Quality of health care in Primary Care: perspective of people with Diabetes Mellitus.
Rosilene Rocha Palasson, Elisabete Pimenta Araújo Paz, Gerson Luiz Marinho and 5 others
PMID 37820130WHAT IT FOUND
People with type 2 diabetes in Rio de Janeiro primary care said they were rarely involved in setting their own care plan or followed up by the team.
Their overall score was 2.5 on a five-point scale.
Key findings
01Adults with type 2 diabetes reported low involvement in self-care and weak team support, with an overall score of 2.5.
02The lowest dimension scores were patient activation at 2.0 and follow-up/coordination at 1.9, and 73.4% said they were never asked to collaborate in defining their care plan.
03Men had higher odds than women of satisfaction with treatment organization (OR 2.34) and contact with someone from the team after consultation (OR 2.27), while women had higher odds of food reeducation group participation (OR 1.43).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The findings come from 451 patients in primary care units in a single area of Rio de Janeiro, so they may not represent other services or countries. Data collection happened while municipal health care was disrupted, with fewer teams, supply and medication problems, and frequent professional paralysis, which may have affected patient ratings. The study is cross-sectional and uses patient perceptions, so it cannot show what teams actually did, prove causation, or measure clinical outcomes. The article gives inconsistent means for problem-solving/contextual counseling, 3.3 and 2.7, so that dimension is unclear. The PACIC response scale may affect scores, according to the authors.
Declared interests
The work was supported by CAPES. The supplied text does not report other conflicts of interest.
The easy way to misread this
Do not conclude that primary care teams are failing diabetes care everywhere. These ratings came from 451 patients in a single area of Rio de Janeiro during service disruptions, and they reflect perceived support, not measured clinical outcomes.