Evaluation of the structure and multiprofessional care process in diabetes mellitus in primary health care
International Journal of Development Research
Evaluation of the structure and multiprofessional care process in diabetes mellitus in primary health care
Received 18th January, 2019; Received in revised form 27th February, 2019; Accepted 06th March, 2019; Published online 29th April, 2019
Copyright © 2019, Natália Daiana Lopes de Sousa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The objective was to evaluate the structure and process of multiprofessional care of users with type 2 diabetes in the Primary Health Care. This was a cross-sectional study with descriptive approach, with a sample of 127 medical records and 12 Health Units of the Northeast of Brazil. Data were collected through direct observation. The analysis was supported by the ordinance and guidelines of the Ministry of Health, based on the classic reference of health services evaluation proposed by Donabedian. The results showed that the structure investigated contributed, in part, to the maintenance of the flow of care, not fully meeting the needs of users and/or professionals. The care process was weakened, characterized by the absence of information in medical records, emphasis on drug therapy, modest stratification of cardiovascular risk, request of exams, identification of complications, and referrals. The study led to the conclusion that it is necessary to strengthen clinical care with respect to comprehensive assistance to users and record of the actions taken to ensure the quality of care, multiprofessional communication, systematic follow-up of the users, planning of actions, evaluation of services rendered, and research, in addition to ethically and legally support to the caregivers and patients.
