Qualidade em Saúde: Diagnóstico e análise da rede social na prestação de cuidados de saúde a crianças com diabetes

8/6/2019 Qualidade em Sade: Diagnstico e anlise da rede social na prestao de cuidados de sade a crianas com diab

1/19

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2/19

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3/19

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4/19

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bvlzkjkwgkplkchy $HPJP, 9006+#

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jf moybh h xvf h lkcnvhnfb fczyf zojow wfah vckmoybf $W~kmz, 900;+#


5/19

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wfnvkbfczo jow vzfczfw f wvh mhblkh $Pkdoefy, Moywhcjfy, ^olmwjoym, - Elkcnfcwbkzd, 900;+#

9 " Gocgfkzo yfjfw wogkhkw

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Covzyo goczftzo, hw yfjfw wogkhkw wvynkyhb gobo vb phjyo oynhckqhgkochl, cow lzkbow hcow,

gob ghphgkjhjf jf ftpyfwwhy, hzyh}w jh wvh fwzyvzvyh jf yflhfw, kjfkhw polzkghw f fgocbkghw

jf ghygzfy kco}hjoy, gob h bkwwo jf havjhy h yfwol}fy hlnvcw pyoilfbhw# $Mkhldo, 900>+ Fwzhw

wo yfwpocw}fkw pflh phyzkldh jf kjfkhw kczyh"pfwwohkw, jf kczfyfwwfw f oiafgzk}ow gobvcw, pojf

wfy gocwkjfyhjh vbh bfjkjh jf polzkgh wogkhl, }kwhcjo o gobihzf jf pyoilfbhw, wo myvzo jhw

bhckmfwzhfw gvlzvyhkw, zyhjvqfb o phjyo oynhckqhgkochl, jvbh co}h moybh jf gocdfgfy, pfcwhy

f mhqfy polzkgh# $Mkhldo, 900>+

Vbh yfjf wogkhl , vb gocavczo jf pfwwohw, oynhckqhfw, fzg#, xvf fwzhiflfgfb lknho fczyf

wk poy bfko jvb gocavczo jf yflhfw wogkhkw jf zkpo fwpfgmkgo, jfwzf bojo, h fwzyvzvyh jfxvhlxvfy oynhckqho pojfy wfy fwzvjhjh f gobpyffcjkjh zfcjo gobo poczo jf hclkwf hw wvhw

yfjfw blzkplhw jf yflhfw kczfychw f ftzfychw# $Mkhldo, 900>+

Wfnvcjo Bkzgdfll f Zykgefzz $8;40+ gkzhjow poy Wfyyhco $900>+ ow gykzykow phyh kjfczkmkghy xvfb

bfbiyo jf vbh yfjf }hykh jf hgoyjo gob zyw jkbfcwfw1

H lkwzhnfb jf zojow ow flfbfczow jh yfjf wogkhl

O nyhv jf goczhgzo gob o hl}o

H myfxvcgkh jf goczhgzow xvf jf}fy ogoyyfy phyh xvf vb kcjk}jvo wfah gocwkjfyhjo

vb flfbfczo hgzk}o jh yfjf#


6/19

Cfwzf goczftzo, h yfjf pojf hpyfwfczhy ghyhgzfywzkghw fwzyvzvyhkw, yfmfyfczfw xvhlkjhjf jh

yfjf $zhbhcdo ov ftzfcwo5 jfcwkjhjf jh yfjf5 nyhv jf yflhgkochbfczo+ f ghyhgzfywzkghw

kcjk}kjvhkw, hw lknhfw fczyf flfbfczow $Kczfcwkjhjf, jvyhiklkjhjf, bvlzkjkbfcwkochlkjhjf,

jkyfggkochlkjhjf f yfgkpyogkjhjf, jfcwkjhjf jh yflho, jkwpfywo, myfxvcgkh, dobonfcfkjhjf+#

Jf hgoyjo gob Dhccfbhc $9000+ gobpyffcjfy vbh yfjf wogkhl kbplkgh h yfhlkqho jf vbh

jfwgyko gobplfzh f yknoyowh jh wvh hyxvkzfgzvyh, o xvf lf}ov gykho f vzklkqho jf vb

bzojo hjfxvhjo, h hclkwf jf yfjfw wogkhkw#

Pojfbow fcgoczyhy zyw flfbfczow jkwzkczow, phyh h pfygfpo jhw wvhw myoczfkyhw jhw yfjfw,

jo poczo jf }kwzh jh opfyhgkochlkqho#

FGOCBKGOxvf pyfwwvpf hw hgzk}kjhjfw f yfgvywow xvf wfy}fb jf kczfygbiko

chw yfjfw5

WOGKHL co xvhl wf fcxvhjyhb ow hgzoyfw jhw yfjfw f hw yflhfw jf gocmkhch xvf

fwzhiflfgfb fczyf wk5

FWZYHZNKGOxvf wvynf hwwogkhjo ho }hloy xvf pyojvqkjo co xvhjyo jhw yfjf#

Cvbh pfywpfgzk}h bhkw opfyhgkochl h yfjf fcgoczyh"wf hwwogkhjh lnkgh jf mlvto f jf

hyzkgvlho ch xvhl wf pojfb fcxvhjyhy hw yfjfw jf gobvckgho, zyhcwpoyzf, zflfgobvckghfw#

