The impact of an intervention to improve diabetes management in primary healthcare professionals’ practices in Brazil

Marinho, Michelly Geórgia da Silva; Fontbonne, Annick; Barbosa, Jessyka Mary Vasconcelos; Rodrigues, Heloisa de Melo; Carvalho, Eduardo Freese de; Souza, Wayner Vieira de; Cesse, Eduarda Ângela Pessoa

doi:10.1016/j.pcd.2017.06.002

Cited by 9 publications

(4 citation statements)

References 31 publications

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“…Although combining diabetes and chronic pulmonary disease care did not demonstrate a difference in outcomes [ 230 ], this model could be revisited. Also, interventions at the health care system element of the chronic care model might need to be adapted to the local health care system [ 231 ] or synchronized with interventions at other levels. Improvement of health care system structure and processes [ 232 ] would assure timely access to patient information and enhance clinician decision-making.…”

Section: Diabetes Awareness Treatment and Controlmentioning

confidence: 99%

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

et al. 2020

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Purpose of Review Latin America is the scenario of great inequalities where about 32 million human beings live with diabetes. Through this review, we aimed at describing the current state of the prevalence, awareness, treatment, and control of diabetes mellitus and completion of selected guidelines of care across Latin America and identify opportunities to advance research that promotes better health outcomes. Recent Findings The prevalence of diabetes mellitus has been consistently increasing across the region, with some variation: higher prevalence in Mexico, Haiti, and Puerto Rico and lower in Colombia, Ecuador, Dominican Republic, Peru, and Uruguay. Prevalence assessment methods vary, and potentially underestimating the real number of persons with diabetes. Diabetes unawareness varies widely, with up to 50% of persons with diabetes who do not know they may have the disease. Glycemic, blood pressure, and LDL-C control and completion of guidelines to prevent microvascular complications are not consistently assessed across studies, and the achievement of control goals is suboptimal. On the other hand, multiple interventions, point-of-care/rapid assessment tools, and alternative models of health care delivery have been proposed and tested throughout Latin America. Summary The prevalence of diabetes mellitus continues to rise across Latin America, and the number of those with the disease may be underestimated. However, some local governments are embedding more comprehensive diabetes assessments in their local national surveys. Clinicians and public health advocates in the region have proposed and initiated various multi-level interventions to address this enormous challenge in the region. Keywords Latin America. Diabetes prevalence. Diabetes treatment. Control. Diabetes complications. Interventions. Health care This article is part of the Topical Collection on Diabetes Epidemiology

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Section: Diabetes Awareness Treatment and Controlmentioning

confidence: 99%

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

et al. 2020

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“…Nevertheless, no study was found that associated social determinants in health to effective educational intervention, which could possibly bring greater coverage to intersectorality. [ 43 , 48 , 50 , 64 , 67 ].…”

Section: Resultsmentioning

confidence: 99%

“…With regards to the assumption of equality in the findings of the primary studies (null hypothesis), this hypothesis is refuted [ 71 , 72 ]. The heterogeneity is the result of several factors, among those, the variance sample size of the studies and the results of the experiments were unsuccessful due to low adherence [ 48 , 50 , 56 , 57 , 62 , 67 ].…”

Section: Resultsmentioning

confidence: 99%

Intersectoral Actions for the Promotion and Prevention of Obesity, Diabetes and Hypertension in Brazilian Cities: A Systematic Review and Meta-Analysis

Kunihiro

Vernasque

Gomes

et al. 2022

IJERPH

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This study showed the effectiveness of biomedical interventions in obesity, diabetes and hypertension (NCDs), but innovative and intersectoral elements in the fight against obesity, type 2 diabetes and hypertension were rare. Background: Is it possible to find effective and innovative actions to promote health and prevent NCDs in Brazilian municipalities? Can they be replicated? Objective: Our objectives were to identify innovative and effective intersectoral actions for promoting and preventing NCDs in Brazilian municipalities. Methods: This is a systematic review in an exploratory theoretical essay with a qualitative and quantitative approach. It is descriptive and analytical in terms of reporting findings and results. Inclusion and exclusion criteria favored health promotion work. Bias risk assessments was performed using the Cochrane GRADE and bias risk, with meta-analyses using RevMan and Iramuteq. Results: Meta-analysis of biometric markers resulted in −4.46 [95% IC; −5.42, −3.49], p = 0.00001, indicating a reduction in NCD risk rates. The textual meta-analysis revealed P(r) ≈ 83% (Reinert), meaning low connectivity between the ‘halos’. Conclusions: There is evidence of the effectiveness in interventions, but innovative and intersectoral elements to combat and prevent NCDs were barely seen. While evidence of intervention effectiveness was observed, innovative and intersectoral elements to combat and prevent NCDs were barely noticed.

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“…Além dos prejuízos funcionais e incapacitantes das doenças crônicas para a saúde, há os problemas sociais e econômicos causados por tratamentos prolongados, trazendo custos excessivos tanto para o sistema de saúde como para a população, gerados, por exemplo, com a utilização de medicamentos e a realização de exames (5).…”

Section: Introductionunclassified

Morbidades autorreferidas por usuários de espaços comunitários de atividade física

et al. 2020

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Objetivo: analisar as morbidades autorreferidas relacionadas com as condições sociodemográficas dos usuários de espaços comunitários de atividade física.Materiais e métodos: estudo transversal, com abordagem quantitativa, realizado com 433 usuários do Sistema Único de Saúde, na macrorregião Cariri, Ceará, Brasil. A coleta ocorreu por meio de formulário estruturado a partir do modelo de questionário da Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico, operacionalizada pelo Ministério da Saúde do Brasil.Resultados: a média de idade dos participantes do estudo foi de 42,92 anos (DP ± 17,4); a de renda familiar foi de R$ 1.486,30 (DP ± 1.015,0). Verificou-se predomínio do sexo feminino associado à maior prevalência de hipertensão (p = 0,001) e de dislipidemia (p = 0,003). A idade mais elevada relacionou-se aos diagnósticos médicos de hipertensão (53,85 anos, DP ± 15,64), dislipidemia (59,54 anos, DP ± 15,25) e diabetes (52,42 anos, DP ± 16,66).Conclusão: a análise das características sociais e econômicas permitiu verificar a associação de morbidades como hipertensão, diabetes e dislipidemia com o sexo, a idade, a renda e a escolaridade; esses fatores são causais para o desenvolvimento das doenças crônicas não transmissíveis.

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The impact of an intervention to improve diabetes management in primary healthcare professionals’ practices in Brazil

Cited by 9 publications

References 31 publications

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

Intersectoral Actions for the Promotion and Prevention of Obesity, Diabetes and Hypertension in Brazilian Cities: A Systematic Review and Meta-Analysis

Morbidades autorreferidas por usuários de espaços comunitários de atividade física

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