Services on Demand
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Revista Brasileira de Epidemiologia
Print version ISSN 1415-790X
ROSA, Tereza Etsuko da Costa et al. Integrality of healthcare to cardiovascular diseases and diabetes mellitus: the role regionalization of the Unified Health System in the State of São Paulo. Rev. bras. epidemiol. [online]. 2009, vol.12, n.2, pp.158-171. ISSN 1415-790X. http://dx.doi.org/10.1590/S1415-790X2009000200006.
OBJECTIVE: to analyze indicators of structure, processes and results of healthcare to adults, specifically to diabetes mellitus, arterial hypertension, taking into consideration the regionalization of the Unified Health System in the State of São Paulo. METHODS: The analyses were performed for five Health Districts. Structure indicators (human development index, hospital index, intensive care bed index, outpatient index, human resources index, type of management) process indicators (family health program-FHP/strategy coverage, basic and specialized appointment coverage, invasion/evasion index, and management effort) and outcome indicators (% of early mortality by stroke, acute myocardial infarction, heart failure, and diabetes mellitus complications) were analyzed. RESULTS: The District of Mogi das Cruzes presented the highest mortality rates for the fours aspects assessed and also for early death. São José do Rio Preto achieved the lowest values for early death, among all of Health Districts studied, which could be related to the adequacy of health offer, coverage by FHP, basic and specialized appointment coverage, and more efficient integration mechanism of regional health services. FINAL CONSIDERATIONS: The comprehensiveness in healthcare to diabetes mellitus and hypertension seems to depend on a design technically suitable for the effectiveness of the regional health planning of the services and adequate practices of management and care.
Keywords : Diabetes Mellitus; Hypertension; Mortality; Unified Health System; Regional Health Planning.