Avaliação de parâmetros relativos à assistência às pessoas com condições e doenças crônicas não transmissíveis, na atenção primária à saúde

Abstract

Chronic Noncommunicable Conditions and Diseases (NCDs), among which Diabetes Mellitus (DM), Systemic Arterial Hypertension (SAH) and Obesity stand out, have a significant impact on the health system, as they represent, together, one of the main causes of morbidity and mortality in Brazil. As the organizer of care and the main gateway to the Unified Health System, Primary Health Care (PHC) must be well structured to provide comprehensive, egalitarian and longitudinal assistance, taking into account the multifactorial nature and complexity involved in managing these conditions. From this perspective, several guidelines have been proposed by the Ministry of Health, including the design of specific Lines of Care for the main NCDs. Thus, the main objective of the present study was to investigate assistance to people with DM, SAH and Obesity, in PHC, based on indicators based on the care parameters recommended by the Ministry of Health. To this end, secondary data were collected from the Information System for Primary Care in the period 2021 and 2022. Therefore, the results of the indicators on care for people with DM were treated in thematic maps by Brazilian states and macro-regions. Regarding the care of people with SAH, the prevalence and chance of adequacy of the indicators and their association with the type of Brazilian municipality were calculated. Relevant to obesity, the odds ratio was estimated for the outcome of the consultation to be referral to a group, a collective approach that is part of care. The results obtained indicate weaknesses in the care of the NCDs under study, with differences regarding the adequacy of PHC care at regional, state and municipal levels. It is noteworthy that care indicators created in the present study, based on parameters such as the Lines of Care for these conditions, have great potential to assist in the situational analysis of states and municipalities, and can contribute to the design of interventions adjusted to the local reality.