Parâmetros e Cobertura Assistenciais de Procedimentos Laboratoriais para pacientes com diabetes mellitus e hipertensão arterial no estado do Rio Grande do Norte, 2021 a 2023

Abstract

Non-communicable chronic diseases (NCDs), such as hypertension and diabetes mellitus, represent a significant public health challenge in Brazil, with high prevalence rates and a substantial impact on population mortality and morbidity. This study evaluates the healthcare coverage of laboratory procedures targeting these conditions across 167 municipalities in the state of Rio Grande do Norte, based on the guidelines established in the Ministry of Health Ordinance GM/MS No. 1,631/2015 and the Criteria and Assistance Parameters Handbook (1st Revision, 2017). Using data from the SUS Ambulatory Information System (SIA/SUS), IBGE, and ANS for the period between 2021 and 2023, a quantitative analysis was conducted to assess whether the services provided meet the population's needs. Results indicate that the availability of procedures is insufficient for most exams, except for blood glucose testing, which exceeded 100% coverage, although the reliability of the records is questionable. Furthermore, regional and structural inequalities contribute to low coverage, especially in smaller municipalities. The discussion highlights the importance of equitable and continuous access to healthcare services, emphasizing that deficiencies in primary care may exacerbate health conditions and overload higher-complexity services. This study underscores the need for more effective public policies tailored to regional realities to enhance care for NCDs, promoting greater equity in access and quality of healthcare services.