Internações por diabetes: uma condição sencível a Atenção Primária à Saúde.

Abstract

Diabetes Mellitus (DM) is a disease that affects a large part of the world population and causes a relevant impact on the quality of life of these subjects, since it can result in several complications arising from this pathology. Due to the serious consequences that they can cause in the lives of individuals, as well as in the social sphere, mainly related to the planning and investments of public resources, this disease receives special attention from the government, with strategies that seek to prevent it and monitor it constant, the subjects that live with it. In this sense, DM is among the diseases that fill the Hospitalization Index for Conditions Sensitive to Primary Care (ICSAP), whose morbidity and mortality profile can be reduced or modified by resolute and efficient primary care, avoiding or decreasing the number of hospitalizations. In view of this approach, the objective was to analyze the behavior of hospitalizations for DM in the ninth health region of the State of Paraíba, relating it to the coverage of the Family Health Strategy, and check the percentage of FHS coverage in the 9th health region to finally analyze the evolution of hospitalizations for Diabetes Mellitus in the 9th health region as a way of evaluating the effectiveness of the strategies and care that are being developed to control this disease. This research is structured as an ecological, retrospective, descriptive study with a quantitative approach and secondary data from the Hospital Information System of the Unified Health System (SIH / SUS), referring to hospital admissions for DM, was used, according to the tenth edition of the International Statistical Classification of Diseases and Health-Related Problems (ICD10), under the code E10- E14 – DM, which was the dependent variable of this study and of the e-manager system Primary Care (Information and Management of Primary Care) referring to the History of Primary Care Coverage by competence and geographical unit. The study population consisted of hospitalizations for DM, identified by the occurrence of their registration after completing the Authorization for Hospitalization (AIH). The inclusion criteria were the population residing in the 9th health region of the State of Paraíba with a record of hospitalizations for DM in the period from 2016 to 2020.As a collection instrument, the Excel 2013 spreadsheet was used, generated and downloaded, directly from the DATASUS website, which served for analysis. The results were analyzed using descriptive statistics, in which the data were transported to Microsoft Office Excel 2007, for the elaboration of tables containing the absolute and percentage values of the variables. The results showed that although the coverage of Primary Care in the investigated region can be considered satisfactory, the number of hospitalizations due to complications of DM is still significant, suggesting that greater effectiveness of primary care and better performance of services aimed at the care of this patient is necessary. disease. Finally, it was concluded that the necessary care for the prevention and control of DM and the consequent prevention of hospitalizations caused by this disease in the 9th region is common to the general scenario observed on the theme, not only depending on the government, but also on the collaboration of the population.