Avaliação da implantacão da assistência às pessoas com diabetes mellitus na atenção básica

Abstract

Diabetes mellitus is defined as a significant health issue due to its high rates of prevalence, complications, and mortality, which makes it essential to evaluate the implementation of measures offered by Primary Health Care services to people with Diabetes mellitus. This study aimed to assess the implementation level of measures developed by Primary Health Care to provide care to people with Diabetes mellitus in a city in southern Minas Gerais. This is an evaluation study, with the implementation analysis as its main axis, according to component 1b (Analysis of the contextual determinants of the intervention implementation level), by using a single case study, developed in the Family Health Strategy and in the Communitarian Drugstore in a city in southern Minas Gerais. An Evaluation Model was used, composed of 19 indicators aggregated in two dimensions,

namely Political-Organizational and Technical-Care, and in seven sub- dimensions. Data collection was carried out through document analysis,

interviews, participant observation, and a field diary. The implementation level of measures developed by Primary Health Care for the care of people with Diabetes mellitus was calculated from the percentage difference between the maximum expected score and the observed one. The implementation level was considered

unsatisfactory, reaching 54.34% of the expected score. The Political- Organizational dimension was considered critical, with 45.23% (Subdimensions:

People Management (45.0% - critical); Infrastructure (59.75% - unsatisfactory); Integration of the Care Network (16.66% - critical); Monitoring and Evaluation (50.0% - unsatisfactory), while the Technical-Care dimension was unsatisfactory, with 60.41% (Subdimensions: Organization of Care (61.11% - unsatisfactory); Diagnosis, Treatment and Follow-up (55.0% - unsatisfactory); Prevention of diabetes and its complications (70.0% - satisfactory). The results obtained allowed a general and detailed analysis of each item and the identification of weaknesses and gaps in the implementation of measures of the investigated services, in addition to suggesting recommendations to the management team in order to support decision making and, consequently, impact changes for a qualified and safe care that contributes to reducing the rates of diabetes complications and improving people's quality of life.