Protocolo de organização da atenção de pessoas diabéticas com complicações nos pés no estado da Bahia.

Abstract

Introduction: One of the main problems caused by poor diabetes control is foot ulceration, considered a serious complication due to the high risk of limb amputations, resulting in high morbidity and mortality rates and high overall costs (IWGDF, 2023; SBD, 2024). The development of a care organization protocol allows guiding health actions, establishing objectives and planned goals to transform the work process, contributing to the quality of services offered to health users (WERNECK; FARIA; CAMPOS, 2009). Objective: To develop a care organization protocol for mapping points of care, defining care and regulatory flows, and proposing to monitor the care of diabetic individuals with foot complications in the public health network of the State of Bahia. Methodology: This intervention protocol was developed within the scope of the Bahia State Health Department, based on the characterization of the health situation through the analysis of morbidity and mortality and cost indicators and the mapping of points of care. the definition of assistance and regulatory flows; and the proposal to monitor diabetic people with foot changes in the State of Bahia. Results: In 2023, 1.500 amputations were recorded in the Hospital Information System in the state of Bahia, with the highest number in the Salvador health region, with 433 cases. The actual cost across the state, considering an average of 9 days, was R$18.203,75, and the total was R$27.305.265,00. The management protocol consists of mapping the care points in the 28 health regions, describing the care and regulatory flows in the Health Care Network, and proposing semiannual monitoring of indicators and costs, in addition to monitoring patients in the network through electronic medical records. Conclusion: The establishment of a protocol for organizing care for this problem highlighted in the state of Bahia can contribute as a relevant management tool, serving as a reference for actions aimed at preventing foot ulceration in people with diabetes, especially in reducing the number of consultations, hospitalizations, and readmissions in this population. Reduction in the number of amputations and related complications in the feet of people with diabetes, and consequent reduction in costs.