Cfwzh lkcdh jf yhgkogcko, Lokolh f Bovyh $8;;>+ gkzhjo poy Mkhldo $900>+ hzykivfb jokw zkpow jf

yfjf1 h jf mlvto vckjkyfggkochl, ocjf o poczo jf phyzkjh f gdfnhjh wf fcgoczyhb ifb jfmkckjow, f

h jf ghygzfy bvlzkjkyfggkochl, ocjf ow mlvtow ftkwzfb wfb xvf wf }fykmkxvf vb gfczyo# H

gobpfzkzk}kjhjf co wfgzoy jh whjf lf}ov ho hvbfczo jh kcgfyzfqh f jh kcwfnvyhch jfczyo jhw

oynhckqhfw, hw xvhkw, phyh bhczfyfb"wf co bfyghjo jf zyhihldo, cfgfwwkzhb jf fwzyvzvyhy

co}ow pyogfwwow jf mlftkiklkqho, cobfhjhbfczf hw hyzkgvlhfw fczyf wk, yfczhiklkqhcjo ow

yfgvywow f bkckbkqhcjo ow nhwzow# $Mkhldo, 900>+ Fmfgzk}hbfczf, hw cfgfwwkjhjfw jf co}hw

yfwpowzhw, gocjvgfczfw h pyzkghw jf kco}ho zfgcolnkgh f jf nfwzo, yfwvlzhb jh cfgfwwkjhjf

fwzyhznkgh jhw oynhckqhfw wolkjkmkghyfb hw wvhw ihwfw co ghbpo jh kcf}kz}fl bvzho# $Wkl}h

- Mkhldo 900=+#

pflhw yhqfw ftpowzhw xvf o gocdfgkbfczo jf vbh yfjf wogkhl kbpoyzhczf hpyomvcjhy

poyxvf1

Omfyfgf bfkow opfyhgkochkw jf hpyfcjkqhnfb hgfygh jo xvozkjkhco jhw pfwwohw

H lknho fczyf ow hgzoyfw jhw yfjfw omfyfgf vbh ihwf zfykgh phyh o

jfwfc}ol}kbfczo jf kczfy}fcfw pyf}fczk}hw#

Wvnfyf vbh moybh jf jfwfc}ol}fy f hyzkgvlhy yfgvywow moybhkw f kcmoybhkw#

Fb wczfwf, o wkwzfbh dowpkzhlhy vbh pfh bfwzyh cfwzf goczftzo# Goczvjo, hpw vb pfyojo

jf dowpkzhlogfczykwbo, hw f}olvfw cfgfwwykhw wvynfb gob bvkzh jkmkgvljhjf jf}kjo how

dikzow hjxvkykjow jf kczfy}fco zfgckgkwzh ch lnkgh jo zyhzhy ch pyfwzho jf wfy}kow # H co

hyzkgvlho fczyf h bkwwo jo dowpkzhl f hw jow wfvw phygfkyow gocjvqkv h jkwmvcfw ch pypykh

bkwwo dowpkzhlhy# $Docoy, 90091896+ O dowpkzhl hzkcnkv vb fwzhjo jf woiyflozho povgo

pyopgko ho jfwfc}ol}kbfczo jf hlzfychzk}hw jf bvjhch wvh gvlzvyh# Zoych ghjh }fq bhkw

cfgfwwyko yfmoybvlhy hw lnkghw dowpkzhlhyfw hzyh}w jf yfjfw jf moybho kczfykcwzkzvgkochl phyh

bfldoy nhyhczky h xvhlkjhjf jow wfy}kow jf whjf#


7/19

7#8 " Hclkwf yfjfw wogkhkw

H bfzojolonkh jf hclkwf jf yfjfw wogkhkw $HYW+ fwzvjh hw yflhfw fwpfgmkghw fczyf

jfzfybkchjow flfbfczow gobo, pfwwohw, nyvpow, oynhckqhfw, hgoczfgkbfczo, zyhzhcjo ow jhjowyflhgkochkw, ov wfah gobpyffcjf"wf poy jhjo yflhgkochl h ftkwzcgkh jf vb }cgvlo fwpfgmkgo

ftkwzfczf fczyf vb phy jf flfbfczow# Fwzh bfzojolonkh fcgoczyh"wf hbplhbfczf vzklkqhjh fb

}ykow phwfw bhw, goczvjo povgo vzklkqhjh fb Poyzvnhl, H hclkwf jf yfjfw pyfwwvpf vbh

lnkgh jf hclkwf fwzyvzvyhl xvf hwwfczh fb jokw oiafgzk}ow gfczyhkw1 h kjfczkmkgho jf

jfzfybkchjow phjyfw jf kczfyhgo wogkhl f, poy ovzyo lhjo, gobpyffcjfy h kcmlvcgkh jfwwfw

phjyfw co gobpoyzhbfczo jow hgzoyfw wogkhkw# Zyhzh"wf jvb pyogfwwo jf bhzykq kcjvzk}h xvf

phyzf jf yflhfw wogkhkw oiafgzk}hw f ghbkcdh hz phjyfw jf yflhgkochbfczo xvf moybhb h

fwzyvzvyh wogkhl jvb jfzfybkchjo wkwzfbh# Fwzfw phjyfw jf yflhgkochbfczo pojfb wfy

bfcwvy}fkw bhzfbhzkghbfczf pflh zfoykh jow nyhmow, pflh zfoykh fwzhzwzkgh f pyoihiklwzkgh f

hzyh}w jf bojflow hlniykgow# $^hwwfybhc f Mhvwz, 8;;:5 Lhqfnh, 8;;45 ]hyhcjh, 9000 gkzhjopoy Mkhldo 900>1 9;/70+#

