Absenteeism of diabetics to appointments with an endocrinologist and its relationship with access to health services
Revista Ciências em Saúde
Absenteeism of diabetics to appointments with an endocrinologist and its relationship with access to health services
Autor Correspondente: Leal ML | [email protected]
Palavras-chave: Health Services Acessibility, Absenteeism, Secundary Care, Diabetes Mellitus, Appointments and Schedules
Resumos Cadastrados
Resumo Português:
Objetivo: Analisar a associação entre o absenteísmo e o acesso às consultas especializadas dos diabéticos, no Sistema Único de Saúde (SUS) no Espírito Santo (ES). Métodos: Estudo transversal realizado por meio de dados primários e secundários com 472 diabéticos ≥ 18 anos agendados em consulta com endocrinologista no Sistema de Centrais de Regulação do ES. As variáveis das dimensões do acesso - disponibilidade, viabilidade financeira e aceitabilidade – foram utilizadas para estimar a associação com o absenteísmo. Utilizou-se regressão logística para as análises bruta e ajustada. Resultados: Encontrada associação do absenteísmo de diabéticos com as variáveis residir a menos de 10 km do prestador da consulta (OR: 1,81; IC95%: 1,16 – 2,82, p = 0,01), necessitar de transporte (OR: 4,89; IC95%: 2,54 – 9,42, p < 0,001) e ter gastos financeiros para comparecer à consulta (OR: 2,06; IC95%: 1,23 – 3,44; p = 0,01). Conclusão: As principais barreiras de acesso aos serviços de saúde que contribuem para a alta prevalência de absenteísmo a consulta com endocrinologista podem ser entendidas como proxy da condição socioeconômica dos diabéticos e evidenciam estreita relação com os determinantes sociais de saúde.
Resumo Inglês:
Objective: To analyze the association between absenteeism and access to specialized consultations for diabetics, in the Unified Health System (SUS) in Espírito Santo (ES). Methods: Cross-sectional study conducted using primary and secondary data with 472 diabetics ≥ 18 years old scheduled in consultation with endocrinologist in the System of Regulation Centers of ES. The variables of the dimensions of access - availability, financial viability, and acceptability - were used to estimate the association with absenteeism. Logistic regression was used for the crude and adjusted analyses. Results: An association was found between absenteeism of diabetics and the variables living less than 10 km from the provider (OR: 1.81; 95%CI: 1.16 - 2.82, p = 0.01), need for transportation (OR: 4.89; 95%CI: 2.54 - 9.42, p < 0.001), and having financial expenses to attend the appointment (OR: 2.06; 95%CI: 1.23 - 3.44; p = 0.01). Conclusion: The main barriers of access to health services that contribute to the high prevalence of absenteeism from appointments with endocrinologists can be understood as a proxy for the socioeconomic status of diabetics and show close relationship with the social determinants of health.
