinopathy and visual disabilities among patients in a rehabilitation program

Bittencourt¹,

Montilha²,

Gasparetto³

et al. 2011

Rev. bras.oftalmol.

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Objective: To assess the prevalence of diabetic retinopathy and to evaluate the management of patients with visual disabilities attending at the CEPRE Rehabilitation Program of University of Campinas. Methods: A retrospective study was carried out based on medical records of patients with visual disabilities attending a vision rehabilitation program. The following variables were studied: gender, age, marital status, level of schooling, social security status, origin, type and cause of visual disability and vision rehabilitation actions. Results: The sample consisted of 155 patients, 55.5% males, aged between 12 and 88 years, mean age 41 years old, 34.8% were blind and 65.2% with low vision disability. Of those blind patients, 81.8% reported acquired blindness, and the leading cause was diabetic retinopathy (33.3%), followed by glaucoma (16.6%), and retinal detachment (15.0%). Of those patients with low vision disability, 14.9% had diabetic retinopathy, 14.9% hereditary syndromes, and 10.9% age-related macular degeneration. Vision rehabilitation therapy included interdisciplinary team consultations helping patients go through the mourning process for the loss or impairment of vision, and promoting the enhancement of their skills for performing activities of daily living independently. The management of patients with low vision was also focused on vision rehabilitation. Conclusion: The health of the eyes of patients with chronic diseases such as diabetes is at risk. The prevalence of diabetic retinopathy was found to be a cause for visual disability, suggesting the need to assess these patients' access to health care and rehabilitation and promote health education for changing habits and improving quality of life.Keywords: Diabetes mellitus; Blindness; Vision, low; Vision disorders/rehabilitation; Quality of life RESUMOObjetivo: Verificar a prevalência da retinopatia diabética e as condutas desenvolvidas entre deficientes visuais atendidos pelo Programa de Reabilitação no CEPRE da Universidade Estadual de Campinas. Métodos: O estudo retrospectivo transversal foi desenvolvido a partir da análise de prontuários de pacientes que participaram do programa de reabilitação de deficientes visuais, considerando-se as variáveis: sexo, idade, estado civil, escolaridade, situação de seguridade, procedência, tipo e a causa da deficiência visual e condutas reabilitacionais. Resultados: A casuística constou de 155 pacientes, 55,5% do sexo masculino, faixa etária entre 12 e 88 anos, média de idade de 41 anos, 34,8% cegos e 65,2% com baixa visão. Dos cegos, 81,8% tinham cegueira adquirida, sendo a retinopatia diabética (33,3%) a causa prevalente da cegueira, seguida por glaucoma (16,6%) e descolamento de retina (15,0%). Dos pacientes com baixa visão, 14,9% apresentavam a retinopatia diabética e síndromes hereditárias somaram 14,9%, seguido pela degeneração macular associada à idade (10,9%). As condutas reabilitacionais desenvolvidas para os pacientes com deficiência visual constaram de atendimentos com equipe interdiscipl...

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Atenção primária em diabetes no Sul do Brasil: estrutura, processo e resultado

Abstract: Although currently undersupplied, the primary health sector is potentially able to improve in its three components (structure, course of actions and outcome) by training medical doctors and their compliance with established guidelines.

Cited by 61 publications

References 11 publications

Estrutura e processo de trabalho na prevenção do câncer de colo de útero na Atenção Básica à Saúde no Brasil: Programa de Melhoria do Acesso e da Qualidade – PMAQ

Estrutura e processo de trabalho na prevenção do câncer de colo de útero na Atenção Básica à Saúde no Brasil: Programa de Melhoria do Acesso e da Qualidade – PMAQ

Blood glucose control in diabetes patients seen in primary health care centers

Diabetic retinopathy and visual disabilities among patients in a rehabilitation program

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