Phyh h gobpyffcjfy xvhlxvfy yfjf mvcjhbfczhl kjfczkmkghy zyw flfbfczow1

Cw ov hgzoyfw wo hw pfwwohw ov nyvpow xvf wf fcgoczyhb bo}kjhw poy vb

oiafgzk}o gobvb# Yfnvlhybfczf h wobh jow cw yfpyfwfczh o zhbhcdo jh yfjf

$Mkhldo 900>+

]cgvlow ov yflhfw wo ow lhow ftkwzfczfw xvf wf fwzhiflfgfb fczyf jokw

ov bhkw hgzoyfw, wo yfpyfwfczhjow poy lkcdhw #$Mkhldo 900>+

Mlvtow kcjkghb h jkyfgo jo }cgvlo, pojfb hwwvbky }ykhw jfwknchfw1

vckjkyfggkochl ov ikjkyfggkochl# Poy wvh }fq, wf co ftkwzky cfcdvb zkpo jf mlvto

fczyf jfzfybkchjo hgzoy, wknckmkgh xvf wf zyhzh jvb c wolzo jfczyo jh yfjf#

$Mkhldo 900>+

O oiafgzk}o jh hclkwf jf yfjfw wogkhkw gocwkwzf jf vb bojo nfyhl, bfjko jo nyhv jf

hwwogkho ov jf ghwvhlkjhjf fczyf hw }hyk}fkw# Hw }hyk}fkw wo jkwpowzhw cvbh moldh jf jhjow

xvf gobpoyzh lkcdhw f golvchw, ov wfah h gocwzyvo jh bhzykq hjahgfczf hgzoy " hgzoy# Fwzf zkpo jf

yfpyfwfczho bvkzo myfxvfczf fb hclkwf fwzyvzvyhl, ch bfjkjh fb xvf fwz hwwogkhjh

gocwzyvo jow nyhmow# $Lfbkfvt f Ovkbfz, 9004+

H bhzykq, jfmkcf"wf gobo vbh zhiflh gob B lkcdh f C golvchw yfpyfwfczhjh woi h moybh jfxvhjyo vzklkqhjh ch gocwzyvo jow nyhmow# Vb nyhmo jfmkcf"wf poy vb gocavczo jf poczow

$}yzkgfw+ lknhjow poy yfgzhw $hw hyfwzhw+, wo bvkzo zfkw ch yfpyfwfczho jf pyoilfbhw jh }kjh

yfhl, fb }ykow ghbpow pyomkwwkochkw#

Ch bhzykq ow hgzoyfw fwzo jkwpowzow chw lkcdhw f golvchw, xvhcjo ftkwzf vbh yflho fczyf ow

jokw hgzoyfw o kc}fwzknhjoy fwgyf}f 8, ghwo fwzh wfah hvwfczf , hzykivjo vb 0 # Ch yflho jf H

gob H hzykivjo vb T ,ch bfjkjh fb xvf co ftkwzf xvhlxvfy flo ov yflho yfmlftk}h jf vb

hgzoy gocwkno pypyko, kbpoyzhczf yfmfyky xvf cvbh bhzykq, hw lkcdhw yfpyfwfczhb h oyknfb jow

}cgvlow jkyknkjow f hw golvchw o wfv jfwzkco# $Mkhldo, 900>+


8/19

Fbioyh h bhzykq powwh goczfy jhjow ikcykow, ov wfah h pyfwfch ov hvwcgkh jf yflho,

poww}fl kcwfyky jhjow xvf pfyzfchb h bhkw jo xvf jvhw ghzfnoykhw# Fwzf pyogfjkbfczo

vzklkqhjo phyh jhy h kczfcwkjhjf jf vbh yflho# $Lfbkfvt f Ovkbfz, 9004+

O bojo gobo ow kcjk}jvow, hw oynhckqhfw wf fcgoczyhb gocfgzhjhw, pojf wfy mvcjhbfczhl

phyh h gobpyffcwo jow wfvw hzykivzow f gobpoyzhbfczow# Kcjk}jvow ifb gocfgzhjow pojfb zfy

vb phpfl bhkw kcmlvfczf ov wfyfb bhkw kcmlvfcgkhjow pflow yfwzhczfw hgzoyfw, hwwvbfb"wf gobo

vb mhgzoy jf kbpoyzcgkh cvglfhy, wfcjo jfwzf bojo kcjkghjoy gdh}f phyh h gobpyffcwo jh

gobplftkjhjf jh yfjf# Vb hgzoy pojf zfy povgow ov bvkzow lhow, f jfwzf bojo wfyfb moyzfw fb

yflhfw, ov fcgoczyhb"wf ivyhgow, ov wfah co yfgfifb cfb fbkzfb#

Nyhco}fzzfy gkzhjo poy Mkhldo $900>+ xvhlkmkgov h chzvyfqh jow lhow wogkhkw1

Lho moyzf }fykmkgh"wf fczyf jokw kcjk}jvow f pyfwwvpf vb gocwkjfy}fl c}fl

jf zfbpo f fwmoyo jf yflho, mfko fbogkochl, gocmkhch f yfgkpyogkjhjf#

Zyhzh"wf jvb yflhgkochbfczo xvf wf }hk gocwzyvkcjo ho locno jow zfbpow#

$Mkhldo, 900>1;=+Lho myhgo wvynf cvbh powko opowzh f fc}ol}f zyhcwhgfw jf ghygzfy

poczvhl fczyf hnfczfw, chw xvhkw h kjfczkjhjf jow kcjk}jvow hwwvbf vbh bfcoy

kbpoyzcgkh# $Mkhldo, 900>1;=+ Cfwzf zkpo jf lho ow c}fkw jf gocmkhch f

yfgkpyogkjhjf wo bckbow#

Phyh h gobpyffcwo jh fwzyvzvyh jh yfjf, o wfv zhbhcdo pojf wfy vb mhgzoy gyzkgo, xvhczo

bhkoy moy o nyvpo, bhkoy h jfcwkjhjf jf lhow, o xvf pojf lf}hy ho wvynkbfczo jf co}ow nyvpow#

