Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019

Detalhes bibliográficos
Autor(a) principal: Samaan, Farid
Data de Publicação: 2022
Outros Autores: Gutierrez, Marcelo, Kirsztajn, Gianna Mastroianni, Sesso, Ricardo Cintra
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/4183
Resumo: Objective: To determine the supply/need ratio of procedures related to the diagnosis and care of chronic kidney disease in the SUS in the State of São Paulo, Brazil, in 2019. Methods: Descriptive study using data from SUS outpatient and hospital information systems. The number of medical consultations and diagnostic and follow-up tests for kidney disease carried out was compared with the estimates of need recommended by ministerial guidelines. Results: The exclusive SUS users were 28,791,244 and the number of individuals with hypertension and/or diabetes, 5,176,188. The number of procedures performed and the relationship between this number and the population's need was 389,414 consultations with a nephrologist (85%), 11,540,371 serum creatinine measurements (223%), 705,709 proteinuria measurements (14%), 438,123 renal ultrasounds (190%) and 1,045 kidney biopsies (36%). Conclusion: In the care of chronic kidney disease in the SUS, there is simultaneously a lack of supply, waste, and deficient tracking of important procedures.
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spelling Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019Relación oferta/necesidad de consultas médicas y pruebas diagnósticas y seguimiento de la enfermedad renal crónica en el Sistema Único de Salud: estudio descriptivo, São Paulo, Brasil, 2019Razão oferta/necessidade de consultas médicas e exames de diagnóstico e acompanhamento da doença renal crônica no Sistema Único de Saúde: estudo descritivo, estado de São Paulo, 2019Insuficiência Renal CrônicaPlanejamento em SaúdeSistema Único de SaúdeEpidemiologia DescritivaAtenção Primária à SaúdeRenal Insufficiency, ChronicPrimary Health CareHealth PlanningUnified Health SystemEpidemiology, DescriptiveInsuficiencia Renal CrónicaAtención Primaria de SaludPlanificación en SaludSistema Único de SaludEpidemiología DescriptivaObjective: To determine the supply/need ratio of procedures related to the diagnosis and care of chronic kidney disease in the SUS in the State of São Paulo, Brazil, in 2019. Methods: Descriptive study using data from SUS outpatient and hospital information systems. The number of medical consultations and diagnostic and follow-up tests for kidney disease carried out was compared with the estimates of need recommended by ministerial guidelines. Results: The exclusive SUS users were 28,791,244 and the number of individuals with hypertension and/or diabetes, 5,176,188. The number of procedures performed and the relationship between this number and the population's need was 389,414 consultations with a nephrologist (85%), 11,540,371 serum creatinine measurements (223%), 705,709 proteinuria measurements (14%), 438,123 renal ultrasounds (190%) and 1,045 kidney biopsies (36%). Conclusion: In the care of chronic kidney disease in the SUS, there is simultaneously a lack of supply, waste, and deficient tracking of important procedures.Objetivo: Determinar la relación oferta/necesidad de procedimientos relacionados con el diagnóstico y atención de la enfermedad renal crónica en el SUS del Estado de São Paulo, Brasil, en 2019. Métodos: Estudio descriptivo utilizando datos de los sistemas de información ambulatoria y hospitalaria del SUS. Se comparó el número de consultas médicas y pruebas de diagnóstico y seguimiento de la enfermedad renal realizados con las estimaciones de necesidad recomendadas por directrices ministeriales. Resultados: Los usuarios exclusivos del SUS fueron 28.791.244 y el hipertensos y/o diabéticos, 5.176.188. El número de procedimientos realizados y la relación entre este número y la necesidad de población fue: 389.414 consultas con nefrólogo (85%), 11.540.371 determinaciones de creatinina sérica (223%), 705.709 determinaciones de proteinuria (14%), 438.123 ecografías renales (190%) y 1.045 renales biopsias (36%). Conclusión: En la atención de enfermedad renal en SUS, existe simultáneamente falta de suministro, desperdicio y seguimiento deficiente de los procedimientos importantes.Objetivo: Determinar a razão oferta/necessidade de procedimentos relacionados com o diagnóstico e assistência à doença renal crônica no Sistema Único de Saúde (SUS), no estado de São Paulo, Brasil, 2019. Métodos: Estudo descritivo, utilizando dados dos sistemas de informações ambulatoriais e hospitalares do SUS. O número de consultas médicas e exames diagnósticos e acompanhamento da doença renal, realizados no período, foi comparado com as estimativas de necessidade, obtidas por diretrizes ministeriais. Resultados: Usuários exclusivos do SUS foram 28.791.244, e