Abstract
Introduction:
Care for patients with diabetes mellitus (DM) involves a multiplicity of outpatient procedures that aim to reduce the risk of complications.
Objective:
The objectives of this study were to estimate the prevalence and incidences of DM complications and to analyze the supply and demand for outpatient procedures.
Method:
This is a retrospective, cross-sectional study using data from the National Health Survey (PNS-2013) and the SUS Outpatient Information System (SIA/SUS) to (1) calculate estimates of the prevalence and incidence of DM and its chronic complications; (2) characterize the care for DM patients; and (3) analyze the supply and demand for outpatient procedures related to DM and chronic complications according to the health regions of Amazonas (AM) and Rio Grande do Sul (RS) for the year 2012.
Results:
RS, compared with AM, had a higher incidence of chronic complications, a higher proportion of hospitalizations, greater use of emergencies, and less regular demand for medical follow-up. Low-complexity exams had a higher offer than expected demand and those of greater complexity had a lower volume than recommended.
Conclusions:
The demand for care observed for DM was higher than the supply. This is an important monitoring indicator to be used in planning the actions of primary care.
Keywords:
diabetes mellitus type 2; diabetes complications; primary health care; medical examination; secondary prevention
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Nota 1: O diâmetro das circunferências representa a razão entre oferta e demanda (quantitativo de procedimentos ambulatoriais executados e esperados), segundo o protocolo nacional de DM.Nota 2: Regiões de Saúde do Rio Grande do Sul: R01–Verdes Campos; R02–Entre Rios; R03–Fronteira Oeste; R04–Belas Praias; R05–Bons Ventos; R06–Vale do Paranhana Costa da Serra; R07–Vale dos Sinos; R08–Vale do Caí Metropolitana; R09–Carbonífera/Costa Doce; R10–Capital Vale do Gravataí; R11–Sete Povos das Missões; R12–Portal das Missões; R13–Região da Diversidade; R14–Fronteira Noroeste; R15–Caminho das Águas; R16–Alto Uruguai Gaúcho; R17–Região do Planalto; R18–Região das Araucárias; R19–Região do Botucaraí; R20–Rota da Produção; R21–Região Sul; R22–Pampa; R23–Caxias e Hortênsias; R24–Campos de Cima da Serra; R25–Vinhedos e Basalto; R26–Uva e Vale; R27–Jacuí Centro; R28–Vinte e Oito; R29–Vales e Montanhas; R30–Vale da Luz.Nota 3: Regiões de Saúde do Amazonas: R00–Manaus; R01–Alto Solimões; R02–Juruá; R03–Purus; R04–Triangulo; R05–Rio Madeira; R06–Baixo Amazonas; R07–Médio Amazonas; R08–Rio Negro/Solimões; R09–Entorno de Manaus e Rio Negro.