Evaluation of structure and process in care in Diabetes mellitus

Abstract

Objective: Evaluate health care to patients with Diabetes mellitus type 2 by means of human resources, records of professional and technical activities in a School Health Center. Methodology: A quantitative, descriptive evaluative study through observation and analysis of 150 patients with DM at a School Health Center in São Paulo. Results: The physical structure follows most of the requirements of the National Health Surveillance Agency; the material resources cater the needs in the quantities and manuquality. The medical records 145 (96.6%) indicates that work organization was focused on the biomedical model. The registration of anthropometric measures was considered low, and in only 4 (2.6%) had the measure of waist circumference. Only 5 (3.3%) patients had consultation with the nurse. These consultations were punctual and highlighting specific guidelines on use of medications and there seems to be not in the service routine. Conclusion: We considered the structure of the service as appropriate but the process is a factor to be reviewed by the health team.