H jkwzcgkh fczyf hgzoyfw zhbib jf}f wfy zkjh fb gocwkjfyho, vbh }fq xvf xvhczo bhkoy h

jkwzcgkh fczyf ow hgzoyfw, bhkoy wfy o zfbpo phyh h o mlvto jf kcmoybho, ov wfah fwzh jfboyhy

bhkw zfbpo h wfy jkmvcjkjh# $Mkhldo, 900>+H jkwzcgkh nfojwkgh $h jkwzcgkh jvb hgzoy hz how ovzyow hgzoyfw + zfb wkjo hbplhbfczf

vzklkqhjh fb fwzvjow jf hclkwf jf yfjfw wogkhkw, yfpyfwfczh o cbfyo jf yflhfw fczyf ow

hgzoyfw hzyh}w jo ghbkcdo bhkw gvyzo# $Mkhldo, 900>+

Co jobcko jh hclkwf fwzyvzvyhl jf yfjfw, h gfczyhlkjhjf jow hgzoyfw kbpoyzhczf phyh

gobpyffcjfy xvhl hw wvhw powkfw ch yfjf# Cfwzf goczftzo Myffbhc, gkzhjo poy Mkhldo $900>+

hpyfwfczov zyw bfjkjhw jf gfczyhlkjhjf1

Nyhv $jfnyff+ glgvlo jo cbfyo jf lknhfw hjahgfczf phyh ghjh hgzoy# Vb

bhkoy cbfyo jf lknhfw jkyfgzhw, pyopoygkoch vbh bhkoy hgzk}kjhjf ch yfjf

$Mkhldo, 900>+

Pyotkbkjhjf $glowfcfww+ yfbfzf pyotkbkjhjf jf vb hgzoy mhgf how ovzyow

zojow, kcglvkcjo lknhfw jkyfgzhw f kcjkyfgzhw, jfbocwzyhcjo gobo fwz

wvwgfpz}fl jf yfgfify kcmoybhfw, pojfy, pyfwznko f kcmlvcgkh#

Kczfybfjkho $Ifz~ffcfww+ O nyhv fb xvf ow hgzoyfw fwzo wkzvhjow fczyf

phyfw jf ovzyow hgzoyfw# Cfwzf wfczkjo o hgzoy pojf zfy vbh powko mh}oy}fl,

ch bfjkjh fb xvf wf fcgoczyh cvb poczo jf phwwhnfb oiyknhzyko, ov wfah,

ogvph vbh powko gdh}f# $Mkhldo 900>+#


9/19

Fb xvhlxvfy yfjf wogkhl zhbib ftkwzfb flow xvf fwzhiflfhb vbh yflho bhkw czkbh,

jfcobkchjow poy glkxvfw, ov wfah, nyvpow jf hgzoyfw how xvhkw ghjh vb fwz jkyfgzhbfczf f

moyzfbfczf lknhjo how yfwzhczfw $Bhyzflfzo, 9008+#

7 Opo Bfzojolnkgh

O jkhncwzkgo f hclkwf jhw yfjfw wogkhkw ftkwzfczfw wvynf cfwzf goczftzo gobo hlno kco}hjoy,

gobplfto xvf pfybkzky gobpyffcjfy hw ghyhgzfywzkghw jh yfjf wogkhl jf wvpoyzf gykhch gob

jkhifzfw#

Cfwzf goczftzo avlnh"wf pfyzkcfczf gocwzhzhy f hchlkwhy xvhkw hw lkbkzhfw jhw yfjfw wogkhkw

ftkwzfczfw, pyogvyhy lhgvchw f hjopzhy fwzyhznkhw phyh bhtkbkqhy h xvhlkjhjf jow gvkjhjow jf

fcmfybhnfb pyfwzhjow#

O oiafgzk}o nfyhl jfwzf hyzkno gocwkwzf fb hchlkwhy hw yfjfw wogkhkw ftkwzfczfw co hpoko wgykhchw gob jkhifzfw zkpo 8 jo gocgfldo jo Ihyyfkyo f wkchlkqhjhw pflo DCWY FPF#

Wo oiafgzk}ow fwpfgmkgow ow wfnvkczfw1

Hchlkwhy hw pozfcgkhlkjhjfw f lkbkzhfw ftkwzfczfw ch hgo jow hgzoyfw jh

whjf ch yfjf wogkhl#

Ghyhgzfykqhy o pfymkl jhw yfjfw wogkhkw ftkwzfczfw co hpoko h fwzhw gykhchw#

Kjfczkmkghy ow mhgzoyfw gyzkgow xvf pfybkzhb ho DCWY pyobo}fy h bfldoykh jh

hyzkgvlho jf gvkjhjow h fwzhw gykhchw#

H bfzojolonkh vzklkqhjh hwwfczh cvbh hioyjhnfb fwwfcgkhlbfczf xvhlkzhzk}h, co fczhczo phyh

vbh bfldoy gobpyffcwo jh pyoilfbzkgh fb fwzvjo, zhbib vzklkqhjh h hioyjhnfb

xvhczkzhzk}h, hzyh}w jh goczhiklkqho jhw vckjhjfw jf yfnkwzo f jh hclkwf yfjfw wogkhkw#

