Diabetes Mellitus macro-regional inequalities in PHC

Comparing the three PMAQ-AB cycles

Dados Bibliográficos

ID5334239
AutoresClarissa Galvão Da Silva Lopes (0000-0002-5561-8997, Universidade Federal do Maranhão), Thiago Augusto Hernandes Rocha (0000-0002-6262-3276, Methods Analytics and Technology for Health (Math Consortium), Brasil), Erika Bárbara Abreu Fonseca Thomaz (0000-0003-4156-4067, Universidade Federal do Maranhão), Aline Sampieri Tonello (0000-0002-8402-9112, Universidade Federal do Maranhão), Núbia Cristina Da Silva (0000-0002-0809-2152, Methods Analytics and Technology for Health (Math Consortium), Brasil), Karlinne Maria Martins Duarte (0000-0002-2539-1189, Universidade Federal do Maranhão), Rejane Christine De Sousa Queiroz (0000-0003-4019-2011, Universidade Federal do Maranhão)
Ano2022
Volume46
Fascículo133
Páginas376-391
Data de publicação2022-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSaúde em Debate (JOURNAL)
Identificadores do periódicoISSN: 0103-1104 • E-ISSN: 2358-2898
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0103-1104202213309i
OpenAlexW4283170207
IdiomaEN
Referências citadas16

This study aimed to identify macro-regional structure and work process inequalities for Diabetes Mellitus (DM) treatment in Primary Health Care (PHC) throughout the three cycles of the National Program for Access and Quality Improvement of Primary Care (PMAQ-AB) in Brazil. This ecological, longitudinal, nationwide study employed secondary data from the three PMAQ-AB cycles. The data were compared between the Brazilian macro-regions using the t-test with Bonferroni correction. The North and Northeast had the lowest percentages of adequacy in the structure items: unit premises (<74%), wheelchair user accessibility (<63%), special opening hours (<16%), expanded teams (<12%), and supplies (<89%) in all PMAQ-AB cycles when compared to other regions. The items related to the work process barely varied between regions, and those with mean adequacy percentages ≤ 75% were specialized agenda (41%, 33%, 41%), matrix support (58%, 72%, 70 %), offer and resolution of actions (62%, 64%, 75%) and continuing education (35%, 42%, 58%). Investments are still required in the structure and improvement in the teams' work process, especially in the North and Northeast macro-regions

Bonferroni correction · Economic growth · Economics · Family medicine · Geography · Health care · Inequality · Macro · Operations management · Primary care · Primary health care · Regional science · Sociology · Statistics · Work (physics) · Computer Science · Demography · Engineering · Global Public Health Policies and Epidemiology · Health, Nursing, Elderly Care · Mathematics · Medicine · Public Health in Brazil