Diabetes Care in Brazil: Program to Improve Primary Care Access and Quality—PMAQ

This article describes the primary health care offered to 8118 service users with diabetes in Brazil based on data from the PMAQ (Program to Improve Primary Care Access and Quality) first survey. Structure, access, service organization and management, and clinical care quality were analyzed. Prevale...

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Detalles Bibliográficos
Autores principales: Tomasi, Elaine, Cesar, Maria Aurora Dropa Chrestani, Neves, Rosália Garcia, Schmidt, Paulo Ricardo Correa, Thumé, Elaine, da Silveira, Denise Silva, Siqueira, Fernando Carlos Vinholes, Nunes, Bruno Pereira, Fassa, Anaclaudia Gastal, Saes, Mirelle de Oliveira, Duro, Suele Manjourany Silva, Volz, Pamela Moraes, Facchini, Luiz Augusto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2017
Materias:
Original Articles
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338878/
https://www.ncbi.nlm.nih.gov/pubmed/28252499
http://dx.doi.org/10.1097/JAC.0000000000000184
Descripción
Sumario:This article describes the primary health care offered to 8118 service users with diabetes in Brazil based on data from the PMAQ (Program to Improve Primary Care Access and Quality) first survey. Structure, access, service organization and management, and clinical care quality were analyzed. Prevalence of self-reported receipt of appropriate treatment was 14.3% (95% confidence interval [CI]: 13.4-15.2). Following adjustment, it was 26% higher (prevalence ratio [PR] = 1.26; 95% CI: 1.04-1.54) when primary health care centers had all the structure items investigated, it was 13% higher (PR = 1.13; 95% CI: 1.00-1.29) when the teams' work process for service organization and management was adequate and it was 14% higher (PR = 1.14; 95% CI: 1.00-1.30) when the teams' clinical practice was adequate.

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