Mok hwwkb, pyogvyhjo jfwgyf}fy f hchlkwhy hw yfjfw wogkhkw ftkwzfczfw co hpoko gykhch gob

jkhifzfw zkpo 8, wfnvkjhw co DCWY#

H opo jo zkpo jf fwzvjo, yfghk woiyf h yfhlkqho jf vb fwzvjo jf ghwo, ch bfjkjh fb xvf

pyfzfcjo fwzvjhy vbh fczkjhjf ifb jfmkckjh, hw yfjfw wogkhkw jf hpoko gykhch gob jkhifzfw,

}kwhcjo gocdfgfy fb pyomvcjkjhjf o mfcbfco fb fwzvjo# $Whbpkfyk, fz hl 900>+ Pyfzfcjf"wf

xvf o fwzvjo jf ghwo wf jfiyvgf woiyf vbh wkzvho fwpfgmkgh, xvf wf wvpf phyzkgvlhykwzh jh

popvlho, h kcmoybho xvf wf oizb ckgh cfwzf goczftzo o fwzvjo hpyfwfczh vb ghygzfy

ftployhzyko, jfwgykzk}o#O DCWY jkwpf jfwjf jf 88 jf Co}fbiyo jf 9004 h gocwvlzh jh Jkhifzfw Pfjkzykgh, fwzh

zb gobo oiafgzk}o o fcwkco f plhco zfyhpvzkgo hjfxvhjo gykhch, gob jkhifzfw fb zojhw hw

wvhw }fyzfczfw1 kcwvlkco zfyhpkh, jkfzh, ftfyggko mwkgo f hpoko pwkgozfyhpvzkgo#

H fwgoldh jow fczyf}kwzhjow zf}f poy ihwf ow oiafgzk}ow jo fwzvjo, ov wfah, mok wflfggkochjh

kczfcgkochlbfczf gob o kczvkzo jf gobpyffcjfy h yfjf wogkhl ftkwzfczf co hpoko gykhch gob

jkhifzfw, hw wvhw lkbkzhfw f pozfcgkhlkjhjfw#

Gobo loghl phyh h yfhlkqho jo pyfwfczf fwzvjo moyhb wflfggkochjhw hw wfnvkczfw fczkjhjfw1

Dowpkzhl Cowwh Wfcdoyh jo Yowyko f o Gfczyo jf whjf jo Ihyyfkyo#


10/19

Cfwzfw goczftzo mok jflkbkzhjo vb nyvpo xvf zk}fwwf kcfyfczf ow pyfwwvpowzow hczfykoyfw, pflo

xvf moyhb wflfggkochjow ocqf pyomkwwkochkw jf whjf xvf pyfwzhb gvkjhjow chw fczkjhjfw h gkbh

yfmfykjhw, goyyfwpocjfcjo wfnvkczf lkwzhnfb1

Pyomkwwo KcwzkzvkoMvco ch

OynhckqhoHcow jfWfy}ko

Fcmfybfkyh DCWY FcmfybfkyhGdfmf

97 hcow

Fcmfybfkyh DCWY

FcmfybfkyhGooyjfchjoyhVyncgkhPfjkzykgh

80 hcow

Fcmfybfkyh DCWY GocwvlzhJkhifzfw 8= hcow

Fcmfybfkyh DCWY GocwvlzhJkhifzfw

8; hcow

Cvzyko DCWY GocwvlzhCvzyko

> hcow

Bjkgh DCYWJkyfgzoyhWfy}koPfjkhzykh

8> hcow

Bjkgh DCWY GocwvlzhJkhifzfw 9 hcow

Fcmfybfkyh DCWYGyfwgfyPhygfykh 99 hcow

Pwkglonh DCWY GocwvlzhPwkgolonkh 6 hcow

Fcmfybfkyh GWI Whjf Fwgolhy> hcow

Fcmfybfkyh GWI Whjf Kcmhczkl 80 hcow

Mok wflfggkochjo gobo bzojo h hclkwf fwzyvzvyhl jhw yfjfw wogkhkw phyh jfwgyf}fy f ftplkghy

hw yflhfw fczyf ow hgzoyfw wogkhkw#

Gobo kcwzyvbfczo jf yfgoldh jf kcmoybho, opzov"wf pflo kcxvykzo poy fczyf}kwzh f vbh

nyfldh jf oiwfy}ho gob kcjkghjoyfw xvhczkzhzk}ow woiyf h yflho f kczfyhgo fb yfjf $gob

bhczb yflhfw f h kczfcwkjhjf jh yflho fczyf ow bfbiyow+ f fb wfnvkjh phyh o zyhzhbfczo

jh kcmoybho yfgoldkjh, vzklkqov"wf vb womz~hyf fwzhzwzkgo jf hclkwf jf yfjfw wogkhkw, o Vgkcfz

}fywo = phyh ftployhy h gfczyhlkjhjf, h kczfybfjkho, h kczfcwkjhjf, pyotkbkjhjf jo cfzjyh~jh

yfjf fb fwzvjo#

: " Hchlkwf Yfjf Wogkhl jo Zyhzhbfczo Gykhch gob

Jkhifzfw

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kcjk}jvow, phyzkcjo jf jhjow xvhlk"xvhczkzhzk}ow jf moybh klvwzyhzk}h f hnyhj}fl# $Hlfahcjyo f

Coybhc, 900=+


11/19

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jf hlnvcw hgzoyfw chw yflhfw fczyf kcjk}jvow# $Hlfahcjyo f Coybhc, 900=+

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jfmkcko jf fwzyhznkhw jf hgzvho, mhgf ho zyhzhbfczo#

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jf 0#>8:7, f vbh jfcwkjhjf ikcykh bojfyhjh jf :6& o xvf wknckmkgh xvf cvb xvhjyo jf 800&

