Quality of Care of Patients with Diabetes in Primary Health Services in Southeast Brazil

Background. Diabetes management involves multiple aspects that go beyond drug therapy as a way of providing high quality care. The objective of this study was to describe quality of care indicators for individuals with diabetes in southeast Brazil and to explore associations among these indicators....

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Bibliographic Details
Published in:Journal of environmental and public health 2017-01, Vol.2017 (2017), p.1-7
Main Authors: Vanelli, Chislene Pereira, de Paula, Elaine Amaral, Colugnati, Fernando Antônio Basile, Costa, Mônica Barros, Simão, Christiane Chaves Augusto Leite, Paula, Rogério Baumgratz de
Format: Article
Language:English
Subjects:
Aged
Ambulatory care
Brazil
Care and treatment
Chronic illnesses
Cross-Sectional Studies
Diabetes
Diabetes mellitus
Diabetes Mellitus - prevention & control
Diabetes therapy
Diabetics
Female
Glycosylated hemoglobin
Health care
Health care industry
Health services
Hemoglobin
Humans
Indicators
Male
Medical care
Medical records
Metabolism
Middle Aged
Mortality
Patients
Primary care
Primary Health Care - statistics & numerical data
Quality
Quality management
Quality of care
Quality of Health Care - statistics & numerical data
Questionnaires
Surveys and Questionnaires
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Summary:Background. Diabetes management involves multiple aspects that go beyond drug therapy as a way of providing high quality care. The objective of this study was to describe quality of care indicators for individuals with diabetes in southeast Brazil and to explore associations among these indicators. Methods. In this cross-sectional, observational study, health care providers filled out a questionnaire addressing health care structure and processes at 14 primary health care units (PHCUs). Clinical and laboratory data of diabetic patients attending the PHCUs and from patients referred to a secondary health care (SHC) center were collected. Results. There was a shortage of professionals in 53.8% of the PHCUs besides a high proportion of problems regarding referrals to SHC. At the PHCU, glycated hemoglobin results were available only in half of the medical records. A low rate of adequate glycemic control was also observed. An association between structure and process indicators and the outcomes analyzed was not found. Conclusion. Major deficiencies were found in the structure and processes of the PHCUs, in addition to unsatisfactory diabetes care outcomes. However, no association between structure, process, and outcomes was found.
ISSN:1687-9805
1687-9813
1687-9813
DOI:10.1155/2017/1709807