indivíduos com hipertensão e/ou diabetes mellitus, 5.176.188. O número de procedimentos realizados e a razão entre esse número e a necessidade da população foi de 389.414 consultas com nefrologista (85%), 11.540.371 dosagens de creatinina sérica (223%), 705.709 dosagens de proteinúria (14%), 438.123 ultrassonografias renais (190%) e 1.045 biópsias renais (36%). Conclusão: Na assistência à doença renal crônica no SUS, existe, simultaneamente, falta de oferta, desperdício e rastreamento deficiente de procedimentos importantes.SciELO PreprintsSciELO PreprintsSciELO Preprints2022-05-30info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/418310.1590/S2237-96222022000200014porhttps://preprints.scielo.org/index.php/scielo/article/view/4183/7923Copyright (c) 2022 Farid Samaan, Marcelo Gutierrez, Gianna Mastroianni Kirsztajn, Ricardo Cintra Sessohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSamaan, Farid Gutierrez, MarceloKirsztajn, Gianna MastroianniSesso, Ricardo Cintrareponame:SciELO Preprintsinstname:SciELOinstacron:SCI2022-05-30T17:50:07Zoai:ops.preprints.scielo.org:preprint/4183Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2022-05-30T17:50:07SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019
Relación oferta/necesidad de consultas médicas y pruebas diagnósticas y seguimiento de la enfermedad renal crónica en el Sistema Único de Salud: estudio descriptivo, São Paulo, Brasil, 2019
Razão oferta/necessidade de consultas médicas e exames de diagnóstico e acompanhamento da doença renal crônica no Sistema Único de Saúde: estudo descritivo, estado de São Paulo, 2019
title Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019
spellingShingle Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019
Samaan, Farid
Insuficiência Renal Crônica
Planejamento em Saúde
Sistema Único de Saúde
Epidemiologia Descritiva
Atenção Primária à Saúde
Renal Insufficiency, Chronic
Primary Health Care
Health Planning
Unified Health System
Epidemiology, Descriptive
Insuficiencia Renal Crónica
Atención Primaria de Salud
Planificación en Salud
Sistema Único de Salud
Epidemiología Descriptiva
title_short Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019
title_full Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019
title_fullStr Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019
title_full_unstemmed Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019
title_sort Supply/need ratio of medical appointments and diagnostic tests and monitoring of chronic kidney disease in the Unified Health System: descriptive study, São Paulo, Brazil, 2019
author Samaan, Farid
author_facet Samaan, Farid
Gutierrez, Marcelo
Kirsztajn, Gianna Mastroianni
Sesso, Ricardo Cintra
author_role author
author2 Gutierrez, Marcelo
Kirsztajn, Gianna Mastroianni
Sesso, Ricardo Cintra
author2_role author
author
author
dc.contributor.author.fl_str_mv Samaan, Farid
Gutierrez, Marcelo
Kirsztajn, Gianna Mastroianni
Sesso, Ricardo Cintra
dc.subject.por.fl_str_mv Insuficiência Renal Crônica
Planejamento em Saúde
Sistema Único de Saúde
Epidemiologia Descritiva
Atenção Primária à Saúde
Renal Insufficiency, Chronic
Primary Health Care
Health Planning
Unified Health System
Epidemiology, Descriptive
Insuficiencia Renal Crónica
Atención Primaria de Salud
Planificación en Salud
Sistema Único de Salud
Epidemiología Descriptiva
topic Insuficiência Renal Crônica
Planejamento em Saúde
Sistema Único de Saúde
Epidemiologia Descritiva
Atenção Primária à Saúde
Renal Insufficiency, Chronic
Primary Health Care
Health Planning
Unified Health System
Epidemiology, Descriptive
Insuficiencia Renal Crónica
Atención Primaria de Salud
Planificación en Salud
Sistema Único de Salud
Epidemiología Descriptiva
description Objective: To determine the supply/need ratio of procedures related to the diagnosis and care of chronic kidney disease in the SUS in the State of São Paulo, Brazil, in 2019. Methods: Descriptive study using data from SUS outpatient and hospital information systems. The number of medical consultations and diagnostic and follow-up tests for kidney disease carried out was compared with the estimates of need recommended by ministerial guidelines. Results: The exclusive SUS users were 28,791,244 and the number of individuals with hypertension and/or diabetes, 5,176,188. The number of procedures performed and the relationship between this number and the population's need was 389,414 consultations with a nephrologist (85%), 11,540,371 serum creatinine measurements (223%), 705,709 proteinuria measurements (14%), 438,123 renal ultrasounds (190%) and 1,045 kidney biopsies (36%). Conclusion: In the care of chronic kidney disease in the SUS, there is simultaneously a lack of supply, waste, and deficient tracking of important procedures.
publishDate 2022
dc.date.none.fl_str_mv 2022-05-30
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