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fwpfgkhlkjhjfw#

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pyomkwwkochkw jf whjf, ifb gobo h hyzkgvlho fczyf flfw# Jh hclkwf jo nyhmo, jf gocwkjfyhy o

wfnvkczf1

8# H xvhczkjhjf jf mlvtow fwzhiflfgkjow zyhjvq vbh bhzykq jf kczfcwkjhjf bojfyhjh, o

xvf jfbocwzyh xvf jfczyo jh yfjf wo fwzhiflfgkjhw hlnvbhw yflhfw fczyf ow

hgzoyfw#


12/19

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Jkhifzfw

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mlvtow jf whjh $7=&+# Fwzf mhgzo, pojf yfwvlzhy jo bojo gob yfhlkqhjo o mlvto jf kcmoybho, ch

pyfwzho jf gvkjhjow gykhch gob jkhifzfw, jfwgykzh poy hlnvcw jow fczyf}kwzhjow1

pyhzkghbfczf h c}fl ftzfyco co wo mfkzh cfcdvbh hyzkgvlho#

W xvhcjo zfb hlzh, xvhcjo g fwzo hw gykhchw pykbfkyo mhq"wf

vbh hyzkgvlho gob h gocwvlzh ftzfych, w co bobfczo jh hlzh,

$+ fczo hk mhq"wf vbh hyzkgvlho gob ow gfczyow jf whjf# $F8+


13/19

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bobfczo fb xvf fwzh gykhch zfb hlzh fc}khjh vbh ghyzh jf hlzh

ov vbh moldh jf hyzkgvlho jf gvkjhjow phyh o gfczyo jf whjf#

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Gfczyhlkjhjfw Yfjf jf Hpoko co Zyhzhbfczo f Goczyolo jh Jkhifzfw

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xvf yfwpfkzh yfgfpo jf mlvtow, hpyfwfczh vb nyhv jf fczyhjh jf 89 gob vb nyhv jf fczyhjh

coybhlkqhjo jf 800&, kwzo cozyko ch bfjkjh fb xvf mok kjfczkmkghjh pflow fczyf}kwzhjow gobo o

pykcgkphl yfgvywo jf hyzkgvlho co zyhzhbfczo jh jofch#

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ow ovzyow hgzoyfw, o xvf pojf wfy kbpoyzhczf phyh o jfwfc}ol}kbfczo jf fwzyhznkhw jf pyf}fco

f moybho jow pyomkwwkochkw, ch bfjkjh fb xvf fwzhiflfgf lhow moyzfw gob ow yfwzhczfw hgzoyfw#


14/19

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gobo o pykcgkphl hgzoy gob o xvhl zojow ow ovzyow hgzoyfw wf yflhgkochb hpyfwfczh vb ihkto nyhv

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phyh o zyhzhbfczo jhw gykhchw hxvk co cowwo wfy}ko, bhw hgdo

xvf jf}fykh jf dh}fy bhkw pfwwohw kczfnyhjhw cfwwf $+ phyzf

jfwwf nyvpo kh nfyky, zvjo fb mvco jhxvklo xvf fwz fwzhiflfgkjo

pflo nyvpo# D vbh lhgvch cfwwh phyzf#$F7+


15/19

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xvf d vbh nyhcjf lkbkzho cfwzf bobfczo xvf o mhgzo jf zfy vb

ckgo bjkgo ch gocwvlzh, gob fwzh moybho fwpfgkmkgh $F4+

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fwzvjo moyhb kjfczkmkghjow xvhzyo wvinyvpow ch kczfy}fco ch yfh jh nhyhczkh jh xvhlkjhjf jow

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bkwwo jf havjhy h yfwol}fy hlnvcw pyoilfbhw#

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gobvckghb fczyf wk, ch bfjkjh fb xvf vbh gobvckgho jfmkgkfczf yfwpocw}fl poy

kbpfymfkfw oynhckqhgkochkw#

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h gfyzfqh jow oiafgzk}ow f yfnkbfw jf zyhzhbfczo, hw kcmoybhfw goczyhjkzykhw kyo hnyh}hy h

wkzvho#


16/19

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gobo o pykcgkphl yfgvywo kczyh"dowpkzhl f o gfczyo jf whjf gobo o pykcgkphl yfgvywo ftkwzfczf ch

gobvckjhjf#

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f h cfgfwwkjhjf jf vbh moybho hjfxvhjh jow pyomkwwkochkw ch kczfy}fco f fb yfjf, hlnvcw

avwzkmkghb fwzf hgoczfgkbfczo, gob h yfgfczf gykho jh gocwvlzh jf jkhifzfw pfjkzykgh#

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}kwzh h bfldoykh jh xvhlkjhjf jow gvkjhjow, f vbh bfldoy hyzkgvlho#

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oynhckqhzk}h, pyomkwwkochkw jf whjf gob moybho cfgfwwykh phyh yfwpocjfy w ftkncgkhw jh

xvhlkjhjf jow gvkjhjow h pyfwzhy $Ghcjfkhw fz hl9004+#

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goczvjo ftkwzf xvfb h ghyhgzfykqf gobo bfcow fmkghq, co xvf yfboczh bockzoykqho jh gykhch

h c}fl jf whjf kcmhczkl, ch wfcwkiklkqho jhw mhblkhw f ch hyzkgvlho gob o gfczyo jf whjf#

