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
Keywords:Renal Insufficiency, Chronic, Primary Health Care, Health Planning, Unified Health System, Epidemiology, Descriptive
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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Copyright (c) 2022 Farid Samaan, Marcelo Gutierrez, Gianna Mastroianni Kirsztajn, Ricardo Cintra Sesso
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