Political-Organizational Dimension |
People management |
Coverage of professionals |
Number of people residing in the area covered by the EqAB |
Between 2500 and 3500 people without areas of social interest (10 pts);Between 2500 and 3500 people with an area of social interest (5 pts); More than 3500 peoples (0 pts) |
DA Interview DO |
Perception of EqAB regarding the number of people residing in the area of coverage |
Appropriate and convergent (10 pts); Partially convergent (5pts); Inadequate or divergent (0 pts) |
Support from physical educator, nutritionist, pharmacist to EqAB |
Of the 3 professionals (10 pts);OF 2 professionals (5 pts); Of 1 or none (0 pts) |
Perception about the workload of support professionals available to EqAB. |
Appropriate and convergent (10 pts); Partially convergent (5pts); Inadequate or divergent (0 pts) |
Permanence of professionals |
Length of stay of the doctor in the EqAB |
Good: 2 years or more (20 pts); Regular: from 1 to 2 years (10 pts);Bad: <1 year (5 pts) |
Interview |
Perception of EqAB regarding its professional valuation |
Appropriate and convergent (20 pts); Partially convergent (5pts); Inadequate or divergent (0 pts) |
Qualification of professionals |
Training on the organization/operation of the municipal network |
Yes (10 pts); No (0 pts) |
Interview DO |
Update on NTCD or DM |
Yes (10 pts); No (0 pts) |
Infrastructure at BHU |
Physical structure of BHU |
% of items included in checklist 'BHU with accessibility to users' |
Transformation in score following the ratio (maximum 10 pts). |
Interview DO |
Perception about user accessibility to BHU |
Appropriate and convergent (10 pts); Partially convergent (5 pts); Inadequate or divergent (0 pts) |
% of items included in the checklist 'BHU with adequate physical structure' |
Transformation in score following the ratio (maximum 10 pts). |
Perception about the adequacy of the physical structure of the BHU |
Appropriate and convergent (10 pts); Partially convergent (5 pts); Inadequate or divergent (0 pts) |
Materials and equipment |
% of items included in the checklist 'Materials and equipment for actions aimed at DM control' |
Transformation in score following the ratio (maximum 10 pts) |
Interview DO |
Perception of the EqAB regarding the materials and equipment available for the actions directed to the control of DM in BHU |
Appropriate and convergent (10 pts); Partially convergent (5 pts); Inadequate or divergent (0 pts) |
Periodic maintenance of materials and equipment at BHU |
Yes (10 pts); Partial (5 pts); No (0 pts) |
Medications and supplies |
% of items included in the checklist 'Provision of medicines for the treatment of DM in BHU' |
Transformation in score following the ratio (maximum 7,5 pts) |
Interview DO |
% of items included in the checklist 'Supply of inputs for the application of insulin and AMGC in BHU' |
Transformation in score following the ratio (maximum 7,5 pts) |
Perception regarding the supply of all medicines and supplies provided for the treatment of DM |
Appropriate and convergent (7.5 pts); Partially convergent (3 pts); Inadequate or divergent (0 pts) |
Strategies adopted to guarantee the supply of medications and supplies in case of absences |
Yes (7,5 pts); Partial (3 pts); No (0 pts) |
Political-Organizational Dimension |
Integration of the network of attention |
Normatization of Attention |
Use of protocol and guidelines aimed at the attention to the people with DM (doctor and nurse) |
Yes (10 pts); Partial (5pts); No (0pts) |
Interview DO |
Use of protocol with access flows between the different points of the care network (doctor and nurse) |
Yes (10 pts); Partial (5pts); No (0pts) |
Regulation of access to specialized services |
Mechanisms for regulating access to specialized services |
Yes (10 pts); No (0pts) |
Interview DO |
Strategies to optimize the supply of specialized services |
Yes (10 pts); Partial (5pts); No (0pts) |
Adequacy of supply to specialized services |
Perception of waiting time for laboratory tests |
Appropriate (10 pts); Partially appropriate (5 pts);Inadequate (0 pts) |
Interview DO |
Perception of waiting time for consultation with endocrinologist |
Appropriate (10 pts); Partially appropriate (5 pts);Inadequate (0 pts) |
Perception about waiting time for consultation with ophthalmology in the care network |
