Conhecimento e prática de direito à saúde por usuários com diabetes mellitus: pesquisa de método mistos.

Abstract

Verify the factors related to the level of use of users' health rights with DM and understanding the knowledge and practices on the right to health by users who live with DM. Methods: study of mixed methods, of the convergent type, with data collection concomitant. Results: there was a relationship between the score of the level of use of rights to health of users with diabetes mellitus with monthly family income (p= 0.025) and skin color self-reported (p= 0.032). Furthermore, categories were constructed to explain the knowledge of the rights by users with DM. Class 1 pointed out the "difficulty in accessing rights due to lack of knowledge and adequate information”. Class 2 demonstrated "user exemption in search for rights”, being corroborated by class 5, pointing to the “recognition of rights as a complementary aid from the government”. Class 6 is related to difficulty in accessing rights due to the bureaucratization of services, being subdivided into classes 3 and 4, which revealed the "search for rights due to need for the financial issue" and "search for rights by recognizing as a duty of the State”, respectively. Conclusions: the results confirm that the more vulnerable economically a population, the more they tend to look for rights as a way to supply what cannot acquire through purchase. In addition, the disparity related to ethnic groups and access to health rights, in which self-reported black and brown people use more of their rights, but are exposed to frequent bureaucratic barriers to their reach.