title: Diabetes Care in Brazil: Program to Improve Primary Care Access and Quality-PMAQ.
abstract: This article describes the primary health care offered to 8118 service users with diabetes in Brazil based on data from the PMAQ (Program to Improve Primary Care Access and Quality) first survey. Structure, access, service organization and management, and clinical care quality were analyzed. Prevalence of self-reported receipt of appropriate treatment was 14.3% (95% confidence interval [CI]: 13.4-15.2). Following adjustment, it was 26% higher (prevalence ratio [PR] = 1.26; 95% CI: 1.04-1.54) when primary health care centers had all the structure items investigated, it was 13% higher (PR = 1.13; 95% CI: 1.00-1.29) when the teams' work process for service organization and management was adequate and it was 14% higher (PR = 1.14; 95% CI: 1.00-1.30) when the teams' clinical practice was adequate.
authors.affiliation: Department of Social Medicine, Federal University of Pelotas (Drs Tomasi, Cesar, da Silveira, Fassa, and Facchini), Epidemiology Postgraduate Programme, Federal University of Pelotas, Rua Marechal Deodoro (Ms Neves), Faculty of Medicine, Federal University of Pelotas (Mr Schmidt), Faculty of Nursing, Federal University of Pelotas, Rua Gomes Carneiro (Drs Thumé, Nunes, Duro, and Volz), Physical Education Postgraduate Programme, Physical Education Technical College, Federal University of Pelotas, R. Luís de Camões, Três Vendas (Dr Siqueira), and Physiotherapy Course, Faculdade Anhanguera de Pelotas, Três Vendas (Dr Saes), Pelotas, RS, Brazil.
authors.forename: Elaine
authors.initials: E
authors.lastname: Tomasi
authors.forename: Maria Aurora Dropa Chrestani
authors.initials: MA
authors.lastname: Cesar
authors.forename: Rosália Garcia
authors.initials: RG
authors.lastname: Neves
authors.forename: Paulo Ricardo Correa
authors.initials: PR
authors.lastname: Schmidt
authors.forename: Elaine
authors.initials: E
authors.lastname: Thumé
authors.forename: Denise Silva
authors.initials: DS
authors.lastname: da Silveira
authors.forename: Fernando Carlos Vinholes
authors.initials: FC
authors.lastname: Siqueira
authors.forename: Bruno Pereira
authors.initials: BP
authors.lastname: Nunes
authors.forename: Anaclaudia Gastal
authors.initials: AG
authors.lastname: Fassa
authors.forename: Mirelle de Oliveira
authors.initials: MO
authors.lastname: Saes
authors.forename: Suele Manjourany Silva
authors.initials: SM
authors.lastname: Duro
authors.forename: Pamela Moraes
authors.initials: PM
authors.lastname: Volz
authors.forename: Luiz Augusto
authors.initials: LA
authors.lastname: Facchini
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D058996:Quality Improvement; D057566:Self Report; D055815:Young Adult