Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/2431 |
Resumo: | As a result of population aging and the epidemiological transition, there is a high prevalence of Diabetes Mellitus in the Brazilian population. Estimates indicate that in 2030 about 12.6% of Brazilians will be diabetic, exceeding the projections of global prevalence that correspond to 7.7%. There are also high mortality rates resulting from this disease. Given the magnitude of DM, its clinical, social and health system impacts, monitoring hospitalization and death rates represents an important strategy for assessing the management and effectiveness of strategic policies and programs aimed at meeting this demand. The applied methodology has a retrospective analytical ecological character, with quantitative sociodemographic analyzes of secondary data on morbidity and mortality in the city of São Paulo. The data were obtained through Hospital Information Systems and on Mortality. The aim of the study was to analyze the impact of Fededral Law 11.347 of 2006 on morbidity and mortality from diabetes mellitus in the city of São Paulo in the period between 2003 and 2018, considering the rates and proportional distribution according to sociodemographic variables.The results of the study showed reductions in the rates of hospitalizations and general deaths, specific for both gender, and in the age groups above 30 years of age. There was an increase in the proportion of lethality among men and the elderly over 70 years. Regarding color race, there was an increase in the proportion of hospitalizations between blacks and browns, and those with less education. The comparison of the averages of the periods before and after the implementation of the Law showed significance in relation to the decline of the observed averages, in the rates of hospitalizations in the female gender; and in age groups aged 50 years or more, and deaths in the general sample; male, and in the age group between 30 and 69 years old. It was concluded that the analysis of the observed results contributes to the strategic surveillance of the mortality and hospitalization indicators in the population of the city of São Paulo, serving as a tool in the process of continuous evaluation of the implemented public programs and policies, as well as promoting decision making, by health managers, regarding the planning and necessary adjustments to services and actions for the studied sample. |
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Ribeiro, Ana FreitasRibeiro, Ana FreitasRastelli, Viviani Milan FerreiraGodinho, Lara Jansiski MottaLiberal, Márcia Mello Costa deMonken, Sonia Francisca de Paulahttp://lattes.cnpq.br/4133814095101819Argachoff, Glaucia Greice Martins2021-01-11T17:57:12Z2020-12-08Argachoff, Glaucia Greice Martins. Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018. 2020. 86 f. Dissertação( Programa de Mestrado Profissional em Administração - Gestão em Sistemas de Saúde) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2431As a result of population aging and the epidemiological transition, there is a high prevalence of Diabetes Mellitus in the Brazilian population. Estimates indicate that in 2030 about 12.6% of Brazilians will be diabetic, exceeding the projections of global prevalence that correspond to 7.7%. There are also high mortality rates resulting from this disease. Given the magnitude of DM, its clinical, social and health system impacts, monitoring hospitalization and death rates represents an important strategy for assessing the management and effectiveness of strategic policies and programs aimed at meeting this demand. The applied methodology has a retrospective analytical ecological character, with quantitative sociodemographic analyzes of secondary data on morbidity and mortality in the city of São Paulo. The data were obtained through Hospital Information Systems and on Mortality. The aim of the study was to analyze the impact of Fededral Law 11.347 of 2006 on morbidity and mortality from diabetes mellitus in the city of São Paulo in the period between 2003 and 2018, considering the rates and proportional distribution according to sociodemographic variables.The results of the study showed reductions in the rates of hospitalizations and general deaths, specific for both gender, and in the age groups above 30 years of age. There was an increase