Process assessment of health care: Adequacy of the diabetes mellitus treatment in Pelotas, Southern Brazil

Cadernos de saúde pública
Maria Cecília F AssunçãoJuvenal Soares Dias da Costa

Abstract

A study was conducted in 1998 with the aim of assessing adequacy of clinical management of diabetic patients attending public health services in Pelotas, Brazil. Patients were interviewed to gather data on medical consultation, disease, and treatment. Data analysis focused on the "type of treatment" variable with three categories: diet, physical activity, and drug treatment. Seventy-six percent of the patients reported having received nutritional orientation. Only 50% of them reported having followed their diet during the preceding 15 days. Also, 75% of patients reported having received recommendations to perform physical activity. However, only one third had practiced some exercise in the previous month. Among 377 interviewed, 289 (77%) were on medication, and among the patients taking oral hypoglycemic agents many had at least one contraindication. The article discusses the need to enhance physicians' adherence to scientific guidelines for diabetes management.

References

Jun 17, 1998·The Joint Commission Journal on Quality Improvement·J C de Noronha, T R Pereira

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Citations

Feb 14, 2006·Cadernos de saúde pública·Daniela Saes SartorelliMarly Augusto Cardoso
Mar 31, 2012·Revista brasileira de enfermagem·Ellen Cristina Barbosa dos SantosMarta Cristiane Alves Pereira
Jun 5, 2014·Ciência & saúde coletiva·Luiz Villarinho Pereira MendesMônica Rodrigues Campos
Jun 12, 2008·Cadernos de saúde pública·Thaís Santos Guerra StacciariniAna Emilia Pace

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