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kjfczkmkghjh gobo h bhkoy lkbkzho, yfwpfgzk}hbfczf ho doyyko jf mvcgkochbfczo jh gocwvlzh jf

jkhifzfw pfjkzykgh, jkwpockiklkjhjf doyykh jow pyomkwwkochkw phyh hyzkgvlhyfb gob hw }ykhw

fwpfgkhlkjhjfw f mhqfyfb ow fcwkcow hjfxvhjow f fmkghqfw#

Goczvjo phyh xvf ftkwzh vbh phyzkldh chw jkmfyfczfw yfhw, zoych"wf cfgfwwyko jfmkcky gob

glhyfqh h kcmoybho xvf jf}fy wfy jogvbfczhjh f phyzkldhjh#H jfmkgkfczf hyzkgvlho/gkygvlho jf kcmoybho, co pfybkzf vbh yfwpowzh hjfxvhjh w

cfgfwwkjhjfw, ov wfah, vbh bockzoykqho fmkghq f fmkgkfczf jh gykhch gob jkhifzfw#

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kczvkzo jo jfwfc}ol}kbfczo f kbplfbfczho jf vb plhco jf kczfy}fco cfwzh yfh#

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pyfwfczf fwzvjo, nhyhczkcjo h fmkggkh jo hzfcjkbfczo f pyfwzho jf gvkjhjow f vbh bfldoykh

goczcvh jow gvkjhjow pyfwzhjow#Phyh h oizfco jfwzf oiafgzk}o h gocwvlzh jf jkhifzfw pfjkzykgh hwwvbf vb phpfl mvlgyhl ch

bfjkjh fb xvf fwzhiflfgf lhow moyzfw gob zojow ow kczfy}fckfczfw o xvf pyfwwvpf vb

gocwkjfy}fl c}fl jf zfbpo f fwmoyo jf yflho, mfko fbogkochl, gocmkhch f yfgkpyogkjhjf#

Jf hgoyjo gob o pykcgpko jh gfczyhlkjhjfh gocwvlzh jh jkhifzfw pfjkzykgh hwwvbf"wf gobo

hgzoy gfczyhl, gob vbh powko jf jfgkwo ch yfjf goczvjo hpyfwfczh"wf gobo vb hgzoy gob

ihkto c}fl jf kczfybfjkho ov wfah co gocwfnvf ftfygfy h wvh kcmlvcgkh hzyh}w jhw hlkhchw

gob ovzyow hgzoyfw# Co pyfwfczf fwzvjo zhbib mok cozyko h ftkwzcgkh jf flow xvf fwzhiflfhb

vbh yflho bhkw czkbh, jfcobkchjow poy glkxvfw, cfwzf pyfwfczf fwzvjo moyhb kjfczkmkghjow

xvhzyo glkxvfw, fb xvf h gocwvlzh jh jkhifzfw pfjkzykgh fcgoczyh"wf pyfwfczf cow xvhzyo,

yf}flhcjo hwwkb h wvh kbpoyzcgkh bhaoy cfwzh yfjf#


17/19

Fwxvfbh 8 Yfjf moybhl jf zyhzhbfczo jh gykhch gob jkhifzfw

Moczf1 hvzoyfw

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vb gocavczo jf wkwzfbhw jf nfwzo jh kcmoybho, jf zyhihldo fb fxvkph f woiyfzvjo jf vbh

moyzf lkjfyhch ch nfwzo jh fwzyvzvyh, pyogfwwow f yfwvlzhjow# Bhkoykzhykhbfczf hw jkmkgvljhjfw jf

gobvckgho jf}fb"wf h pyogfjkbfczow kchjfxvhjow, cfwzf wfczkjo xvhcjo wf kc}fwzknh

cfgfwwyko }fykmkghy h fmkgkcgkh jow wkwzfbhw, ov wfah coybhw jf gobvckgho ifb gobo bfkow

hjfxvhjow, pyopoygkochcjo wolvfw, ov wfah h zyhcwmfycgkh jf kcmoybho cvb pyogfwwo

goczcvo, mh}oyfgfcjo h gykho jf vb glkbh jf gocmkhch f jf bfldoykh goczcvh jh xvhlkjhjf

jow gvkjhjow# Jfwzf bojo wvnfyf"wf h gykho jf vb wkwzfbh jf hlfyzh, ifb gobo jf vb yfmoyo

jo gkygvkzo phyh o zyhzhbfczo f bockzoykqho fb yfjf jh gykhch gob jkhifzfw# Ch }fyjhjf, O

oiafgzk}o jh ftkwzcgkh jf vb gkygvkzo jf gvkjhjow }kwh vbh bhkoy hyzkgvlho f fmkgkcgkh jow

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mvcjhbfczhl h}hlkhy f hvjkzhy ow pyogfjkbfczow jhw oynhckqhfw f wfy}kow jf whjf fc}ol}kjow

ch pyoilfbzkgh jh nfwzo jh jofch gyckgh fb gykhchw gob jkhifzfw#

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HLFAHCJYO, ]#H# f COYBHC, H#N# $900=+# Bhcvhl Kczyojvzyko Hclkwf jf Yfjfw Wogkhkw#

dzzp1//~~~#hpyfcjf#gob#pz/mozow/fjkzoy9/Bhcvhl&90HYW&90&6IZyhj&6J#pjm# UOclkcfR 900=#


18/19

HPJP# $900;+# Jkhifzfw# dzzp1//~~~#hpjp#pz/jkhifzfw#hwp# Hwwogkho Pyozfgzoyh Jkhifzkgow jf

Poyzvnvhl # UOclkcfR Avldo jf 900;#

GHCJFKHW, H# fz hl# $9004+# Pyonyhbh Chgkochl Pyf}fco f goczyolo jh Jkhifzfw# Lkwioh 1

