Avaliação do serviço de saúde prestado aos pacientes diabéticos em Unidade de Saúde em Goiânia

Diabetes mellitus is a syndrome of multiple etiology and a major public health problem in Brazil. The control of this disease in basic services is crucial because of its growing magnitude, transcendence, and complex vulnerability. This retrospective study aimed to evaluate the treatment and monitoring of diabetic patients according to the Brazilian Diabetes Society guidelines in two basic health units (UBESFs) in the city of Goiânia/GO. Data were collected by review of medical records from January 2007 to December 2009, resulting in 250 records, consolidated in the Epi InfoTM software. There was a higher frequency of diabetes mellitus type 2 (96.65%) compared to type 1. In 78% of the records, arterial hypertension had been detected and of these, 77.4% had a prescription for ACE inhibitors. In 30.4% of the records, aspirin had been prescribed. On average, a small percentage of the medical records met the recommendations of the Brazilian Diabetes Society: almost 50% of the patients had controlled blood pressure in UBESF unit “A” and over 35% in UBESF unit “B”; about 25% had LDL less than 100mg/dL in both units, and approximately 25% had HbA1c below 7% in UBESF unit “B” and 18% in UBESF unit “A”. As to the study of medication use, 41.1% of the records had prescriptions for metformin and a secretagogue, and only 20.4% of the patients with HbA1c >9% had an insulin prescription.
Diabetes mellitus, Registros médicos, Hipoglicemiantes, Diabetes mellitus, Hypoglycemic agents, Medical records
RIBEIRO, Emmeline Flor et al. Avaliação do serviço de saúde prestado aos pacientes diabéticos em Unidade de Saúde em Goiânia. Revista de APS, Juiz de Fora, v. 17, n. 4, p. 476-487, out./dez. 2014.