in the proportion of lethality among men and the elderly over 70 years. Regarding color race, there was an increase in the proportion of hospitalizations between blacks and browns, and those with less education. The comparison of the averages of the periods before and after the implementation of the Law showed significance in relation to the decline of the observed averages, in the rates of hospitalizations in the female gender; and in age groups aged 50 years or more, and deaths in the general sample; male, and in the age group between 30 and 69 years old. It was concluded that the analysis of the observed results contributes to the strategic surveillance of the mortality and hospitalization indicators in the population of the city of São Paulo, serving as a tool in the process of continuous evaluation of the implemented public programs and policies, as well as promoting decision making, by health managers, regarding the planning and necessary adjustments to services and actions for the studied sample.Em decorrência do envelhecimento populacional e da transição epidemiológica observa-se alta prevalência do Diabetes Mellitus na população brasileira. Estimativas apontam que em 2030 cerca de 12,6% dos brasileiros serão diabéticos, superando as projeções de prevalência mundial que correspondem a 7,7%. Observam-se também elevadas taxas de mortalidade decorrentes desse agravo. Dada a magnitude do DM, seus impactos clínicos, sociais e para o sistema de saúde, o monitoramento das taxas de hospitalizações e óbitos representa importante estratégia para avaliação da gestão e efetividade das políticas e programas estratégicos destinados ao atendimento dessa demanda. A metodologia aplicada é de caráter ecológico analítico retrospectivo, com análises quantitativas sociodemográficas de dados secundários sobre a morbimortalidade no município de São Paulo. Os dados foram obtidos por meio dos Sistemas de Informações Hospitalares e sobre Mortalidade . O objetivo do estudofoi analisar o impacto da Lei Federalnº 11.347 de 2006 na morbimortalidade por diabetes mellitus no município de São Paulo no período entre 2003 a 2018, considerando as taxas e a distribuição proporcional segundo variáveis sociodemográficas. Os resultados do estudo apontaram reduções nas taxas de hospitalizações e óbitos gerais, específicas para ambos os sexos, e nos grupos etários acima de 30 anos de idade. Constatou-se aumento na proporção da letalidade entre homens e idosos acima de 70 anos. No quesito raça-cor, verificou-se aumento na proporção de internações entre pretos e pardos, e daqueles com menor nível de escolaridade. A comparação das médias dos períodos antes e após implantação da Lei apontousignificância em relação ao declínio das médias observadas, nas taxas de hospitalizações no sexo feminino; e nos grupos etários com idade igual ou superior a 50 anos, e dos óbitos na amostra geral; sexo masculino, e na faixa etária entre 30 e 69 anos de idade. Concluiu-se que as análisesdos resultados observados contribuem para a vigilância estratégica dos indicadores de mortalidade e internações na população do município de São Paulo, servindo como ferramenta no processo de avaliação continuada dos programas e políticas públicas implementados, bem como fomentando a tomada de decisão por gestores em saúde, quanto ao planejamento e adequações necessárias aos serviços e ações destinados a amostra estudada.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2021-01-11T17:57:11Z No. of bitstreams: 1 Glaucia Greice Martins Argachoff.pdf: 1586852 bytes, checksum: 938fe5fdd75e7b6a86ecd1efeca34f13 (MD5)Made available in DSpace on 2021-01-11T17:57:12Z (GMT). No. of bitstreams: 1 Glaucia Greice Martins Argachoff.pdf: 1586852 bytes, checksum: 938fe5fdd75e7b6a86ecd1efeca34f13 (MD5) Previous issue date: 2020-12-08application/pdfporUniversidade Nove de JulhoPrograma de Mestrado Profissional em Administração - Gestão em Sistemas de SaúdeUNINOVEBrasilAdministraçãodiabetes mellitusatenção à saúdehospitalizaçõesóbitosdiabetes mellitushealth carehospitalizationsdeathsADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOSMorbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018Morbimortality from diabetes mellitus in the city of São Paulo, 2003 to 2018info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-710462410973612412600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALGlaucia