Table 2. Distribution of Users With Diabetes With Adequate Structure of PHC, Access and Quality Reported by Health Teams, According to Independent Variables (Ministério da Saúde, Brasil, 2015a).
Variable | Adequate Structurea (%) | Access to PHCb (%) | PHC Organization and Management Qualityc (%) | Quality of Clinical Care Contentd (%) |
---|---|---|---|---|
Region | P < .001 | P < .001 | P < .001 | P < .001 |
North | 1.7 | 41.5 | 25.0 | 17.7 |
Northeast | 1.7 | 39.2 | 29.7 | 26.4 |
Southeast | 15.9 | 63.6 | 39.4 | 42.4 |
South | 2.2 | 53.4 | 30.4 | 27.8 |
Midwest | 4.9 | 54.2 | 24.8 | 24.2 |
Population size (inhabitants) | P < .001 | P < .001 | P < .001 | P < .001 |
Very small | 5.3 | 54.7 | 29.6 | 20.3 |
Small | 3.1 | 52.1 | 29.6 | 21.4 |
Median | 2.5 | 50.5 | 29.2 | 24.5 |
Large | 4.4 | 52.7 | 33.9 | 32.3 |
Very large | 22.7 | 62.6 | 43.5 | 57.8 |
HDI-M quartiles | P < .001 | P < .001 | P < .001 | P < .001 |
0.480-0.696 | 2.7 | 43.7 | 31.3 | 19.2 |
0.697-0.779 | 4.5 | 54.2 | 27.8 | 24.1 |
0.780-0.832 | 3.4 | 58.1 | 32.9 | 36.2 |
0.833-0.920 | 28.9 | 67.4 | 46.6 | 59.4 |
FHS municipal coverage—terciles (%) | P < .001 | P < .001 | P < .001 | P < .001 |
Up to 47.6 | 19.0 | 65.5 | 41.7 | 51.8 |
47.7-82.0 | 5.9 | 52.4 | 30.2 | 31.0 |
82.1-100 | 3.8 | 48.7 | 31.4 | 21.1 |
Total | 9.4 | 55.5 | 33.8 | 34.0 |
Abbreviations: FHS, Family Health Strategy; HDI-M, Municipal Human Development Index; PHC, primary health care center.
aAll 9 items: sphygmomanometer, adult stethoscope, monofilament kit, ophthalmoscope, weighing scales, tape measure, glucometer, capillary blood glucose strips, and the B-DIA form used for the Primary Health Care Information System (SIAB).
bAppointment any day and at any time health center open.
cRecords of users at greater risk/appointment scheduling/waiting list coordination and follow-up by the health network.
dPeriodical foot examination/periodical fundoscopic examination/request for glycated haemoglobin test.