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Journal of Environmental and Public Health
Volume 2017, Article ID 1709807, 7 pages
https://doi.org/10.1155/2017/1709807
Research Article

Quality of Care of Patients with Diabetes in Primary Health Services in Southeast Brazil

Postgraduate Program in Brazilian Health, School of Medicine, Federal University of Juiz de Fora, Avenida Eugênio do Nascimento, s/n, Bairro Dom Bosco, 36.038-330 Juiz de Fora, MG, Brazil

Correspondence should be addressed to Christiane Chaves Augusto Leite Simão; moc.liamtoh@onircodne.enaitsirhc

Received 16 December 2016; Revised 2 August 2017; Accepted 16 August 2017; Published 10 October 2017

Academic Editor: David Strogatz

Copyright © 2017 Christiane Chaves Augusto Leite Simão et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Diabetes management involves multiple aspects that go beyond drug therapy as a way of providing high quality care. The objective of this study was to describe quality of care indicators for individuals with diabetes in southeast Brazil and to explore associations among these indicators. Methods. In this cross-sectional, observational study, health care providers filled out a questionnaire addressing health care structure and processes at 14 primary health care units (PHCUs). Clinical and laboratory data of diabetic patients attending the PHCUs and from patients referred to a secondary health care (SHC) center were collected. Results. There was a shortage of professionals in 53.8% of the PHCUs besides a high proportion of problems regarding referrals to SHC. At the PHCU, glycated hemoglobin results were available only in half of the medical records. A low rate of adequate glycemic control was also observed. An association between structure and process indicators and the outcomes analyzed was not found. Conclusion. Major deficiencies were found in the structure and processes of the PHCUs, in addition to unsatisfactory diabetes care outcomes. However, no association between structure, process, and outcomes was found.