Melhoria da qualidade da atenção ao portador de diabetes mellitus tipo 2 em uma instituição de cuidados primários de saúde
Introduction: Mellitus diabetes is constituted as an important public health problem nowadays, featuring high morbidity and mortality and significant loss on quality of life. Its chronic condition, the severity of complications and the resources needed to hold back them, make the diabetes a very...
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| Formato: | Dissertação |
| Idioma: | por |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/22031 |
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| Resumo: | Introduction: Mellitus diabetes is constituted as an important public health problem nowadays,
featuring high morbidity and mortality and significant loss on quality of life. Its chronic
condition, the severity of complications and the resources needed to hold back them, make the
diabetes a very costly disease not only for the affected individuals and their families, but also
for health systems in different countries. The care related to diabetes is complex and it involves
a variety of aspects that go beyond blood glucose control and the use of hypoglycemic drugs.
A compilation of evidence support a range of interventions in order to improve the macro and
microvascular outcomes on DM. Goals: Evaluating and improving the care provided to
diabetics by using the quality improvement cycle in a Basic Health Unit. Methodology: This
is a quantitative and retrospective research, developed through application of an internal quality
improvement cycle, carried out in a basic health unit. The quality level was evaluated by 9
quality criteria developed and validated locally. Two evaluations were made at two different
times. To quantify the effectiveness of the intervention, it was calculated the absolute and
relative improvement, besides the statistical significance of the absolute improvement through
unilateral test of value z. Results: After intervention, the relative improvement varies between
50% and 76%, considering highly significant (p <0.001) in most of these criteria. The absolute
frequency of non-compliance decreased from 593 (first evaluation) to 214 (second evaluation),
corresponding to an improvement of 379 in total of non-compliance of the criteria evaluated.
Conclusions: The internal evaluation cycle proved to be useful and effective as a quality
management instrument of care process evaluated, despite not having reached the level of great
quality, in other words, the absence of non-compliances of all the analyzed criteria. |
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