Avaliação do atendimento a pessoas com diabetes na atenção primária em um município brasileiro: na visão de gestores, profissionais da saúde e pacientes.

Abstract

Diabetes Mellitus (DM) is one of the most prevalent chronic noncommunicable diseases, characterized by elevated blood glucose levels. It carries a high risk of developing complications, causing serious health problems and becoming part of a global epidemic. Primary Health Care networks are key to preventing the disease and caring for people with this comorbidity. These networks provide comprehensive care for all levels of health care, aiming to guarantee their rights. The overall objective of this study was to evaluate municipal diabetes care in the municipality of Jaçanã, Rio Grande do Norte, analyzing the municipality's provision for continued treatment from the perspective of three professional categories. This is an exploratory, descriptive study with a qualitative and quantitative approach, conducted in the municipality's three Family Health Strategy (ESF) units. The sample consisted of municipal health service managers, health professionals working in Primary Care, and individuals with a clinical diagnosis of DM.The study included patients aged between 18 and 80, of both sexes, diagnosed with type 1 and type 2 diabetes, and duly registered with the urban area's ESF. Three structured questionnaires were developed for each population to collect data, with objective and subjective questions related to the provision of health services targeted at DM patients and their evaluation of the municipal service. Quantitative data were analyzed using Excel using simple descriptive analysis, and qualitative data were analyzed using content analysis based on Laurence Bardin's theoretical framework. The results revealed that the municipal diabetes program depends on a series of interconnected factors, from the implementation of public proposals already implemented by government laws and ordinances to state and municipal management, service organization, professional information, patient knowledge about the disease and their rights, and their consent. The study also addresses specific needs and seeks to reduce health inequities.