Ciência & Saúde Coletiva
On-line version ISSN 1678-4561Print version ISSN 1413-8123
MIELCZARSKI, Rodrigo Geisler; COSTA, Juvenal Soares Dias da and OLINTO, Maria Teresa Anselmo. Epidemiology and organization of health services: diabetes mellitus in a community of the city of Porto Alegre . Ciênc. saúde coletiva [online]. 2012, vol.17, n.1, pp.71-78. ISSN 1678-4561. http://dx.doi.org/10.1590/S1413-81232012000100010.
This study sought to assess the conditions of processing and results in care for people aged over 20 diagnosed with diabetes mellitus and living in an area covered by the UBS Vila Gaúcha, in Porto Alegre. Disease control rate of interviewees with self-reported diabetes was assessed. Definition of this rate was established from arterial pressure values, glycosylated hemoglobin, abdominal circumference, and/or BMI. Of the 753 people aged over 20 years, 37 (4.9%; 95% CI 3.4 6.5) mentioned diabetes mellitus diagnosed by a physician. Disease control rate measurements were performed in 31 (83.8%) people. Results revealed 24 (77.4%) individuals with altered blood pressure levels, 25 (80.6%) with BMI equal to or above 25 kg/m², 29 (93.5%) with abdominal circumference above normal and 18 (58.1%) with glycosylated hemoglobin equal to or above 8%. Diagrams were used to analyze disease control rate factors. Only one patient was classified as controlled. Diagram interpretation points to the need for policies and actions aiming to reduce body weight in the community, which would include practically all patients with diabetes.
Keywords : Diabetes mellitus; Quality of healthcare; Primary healthcare; Cross-Sectional studies; Process and outcome assessment.