Table 1.
Elements of structure and process of the 14 evaluated PHCUs according to the questionnaire.
| Structure | |
| Material resources | |
| Availability of offices for consultation of patients with diabetes by a physician and a nurse on the same shift | 38.5% |
| Adequate number of blood glucose test strips | 69.2% |
| Sufficient number of diabetes medications to meet the demand of the unit | 30.8% |
| Availability of educational material on diabetes for the population | 69.2% |
| Human resources | |
| Completeness of the FHS team | 46.2% |
| Most frequently lacking professional | CHA (53.8%) |
| Physicians and nurses trained in FHS | 100% |
| Nursing assistants trained in FHS | 72.7% |
| CHAs trained in FHS | 81.8% |
| Organizational structure | |
| Existence of scheduled nursing appointments for diabetes care | 61.5% |
| Existence of scheduled medical consultation for patients with diabetes | 92.3% |
| Active retrievability of diabetic patients who missed scheduled appointments | 46.2% |
| Problems related to coordination of care of patients with diabetes | 69.2% |
| Uncertainty about the unit where the patient should be referred to | 69.2% |
| Unawareness of the criteria for referral | 69.2% |
| Shortage of available appointments | 57.1% |
|
| |
| Processes | |
| Recommendations about healthy eating and physical activity | 100% |
| Guidance regarding insulin application when indicated | 71.4% |
| Requests for FPG, HbA1c, creatinine, lipid profile, and urinalysis | 100% |
| Adequate return of test exams | 21.4% |
| BP measurement during all appointments | 78.6% |
| Weight and height measurement during all appointments | 50% |
| Screening for loss of protective plantar sensation in the feet | 14.3% |
| Screening for retinopathy | 7.1% |
FHS: Family Health Strategy; CHA: community health agent; FPG: fasting plasma glucose; HbA1c: glycated hemoglobin.