Appropriate (10 pts); Partially appropriate (5 pts);Inadequate (0 pts) |
Monitoring and Evaluation |
Availability of information |
Systematic updating of the IS to register users/families |
Yes (30 pts);Partial (15 pts);No (0 pts) |
Interview DO |
Monitoring of actions aimed at DM control |
Indicators of monitoring of the actions directed to the control of DM in the municipal network |
Yes (15 pts);Partial (7 pts);No (0 pts) |
Interview DO Prom |
Planning and organization of actions aimed at DM control based on the evaluation of selected indicators |
Yes (15 pts);Partial (7 pts);No (0 pts) |
Technical-Assistance Dimension |
Organization of care |
Appropriation of territory |
% of micro areas covered by CHAs |
Transformation into score following the ratio (maximum 20 pts) |
Interview DO Prom |
Perception of the actions of CHAs in the appropriation of the territory |
Adequate and convergent (20 pts); Partially convergent (10 pts); Inadequate or divergent (0 pts) |
Updated mapping of PHC markers, including people with DM |
Yes (20 pts); No (0 pts) |
Organization of the Agenda |
Prioritizing care for people with DM |
Yes (20 pts); Partial (10 pts);No (0 pts) |
Interview DO Prom |
Guarantee of follow-up visits for people with DM |
Yes (20 pts); No (0 pts) |
Emergency care for people with DM in the event of an accident |
Yes (20 pts); Partial (10 pts);No (0 pts) |
Interdisciplinary action |
Participation of CHAs in team meetings |
Always (20 pts); Sometimes (10 pts); Never (0 pts) |
Interview DO Prom |
Discussion of cases between EqAB and support professionals. |
Always (20 pts); Sometimes (10 pts); Never (0 pts) |
Interlocution of different professionals in the organization of educational activities. |
Always (20 pts); Sometimes (10 pts); Never (0 pts) |
Diagnosis, Treatment/ Follow-up |
Early diagnosis of DM |
Search of risk factors for the development of DM in medical and nursing care |
Always (20 pts); Sometimes (10 pts); Never (0 pts) |
Interview DO Prom |
Early diagnosis of DM |
Request for exams for early diagnosis of MD in people aged 45 years or older and/or with BMI> 25, associated with at least one more risk factor |
Always (20 pts); Sometimes (10 pts); Never (0 pts) |
Interview DO Prom |
Request for exams for early diagnosis of DM in pregnant women |
Always (20 pts); Sometimes (10 pts); Never (0 pts) |
Appropriate treatment |
Orientations about the Lifestyle Modification (LM) in writing |
Always (20 pts); Sometimes (10 pts); Never (0 pts) |
Interview DO Prom |
Dispensing with guidance for the appropriate use of drugs for DM treatment |
Adequada (20 pts: com orientação na maioria dos casos); Parcialmente adequada (10 pts: orientação em parte dos casos);Inadequada (0 pts: sem orientação) |
Prescriptions of R Insulin with guidance for dose adjustment according to HGT |
Adequado (20 pts: na maioria dos casos); Parcialmente adequado (10 pts: em parte dos casos); Inadequado (0 pts: dose fixa na grande maioria dos casos) |
Frequency of requesting laboratory tests (FG and/or Hb1Ac) for people with DM |
Adequada (20 pts: a cada 6 meses, se compensado);Parcialmente adequada (10 pts: uma vez por ano, independentemente de se está compensado ou não);Inadequada (sem uma periodicidade definida) |
Systematic follow-up |
Use of a specific instrument to follow up people with DM |
Yes (20 pts); Parcialmente (10 pts);No (0 pts) |
Interview DO Prom |
Active Search for missing persons with DM |
Yes (20 pts); Parcialmente (10 pts);No (0 pts) |
AMGC among people who use insulin |
Adequada (20 pts: maioria sabe interpretar os resultados do HGT);Inadequada (0 pts: maioria não sabe interpretar os resultados do HGT) |
Prevention of DM and its complications |
Health education activities |
Periodic activities aimed at the primary prevention of DM |
Yes (20 pts); No (0 pts) |
Interview Prom |
Periodic activities aimed at DM control |
Yes (20 pts); No (0 pts) |
Prevention of complications associated with DM |
Systematic assessment of diabetic foot in people with DM |
Yes (20 pts); Parcialmente (10 pts);No (0 pts) |
Interview Prom |
Systematic evaluation of the oral cavity in people with DM |
Yes (20 pts); Parcialmente (10 pts);No (0 pts) |
Periodic referral of people with DM for eye fundus evaluation |
Yes (20 pts); Parcialmente (10 pts);No (0 pts) |
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