Characterization of primary health care for patients with diabetes based on the PMAQ-AB

Abstract

This article aims to present a proposal for making the instruments used in the three cycles of the PMAQ-AB compatible and to analyze the information on access, coverage, structure, organization and provision of services in PHC related to care for DM in Brazil, according to regions, from the perspective of family health professionals and users. We performed an analysis of the degree of compatibility of the PMAQ-AB questions (2012, 2014 and 2017). To analyze the temporal evolution of the components, we performed a proportion difference test. We calculated the percentage difference between the perspective of professionals and users, per year analyzed, for Brazil. In general, there was an improvement in the quality of care and examinations, except for the diabetic foot. Worse results were found for the North region in relation to the other regions. Despite the structural improvement and the quality of care reported by professionals, there are significant gaps in the quality of care for patients with DM in the SUS. In the scenario of scarce investment added to the growing prevalence of DM, obstacles become progressively more challenging. Therefore, monitoring and evaluating the quality of services provided are essential tasks of the Brazilian Health System.

Indicadores de desempenho da Atenção Primária do Programa Previne Brasil

“…Os resultados dos indicadores da ação estratégica de Quanto ao acompanhamento e à relevância da solicitação de exames de HbA1c para pessoas com diabetes, evidenciou-se nos estudos que a solicitação foi considerada adequada, no entanto 30% dos usuários não receberam a solicitação do exame (23) e, em outro estudo, 30% relataram que não fizeram o exame (24) . Ainda nesse sentido, observaram-se alterações em mais da metade dos exames de usuários com diabetes, indicando a falta de controle da patologia de maneira adequada.…”

Performance indicators of Primary Care of the Previne Brasil Program

“…Regarding the follow-up and relevance of requesting HbA1c tests for people with diabetes, studies showed that the request was considered adequate, however, 30% of users did not receive the test request (23) and, in another study, 30% of users reported that they did not do the test (24) . Also in this sense, alterations were observed in more than half of the tests of users with diabetes, indicating the lack of adequate control of the pathology.…”

Indicadores de desempeño de la Atención Primaria del Programa Previne Brasil

“…En cuanto al seguimiento y a la pertinencia de la solicitud de pruebas de HbA1c para personas con diabetes, los estudios demostraron que la solicitud fue considerada adecuada, sin embargo, el 30% de los usuarios no recibieron la solicitud de la prueba (23) y, en otro estudio, el 30% informaron que no se realizaron la prueba (24) .…”