Greice Martins Argachoff.pdfGlaucia Greice Martins Argachoff.pdfapplication/pdf1586852http://localhost:8080/tede/bitstream/tede/2431/2/Glaucia+Greice+Martins+Argachoff.pdf938fe5fdd75e7b6a86ecd1efeca34f13MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2431/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/24312021-01-11 15:57:12.549oai:localhost:tede/2431Tk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSw5NQUklBIExJQ0VOw4dBCkVzdGEgbGljZW7Dp2EgZGUgZXhlbXBsbyDDqSBmb3JuZWNpZGEgYXBlbmFzIHBhcmEgZmlucyBpbmZvcm1hdGl2b3MuCgpMSUNFTsOHQSBERSBESVNUUklCVUnDh8ODTyBOw4NPLUVYQ0xVU0lWQQoKQ29tIGEgYXByZXNlbnRhw6fDo28gZGVzdGEgbGljZW7Dp2EsIHZvY8OqIChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSDDoCBVbml2ZXJzaWRhZGUgClhYWCAoU2lnbGEgZGEgVW5pdmVyc2lkYWRlKSBvIGRpcmVpdG8gbsOjby1leGNsdXNpdm8gZGUgcmVwcm9kdXppciwgIHRyYWR1emlyIChjb25mb3JtZSBkZWZpbmlkbyBhYmFpeG8pLCBlL291IApkaXN0cmlidWlyIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0csO0bmljbyBlIAplbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mgw6F1ZGlvIG91IHbDrWRlby4KClZvY8OqIGNvbmNvcmRhIHF1ZSBhIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBwb2RlLCBzZW0gYWx0ZXJhciBvIGNvbnRlw7pkbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIApwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIHRhbWLDqW0gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPDs3BpYSBhIHN1YSB0ZXNlIG91IApkaXNzZXJ0YcOnw6NvIHBhcmEgZmlucyBkZSBzZWd1cmFuw6dhLCBiYWNrLXVwIGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIGRlY2xhcmEgcXVlIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyDDqSBvcmlnaW5hbCBlIHF1ZSB2b2PDqiB0ZW0gbyBwb2RlciBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcyAKbmVzdGEgbGljZW7Dp2EuIFZvY8OqIHRhbWLDqW0gZGVjbGFyYSBxdWUgbyBkZXDDs3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyBuw6NvLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3XDqW0uCgpDYXNvIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jw6ogbsOjbyBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2PDqiAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc8OjbyBpcnJlc3RyaXRhIGRvIGRldGVudG9yIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBwYXJhIGNvbmNlZGVyIMOgIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSAKb3MgZGlyZWl0b3MgYXByZXNlbnRhZG9zIG5lc3RhIGxpY2Vuw6dhLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3TDoSBjbGFyYW1lbnRlIAppZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250ZcO6ZG8gZGEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFRFU0UgT1UgRElTU0VSVEHDh8ODTyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0PDjU5JTyBPVSAKQVBPSU8gREUgVU1BIEFHw4pOQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PIFFVRSBOw4NPIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0PDiiBERUNMQVJBIFFVRSBSRVNQRUlUT1UgVE9ET1MgRSBRVUFJU1FVRVIgRElSRUlUT1MgREUgUkVWSVPDg08gQ09NTyAKVEFNQsOJTSBBUyBERU1BSVMgT0JSSUdBw4fDlUVTIEVYSUdJREFTIFBPUiBDT05UUkFUTyBPVSBBQ09SRE8uCgpBIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lIChzKSBvdSBvKHMpIG5vbWUocykgZG8ocykgCmRldGVudG9yKGVzKSBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgZGEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvLCBlIG7Do28gZmFyw6EgcXVhbHF1ZXIgYWx0ZXJhw6fDo28sIGFsw6ltIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2Vuw6dhLgo=Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2021-01-11T17:57:12Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018 |
dc.title.alternative.eng.fl_str_mv |
Morbimortality from diabetes mellitus in the city of São Paulo, 2003 to 2018 |
title |
Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018 |
spellingShingle |
Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018 Argachoff, Glaucia Greice Martins diabetes mellitus atenção à saúde hospitalizações óbitos diabetes mellitus health care hospitalizations deaths ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
title_short |
Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018 |
title_full |
Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018 |
title_fullStr |
Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018 |
title_full_unstemmed |
Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018 |
title_sort |
Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018 |
author |
Argachoff, Glaucia Greice Martins |
author_facet |
Argachoff, Glaucia Greice Martins |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Ribeiro, Ana Freitas |
