Effective Universal Coverage of Diabetes Mellitus Type 2 in Chile

Abstract

Objective:determine the prevalence of Effective Universal Coverage of Diabetes Mellitus Type 2 in Chile and its relation with the variables: Health Care Coverage of Diabetes Mellitus Type 2; Average of diabetics with metabolic control in 2011-2013; Mortality Rate for Diabetes Mellitus; and Percentage of nurses participating in the Cardiovascular Health Program. Method:cross-sectional descriptive study with ecological components that uses documentary sources of the Ministry of Health. It was established that there is correlation between the Universal Effective Coverage of Diabetes Mellitus Type 2 and the independent variables; it was applied the Pearson Coefficient, being significant at the 0.05 level. Results:in Chile Universal Health Care Coverage of Diabetes Mellitus Type 2 (HbA1c<7% estimated population) is less than 20%; this is related with Mortality Rate for Diabetes Mellitus and Percentage of nurses participating in the Cardiovascular Health Program, being significant at the 0.01 level. Conclusion:effective prevalence of Universal Health Coverage of Diabetes Mellitus Type 2 is low, even though some regions stand out in this research and in the metabolic control of patients who participate in health control program; its relation with percentage of nurses participating in the Cardiovascular Health Program represents a challenge and an opportunity for the health system.

Effective coverage as a new approach to health system performance assessment: a scoping review

“…et al [ 24 ] 2016 Ethiopia Immunization tetanus Haemophilus influenzae type b (Hib) Normative children aged 12–23 or 6–8 months Administrative Data vaccination cards and immunization clinic records household survey maternal recall Biomarkers Serosurveys Conflict in coverage rate of different sources 14 Ríos-Blancas MJ. et al 2016 Mexico Hypertension treatment The prevalence of hypertension Physical examination in national health survey biomarkers self-report of antihypertensive treatment Statistical methods two-step least squares method (MC2E) was used using instrumental variables (VI) instrumental variables One of leading causes of death Burden of Disease 15 Luo H. et al [ 27 ] 2016 Cameroon programs on adequacy of folate and vitamin B-12 intake Normative Women children 12–59 months National Health Surveys Biomarkers evaluated the baseline prevalence of inadequate intake and biochemical deficiency of these nutrients analysis of blood specimens High inadequate rates of folate and vitamin B-12 intake 16 Ramke J. et al [ 36 ] 2017 20 countries Cataract surgery number of people having operable cataract number of people with operated cataract Biomarker presenting visual acuity in the operated eye leading cause of blindness globally 17 Guerrero-Nunez S. et al [ 33 ] 2017 Chile Diabetes Mellitus Type 2 control diabetic patients prevalence rate diabetic patients participating in the health control program Biomarker Percentage of patients in metabolic control [HbA1c < 7%], according to the prevalence of Diabetes Mellitus type 2 at the national and regional level morbidity and mortality rate guaranteed pathologies 18 Nguhiu PK. et al [ 23 ] 2017 kenya Maternal and child health interventions Family planning services Functional antenatal services Skilled delivery and perinatal care Breastfeeding during the first 6 months of life ...…”

“…Some of these efforts have been done for preventive interventions such as immunization [ 24 – 26 ], programs to control micronutrients [ 27 , 28 ], cancer screening [ 29 ], and social support for women [ 30 ]. Also, there have been attempts to assess some treatment interventions for chronic diseases [ 22 , 31 – 33 ], hospital care for women and children [ 34 , 35 ] and cataract surgery [ 36 ].…”

“…Some of the studies tried to assess effective coverage of chronic conditions and diseases in both preventive and curative areas. Prevention and treatment of hypertension [ 11 , 21 , 22 , 32 ], prevention and treatment of diabetes [ 11 , 21 , 31 , 33 ], treatment of hypercholesterolemia [ 11 , 21 ], treatment of vision disorders [ 21 , 36 ], breast [ 11 ] and cervical cancer screening [ 11 , 29 ] were among prioritized interventions selected to be monitored.…”

“…Some of the studies benefited from national health surveys and administrative data [ 15 , 21 , 30 , 35 , 36 ] in need measurement. In addition to the aforementioned methods, estimating prevalence rate through available data on biomarkers or performance tests from health surveys have been used for treatment interventions such as treatment of hypertension, diabetes and hypercholesterolemia in order to measure the denominator [ 11 , 21 , 32 , 33 ].…”

“…Most of the studies have used available self-reporting data from household surveys [ 11 , 24 – 26 , 30 , 32 , 34 ] and national health surveys [ 21 , 23 , 27 – 29 , 34 ] in order to estimate the utilization . Another method used in this regard was administrative data [ 11 , 21 , 23 – 26 , 31 , 33 , 35 ] such as program-specific control records for diabetes, hospital discharge data, and drug inventory.…”