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. 2022 Aug 8;31(spe1):e2021382. doi: 10.1590/SS2237-9622202200011.especial

Construction and calculation method of the indicators related to care and access to care for individuals with diabetes mellitus, National Health Survey, Brazil, 2013 and 2019.

Indicator Questions used in the construction of the indicator Calculation method
Used medication for diabetes mellitus (DM) or took insulin in the two weeks prior to the date of the interview PNS 2013 (number of individuals who have taken diabetes medication or insulin within the two weeks prior to the survey date/number of individuals who have reported a medical diagnosis of diabetes) x 100
In the past two weeks, because of diabetes have you:
Taken any oral medication to lower your blood sugar? (yes; no)
Taken insulin? (yes; no)
PNS 2019
In the past two weeks, because of diabetes have you:
Taken any oral medication to lower your blood sugar? (yes; all of them; yes, some; no)
Has any doctor ever prescribed insulin to you to control diabetes? (yes; no)
Received medical care for diabetes within the past 12 months PNS 2013 and 2019 (number of individuals who have received medical care for diabetes within the past 12 months/number of individuals who have reported a medical diagnosis of diabetes) x 100
When was the last time you received medical care due to diabetes? (less than 6 months ago; 6 months ago to less than 1 year; 1 year ago to less than 2 years; 2 years ago to less than 3 years; 3 years ago or over; never did)
Last appointment for DM with the same physician as in previous appointments PNS 2013 and 2019 (number of individuals who have reported that the doctor who they visited in the last appointment was the same as in previous appointments/number of individuals who have reported a medical diagnosis of diabetes and received medical care less than 3 years ago) x 100
In the last appointment, was the doctor who saw you the same as in previous consultations? (yes; no)
Had all appointments with a specialist after referral PNS 2013 (number of people who have reported getting all appointments with a specialist doctor/number of individuals who have reported a medical diagnosis of diabetes and have been referred to an appointment with a specialist doctor) x 100
In any of the appointments for diabetes, was there a referral to a specialist doctor, such as a cardiologist, endocrinologist, nephrologist or ophthalmologist? (yes; no; there was no referral, as all appointments for diabetes were with a specialist doctor)
Did you go to all the appointments with the specialist doctor? (yes; no)
PNS 2019
In any of the appointments for diabetes, was there a referral to a specialist doctor, such as a cardiologist, endocrinologist, nephrologist or ophthalmologist? (yes; no; there was no referral, as all appointments for diabetes were with a specialist doctor)
Did you go to the appointments with the specialist doctor? (yes, all of them; yes, some of them; no)
Had an eye exam within the past 12 months PNS 2013 and 2019 (number of individuals who have reported having an eye exam less than 1 year ago/number of individuals who have reported a medical diagnosis of diabetes) x 100
When was the last time you had an eye exam or ophthalmoscopy in which your pupil was dilated? (less than 6 months ago; 6 months ago to less than 1 year; 1 year ago to less than 2 years; 2 years ago to less than 3 years; 3 years ago or over; never did)
Had diabetic foot screening within the past 12 months PNS 2013 and 2019 (number of individuals who have reported having had their feet examined less than 1 year ago/number of individuals who have reported a medical diagnosis of diabetes) x 100
When was the last time a doctor or healthcare professional examined your feet for sensitivity or the presence of wounds or irritations? (less than 6 months ago; 6 months ago to less than 1 year; 1 year ago to less than 2 years; 2 years ago to less than 3 years; 3 years ago or over; never did)
Hospitalization due to DM or some sort of complication PNS 2013 and 2019 (number of individuals who have been hospitalized due to diabetes or some sort of complication/number of individuals who have reported a medical diagnosis of diabetes and received medical care less than 3 years ago) x 100
Have you ever been hospitalized because of diabetes or any complications? (yes; no)
Severe or very severe degree of limitation in usual activities due to DM or some sort of complication PNS 2013 and 2019 (number of individuals who have reported severe/very severe degree of limitations in usual activities due to diabetes or some sort of complication/number of individuals who have reported a medical diagnosis of diabetes) x 100
In general, to what extent does diabetes or a diabetes complication limit your usual activities (such as working, doing housework, etc.)?(does not limit; a little; moderately; severely; very severely)
Last appointment for DM was at a Primary Health Care Center PNS 2013 (number of individuals who have had their last appointment at a Primary Health Care Center/number of individuals who have reported a medical diagnosis of diabetes and received medical care less than 3 years ago) x 100
The last time you received medical care for diabetes, where did you receive care? [PHC center (public health post or center or family health unit); specialty center, public polyclinic, or public medical assistance center (PAM); public emergency care center (UPA); another type of public emergency care center (24/7); public emergency room or the emergency department of a public hospital; public hospital/outpatient clinic; private doctor’s office or private clinic; Outpatient clinic provided by the company/business or the Union; private emergency room ou private hospital emergency department; At home, with a doctor from the family health team; At home, with a private practice doctor; other (specify)]
PNS 2019
The last time you received medical care for diabetes, where were you seen? [pharmacy; PHC center (public health post or center or family health unit); specialty center, public polyclinic, or public medical assistance center (PAM); public emergency care center (UPA); another type of public emergency care center (24/7); public emergency room or the emergency department of a public hospital; public hospital/outpatient clinic; private office, private clinic or private hospital outpatient clinic; private emergency room or private hospital emergency department; at home]
Obtained at least one medication through the Popular Pharmacy Program PNS 2013 (number of individuals who have obtained at least one medication or insulin via the Popular Pharmacy Program/number of individuals who have taken medication to control diabetes) x 100
Was any of the diabetes medications or insulin obtained from the Popular Pharmacy Program (PFP)? (yes; all of them; yes, some; no)
PNS 2019
Was any of the oral diabetes medications obtained from the “There is a Popular Pharmacy Here Program” (PFP) (“Aqui Tem Farmácia Popular”)? (yes; all of them; yes, some; no)
Was insulin obtained from the “There is a Popular Pharmacy Here Program” (PFP)? (yes; no)