Jkyfgo Nfyhl Whjf#

JOCHIFJKHC, H# $8;>4+# Zdf Xvhlkz{ om Bfjkghl Ghyf# Wgkfcgf900

MKHLDO, A# $900>+# Yfjfw jf goopfyho kczfyoynhckqhgkochl# H jkcbkgh jhw fczkjhjfw

moybhjoyhw jo Hlfczfao# Zfwf jf Jovzoyhbfczo fb Wogkolonkh# Vck}fywkjhjf jf }oyh#

DHCH, Y# $900>+# Jkhifzfw Zkpo K, fb gykhchw, hjolfwgfczfw f ao}fcw hjvlzow# Lkwioh " Poyzo 1

LKJFL#

DHCCFBHC, Y#H# $9000+# Kczyojvggkc h low bzojow jf hclkwkw jf yfjfw wogkhlfw # UOclkcfR

9000# dzzp1//yf}kwzh"yfjfw#yfjkykw#fw/~fiyfjfw#

DFWIFFC, ^# $8;;>+# Gvkjhy co Dowpkzhl1 Fcxvhjyhy ow gvkjhjow jf fcmfybhnfb cvbh

pfywpfgzk}h jf gvkjhy # Lovyfw 1 Lvwogkcgkh#

DOCOY, I# $9009+# H whjf fb pyoafgzo# Lovyfw 1 Lvwojkjhgzh#

EFBP, C# f YKGDHYJWOC, F# $8;;6+# H nhyhczkh jh xvhlkjhjf co ftfyggko jh fcmfybhnfb#

Lkwioh 1 HGFPW#

LFBKFVT, ]# f OVKBFZ, B# $9004+# Hclkwf fwzyvzvyhl jhw yfjfw wogkhkw# Lkwioh 1 Kcwzkzvzo Pkhnfz,

9004#

BHJFKYH, B# $8;;6+# Nfwzo jh Xvhlkjhjf1 Xvhlkjhjf fb Wfy}kow Pilkgow# Wfgyfzhykhjo phyh h

Bojfyckqho Hjbkckwzyhzk}h1 Lkwioh#

BHYZFLFZO, Y# $9008+# Hclkwfw jf yfjfw wogkhkw " hplkgho cow fwzvjow jfzyhcwmfycgkh jh

kcmoybho# Gkfcgkh kcmoybho# Ahc#/Hiy# jf 9008#

CIYFNH, W#J#, ]HYHCJH, A# f WKL]KH, H# $900:+# Hlxvkbkh jh Xvhlkjhjf ch Nfwzo jow

Dowpkzhkw# w#l# 1 Pykcgkpkh,#OYJFB JO FCMFYBFKYOW# $9008+# Jk}vlnhy1Phjyfw jf Xvhlkjhjf jow Gvkjhjow jf

Fcmfybhnfb5 fbnyhjyhbfczo gocgfpzvhl, fcvcgkhjow jfwgykzk}ow# Oyjfb jo Fcmfybfkyow#

Gocwfldo jf Fcmfybhnfb# 9008# pp# 8"86#

PHK]H, G# f GDYKWZO, M#D# $9009+# Hvjkzhy pyogfjkbfczow# Yf}kwzh xvhlkjhjf fb whjf

Wfphyhzh Zgckgh##

PKCH, Y# f MHJKWZH, W# $900>+# H Gykhch gob Jkhifzfw ch Fwgolh# Jkhifzfw }k}fy fb fxvklkiyko#

Avldo/Hnowzo/Wfzfbiyo jf 900>#

YKIFKYO, Y#L#Y# f YOGDH, W#B#B# $900>+# Fcmfybhnfb f mhblkhw jf gykhchw gob Wkcjyobf

Cfmyzkgo1 co}ow flfbfczow f doykqoczfw phyh o gvkjhjo ,Zftzo - Goczftzo jf Fcmfybhnfb#

900>, pp# 889"88;#

WHLF, J# $8;;4+# Nhyhczkh jh xvhlkjhjf jow gvkjhjow jf whjf phyh ow pyomkwwkochkw jh fxvkph jf

whjf# Lkwioh 1 Pykcgkpkh4#

WHBPKFYK, Y#D#, GOLLHJO, G#M# f LVGKO, P#I# $900>+# Bfzojolonkh jf pfwxvkwh# Wo Phvlo 1 Bg

Nyh~ Dkll, 900>#

WGDKFMFY, V# f JOIFL, Y# $9008+# BHPH PYOAFGZ1 h pyhgzkghl nvkjf zo kczfnyhzfj Pyoafgz

plhcckcn hcj f}hlvhzkoc# Opfc Wogkfz{ Kcwzkzvzf# 9008#

WFYYHCO, H#B# $900>+# Yfjfw Wogkhkw jf Hpoko f wvh Yflf}cgkh phyh h Kczfy}fco Pyfgogf#

Poyzo 1 Poyzo fjkzoyh, 900>#


19/19

WKL]H, G#H# f MKHLDO, A# $900=+# Yfjfw jf Moybho Pyomkwwkochl# Vbh jkcbkgh jf phyzkgkpho

f gkjhjhckh# YFJFW Yf}kwzh dkwphch phyh fl hclkwkw jf yfjfw wogkhlfw, 88#

WOVZO, W#P#H# $9004+# Fjvgho Zfyhpvzkgh fb Jkhifzolonkh Pfjkzykgh# Vb gocgfkzo jf

yfmlfto# Hgzh Pfjkzykgh Poyzvnvfwh# 9004, pp# >9">7#

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Qualidade em Saúde: Diagnóstico e análise da rede social na prestação de cuidados de saúde a crianças com diabetes