dc.contributor.referee1.fl_str_mv |
Ribeiro, Ana Freitas |
dc.contributor.referee2.fl_str_mv |
Rastelli, Viviani Milan Ferreira |
dc.contributor.referee3.fl_str_mv |
Godinho, Lara Jansiski Motta |
dc.contributor.referee4.fl_str_mv |
Liberal, Márcia Mello Costa de |
dc.contributor.referee5.fl_str_mv |
Monken, Sonia Francisca de Paula |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4133814095101819 |
dc.contributor.author.fl_str_mv |
Argachoff, Glaucia Greice Martins |
contributor_str_mv |
Ribeiro, Ana Freitas Ribeiro, Ana Freitas Rastelli, Viviani Milan Ferreira Godinho, Lara Jansiski Motta Liberal, Márcia Mello Costa de Monken, Sonia Francisca de Paula |
dc.subject.por.fl_str_mv |
diabetes mellitus atenção à saúde hospitalizações óbitos |
topic |
diabetes mellitus atenção à saúde hospitalizações óbitos diabetes mellitus health care hospitalizations deaths ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
dc.subject.eng.fl_str_mv |
diabetes mellitus health care hospitalizations deaths |
dc.subject.cnpq.fl_str_mv |
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
description |
As a result of population aging and the epidemiological transition, there is a high prevalence of Diabetes Mellitus in the Brazilian population. Estimates indicate that in 2030 about 12.6% of Brazilians will be diabetic, exceeding the projections of global prevalence that correspond to 7.7%. There are also high mortality rates resulting from this disease. Given the magnitude of DM, its clinical, social and health system impacts, monitoring hospitalization and death rates represents an important strategy for assessing the management and effectiveness of strategic policies and programs aimed at meeting this demand. The applied methodology has a retrospective analytical ecological character, with quantitative sociodemographic analyzes of secondary data on morbidity and mortality in the city of São Paulo. The data were obtained through Hospital Information Systems and on Mortality. The aim of the study was to analyze the impact of Fededral Law 11.347 of 2006 on morbidity and mortality from diabetes mellitus in the city of São Paulo in the period between 2003 and 2018, considering the rates and proportional distribution according to sociodemographic variables.The results of the study showed reductions in the rates of hospitalizations and general deaths, specific for both gender, and in the age groups above 30 years of age. There was an increase in the proportion of lethality among men and the elderly over 70 years. Regarding color race, there was an increase in the proportion of hospitalizations between blacks and browns, and those with less education. The comparison of the averages of the periods before and after the implementation of the Law showed significance in relation to the decline of the observed averages, in the rates of hospitalizations in the female gender; and in age groups aged 50 years or more, and deaths in the general sample; male, and in the age group between 30 and 69 years old. It was concluded that the analysis of the observed results contributes to the strategic surveillance of the mortality and hospitalization indicators in the population of the city of São Paulo, serving as a tool in the process of continuous evaluation of the implemented public programs and policies, as well as promoting decision making, by health managers, regarding the planning and necessary adjustments to services and actions for the studied sample. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-12-08 |
dc.date.accessioned.fl_str_mv |
2021-01-11T17:57:12Z |
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info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
Argachoff, Glaucia Greice Martins. Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018. 2020. 86 f. Dissertação( Programa de Mestrado Profissional em Administração - Gestão em Sistemas de Saúde) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2431 |
identifier_str_mv |
Argachoff, Glaucia Greice Martins. Morbimortalidade por diabetes mellitus no município de São Paulo, 2003 a 2018. 2020. 86 f. Dissertação( Programa de Mestrado Profissional em Administração - Gestão em Sistemas de Saúde) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2431 |
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por |
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