0199/2021 - Ratio between supply and demand for procedures attributable to Diabetes Mellitus and its complications in Brazil
Razão entre oferta e demanda de procedimentos atribuíveis ao Diabetes Mellitus e suas complicações no Brasil
Publicado
Author:
• Jéssica Muzy - Muzy, J. - <jehmuzy@gmail.com>ORCID: https://orcid.org/0000-0003-2526-2317
Co-author(s):
• MONICA RODRIGUES CAMPOS - Campos, M. R. - <monicarodriguescampos@gmail.com>ORCID: https://orcid.org/0000-0002-7443-5977
• Isabel Emmerick - Emmerick, I. - <emmerick.isabel@gmail.com>
ORCID: https://orcid.org/0000-0002-0383-2465
• Raulino Sabino da Silva - Silva, R. da - <rau.sabino@gmail.com, raulino@ensp.fiocruz.br>
ORCID: https://orcid.org/0000-0002-4027-2743
Abstract:
This article aims to present a methodology for monitoring the procedures recommended in the health care protocol for diabetic patientsthe indicator of the ratio between the supply and demand for procedures, according to Brazil, macroregions, UF and municipalities.The prevalence of DM and its complications was estimated using a multinomial model. The supply of procedures for DM was obtainedthe Outpatient Information System (SIA / SUS) and the demandthe number of tests defined in the protocol as necessary per year, according to disease risk categories. Then, the indicator of ratio between supply and demand was created.
The innovation presented consists in jointly analyzing the demand for diabetic care according to established parameters and the offer of health services. The connection between the recommended treatment protocol and the existence of a service offer in relation to the demand for care, based on the prevalence of the disease, provides a key monitoring tool. When analyzed together with the indicator of the ratio between supply and demand for procedures, these measures become a proxy for the quality of prevention and care for patients with the disease.
