Assessment of the follow-up of adult patients with arterial hypertension and/or diabetes mellitus by the Family Health Strategy and identification of associated factors in the city of Cambe, Brazil, 2012

Objective: to assess the follow-up of adults with arterial hypertension and/or diabetes by the Family Health teams and identify associated factors in the city of Cambe-PR, Brazil, in 2012. Methods: evaluation research with normative approach on the following indicators: coverage and concentration of household visits, medical consultation, and nursing consultation. Results: 386 of the 687 individuals with hypertension or diabetes had records of their condition at the Primary Healthcare Units; medical consultation coverage (69.2%) was regular, while nursing consultation (1.5%) and household visit (12.2%) indices were critical; concentration was critical for household visits, nursing consultations, and medical consultations for high-risk groups; medical consultation coverage was higher among women, those with lower schooling, and those attending Primary Healthcare Units (p<0.05), but did not differ with regard to cardiovascular risk. Conclusion: follow-up by the teams does not meet the healthcare standard set for the programmatic groups analyzed.