EVALUATION OF MORBIDITY AND MORTALITY FOR CHRONIC DISEASES: A STUDY WITH FOCUS ON PMAQ-AB
Keywords: Chronic Non-Communicable Diseases. Basic Attention. Health assessment. Work Process in Health. Epidemiological Transition.
Chronic diseases are the leading cause of death today. They represent a problem of great magnitude, being Systemic Arterial Hypertension (SAH) and Diabetes Mellitus (DM) among the main causes of morbidity and mortality due to these diseases. The aim of the study is to evaluate the morbidity and mortality indicators in the Northeast Region of Brazil in relation to Noncommunicable Chronic Diseases (DCNT) - specifically, Systemic Arterial Hypertension and Diabetes Mellitus, considering actions recommended by the Ministry of Health from the Evaluation Program of Improvement of Access and Quality of Primary Care (PMAQ-AB). This is a retrospective, documentary study. The data were obtained from secondary banks, and data on the actions developed by the Primary Care teams for NCDs obtained in the Portal of the Basic Attention Department of the Ministry of Health and related to the External Evaluation of PMAQ-AB in cycles 1 and 2 of the program, and the data for calculations referring to mortality and morbidity rates were obtained from the Health Information Systems on Mortality (SIM) and Internments (SIH), respectively, through the SUS Information System (DATASUS). The partial results of the study show that 5559 Primary Care teams from the Northeast Region participated in PMAQ-AB in cycle 1 and, in cycle 2, this number was 10,678. The nurse was the professional who most answered the interview. The majority of the teams reported scheduling actions for SAH, 90% in cycle 1 and 96.6% in cycle 2. For DM, 90.1% and 96.1%. It is significant that the number of teams that referred to request specific tests, have registered users and program the actions from the stratification of cases for SAH and DM. The spatial analysis of Morbidity and Mortality Rates by SAH and DM showed a significant correlation (p <0.05) with the coverage of Basic Care in some analyzed places.