Absenteeism of diabetics to appointments with an endocrinologist and its relationship with access to health services

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Published: Jun 26, 2022
DOI: https://doi.org/10.21876/rcshci.v12i2.1233
Keywords:
Health Services Acessibility, Absenteeism, Secundary Care, Diabetes Mellitus, Appointments and Schedules

Main Article Content

Marcelle Lemos Leal
Federal University of Espírito Santo, Health Sciences Center, Postgraduate Program in Public Health
https://orcid.org/0000-0001-7878-6654
Edson Theodoro dos Santos Neto
Federal University of Espírito Santo, Health Sciences Center, Postgraduate Program in Public Health
https://orcid.org/0000-0002-7351-7719
Eliana Zandonade
Federal University of Espírito Santo, Center for Exact Sciences, Postgraduate Program in Public Health
https://orcid.org/0000-0001-5160-3280
Thiago Dias Sarti
Federal University of Espírito Santo, Health Sciences Center, Postgraduate Program in Public Health
https://orcid.org/0000-0002-1545-6276
Nagela Valadão Cade
Federal University of Espírito Santo, Health Sciences Center, Postgraduate Program in Public Health

Abstract

Objective: To analyze the association between absenteeism and access to specialized consultations for diabetics, in the Unified Health System (SUS) in Espírito Santo (ES). Methods: Cross-sectional study conducted using primary and secondary data with 472 diabetics ≥ 18 years old scheduled in consultation with endocrinologist in the System of Regulation Centers of ES. The variables of the dimensions of access - availability, financial viability, and acceptability - were used to estimate the association with absenteeism. Logistic regression was used for the crude and adjusted analyses. Results: An association was found between absenteeism of diabetics and the variables living less than 10 km from the provider (OR: 1.81; 95%CI: 1.16 - 2.82, p = 0.01), need for transportation (OR: 4.89; 95%CI: 2.54 - 9.42, p < 0.001), and having financial expenses to attend the appointment (OR: 2.06; 95%CI: 1.23 - 3.44; p = 0.01). Conclusion: The main barriers of access to health services that contribute to the high prevalence of absenteeism from appointments with endocrinologists can be understood as a proxy for the socioeconomic status of diabetics and show close relationship with the social determinants of health.

Article Details

How to Cite
1.
Leal ML, Santos Neto ET dos, Zandonade E, Sarti TD, Cade NV. Absenteeism of diabetics to appointments with an endocrinologist and its relationship with access to health services. Health Sci J [Internet]. 2022Jun.26 [cited 2024Apr.27];12(2):26-4. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1233
Issue
Vol 12 No 2 (2022): April to June 2022
Section
ORIGINAL ARTICLE
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Author Biographies

Marcelle Lemos Leal, Federal University of Espírito Santo, Health Sciences Center, Postgraduate Program in Public Health

PhD in Collective Health at the Federal University of Espírito Santo.

Edson Theodoro dos Santos Neto, Federal University of Espírito Santo, Health Sciences Center, Postgraduate Program in Public Health

Doctor in Public Health Epidemiology from Fundação Oswaldo Cruz, RJ, Adjunct Professor at the Federal University of Espírito Santo.

Eliana Zandonade, Federal University of Espírito Santo, Center for Exact Sciences, Postgraduate Program in Public Health

PhD in Statistics from the University of São Paulo, Professor at the Department of Statistics at the Federal University of Espírito Santo.

Thiago Dias Sarti, Federal University of Espírito Santo, Health Sciences Center, Postgraduate Program in Public Health

Doctor in Public Health at the Faculty of Public Health at the University of São Paulo, Adjunct Professor at the Department of Social Medicine at the Federal University of Espirito Santo.

Nagela Valadão Cade, Federal University of Espírito Santo, Health Sciences Center, Postgraduate Program in Public Health

PhD in Nursing from the University of São Paulo, Full Professor at the Federal University of Espírito Santo.

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