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Revista da AMRIGS
Volume 48  No 1: 1 - 72 / Janeiro - Março 2004
BL ISSN 0102 - 2105

ORIGINAL ARTICLE

 

Efectiveness evaluation of

Diabetes Mellitus health care

in a community of Pelotas City:

process and results

 

Luciene de Cassia Farias Paiva, Juvenal Soares Dias da Costa, Vanda Maria Rosa Jardim, Marilú Corrêa Soares, Aline Damé D´Ávila

ABSTRACT

With the objective of evaluating the impact of the health system actions, it was carried out an epidemiologic study, with Diabetes mellitus adult bearers, residents in the area covered by the services of a basic unit of the health system, in the urban area of Pelotas, RS. It was used a structured questionnaire, addressing characteristics of the disease and its treatment. Weight, height, blood pressure, and capillary glucose level were also surveyed. Interviews were conducted with 89 people, estimating a prevalence of the disease of 5.5% (CI 95% 4.4 – 6.6). Using both criteria, from the Latin American Diabetes Association (ALAD) and from the Brazilian Ministry of Health, to evaluate the result characteristics in the patients, it was observed that only 5 (5.6%) patients were compensated complying with ALAD criteria and 13 (14.6%) abiding by the Ministry of Health criteria. Results confirm how important the disease is, despite its low prevalence in the studied community sample. As the disease does not manifest symptoms, many patients do not seek care before appearing its complications and, in that way, it becomes a major public health problem.

Key words: Diabetes Mellitus, Primary Health Care, Outcome and Process Assessment, Program Evaluation.

 
 
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Luciene de Cassia Farias Paiva Acadêmica da Faculdade de Enfermagem e Obstetrícia da Universidade Federal de Pelotas.

Juvenal Soares Dias da Costa Professor do Departamento de Medicina Social da Faculdade de Medicina da Universidade Federal de Pelotas.

Vanda Maria Rosa Jardim Professora do Departamento de Enfermagem da Faculdade de Enfermagem e Obstetrícia da Universidade Federal de Pelotas.

Marilú Corrêa Soares Professora do Departamento de Enfermagem da Faculdade de Enfermagem e Obstetrícia da Universidade Federal de Pelotas.

Aline Damé D´Ávila Acadêmica da Faculdade de Medicina da Universidade Federal de Pelotas.

* Endereço para correspondência:

Prof. Juvenal Soares Dias da Costa

Av. Duque de Caxias, 250 CEP 96030-002

Fragata – Pelotas – RS – Brasil

Fone 0xx(53) 271 24 42

: jcosta@epidemio-ufpel.org.br