Geographic access and use of health services in the detection of pulmonary tuberculosis
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/17001 |
Resumo: | Pulmonary tuberculosis is a serious public health problem, and access to early detection of the disease is critical for control. Thus, the objective of this study was to analyze the geographic access and the use of health services for the detection of pulmonary tuberculosis. For this, we analyzed the distances between the home of people with tuberculosis and the health services used, from the georeferencing of addresses of households and health services. Facilitated access was considered to be those located in an area up to 800 meters away from the home and difficult access to those at a greater distance. Descriptive statistics and chi-square test with residue analysis were used. It was found that most people with tuberculosis had easy geographic access (91%), used the services with difficult access for the first care (74.6%) and to obtain the diagnosis (86.5%). Also, people with tuberculosis lived close to the primary health care units, allowing the residence to be in the territory of coverage of the units with family health strategy. Primary health care had the largest contribution with easy access to the first care and diagnosis. Thus, it is concluded that access to tuberculosis detection was facilitated by health services located up to 800 meters from the home, however, the majority of respondents use services with difficult access in both first care and diagnosis. |
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Geographic access and use of health services in the detection of pulmonary tuberculosisAcceso geográfico y uso de los servicios de salud en la detección de tuberculosis pulmonarAcesso geográfico e utilização de serviços de saúde na detecção da tuberculose pulmonarTuberculoseAcesso aos serviços de saúdeQualidade, acesso e avaliação da assistência à saúdePesquisa sobre serviços de saúdeAtenção primária à saúde.TuberculosisHealth services accessibilityQuality, access and evaluation of health careHealth services researchPrimary health care.TuberculosisAccesibilidad a los servicios de saludCalidad, acceso y evaluación de la atención de salud; Investigación sobre servicios de saludAtención primaria de salud.Pulmonary tuberculosis is a serious public health problem, and access to early detection of the disease is critical for control. Thus, the objective of this study was to analyze the geographic access and the use of health services for the detection of pulmonary tuberculosis. For this, we analyzed the distances between the home of people with tuberculosis and the health services used, from the georeferencing of addresses of households and health services. Facilitated access was considered to be those located in an area up to 800 meters away from the home and difficult access to those at a greater distance. Descriptive statistics and chi-square test with residue analysis were used. It was found that most people with tuberculosis had easy geographic access (91%), used the services with difficult access for the first care (74.6%) and to obtain the diagnosis (86.5%). Also, people with tuberculosis lived close to the primary health care units, allowing the residence to be in the territory of coverage of the units with family health strategy. Primary health care had the largest contribution with easy access to the first care and diagnosis. Thus, it is concluded that access to tuberculosis detection was facilitated by health services located up to 800 meters from the home, however, the majority of respondents use services with difficult access in both first care and diagnosis.La tuberculosis pulmonar es un grave problema de salud pública y el acceso a la detección temprana de la enfermedad es fundamental para su control. Así, el objetivo de este estudio fue analizar el acceso geográfico y el uso de los servicios de salud para la detección de tuberculosis pulmonar. Para ello, analizamos las distancias entre el domicilio de las personas con tuberculosis y los servicios de salud utilizados, a partir de la georreferenciación de direcciones de hogares y servicios de salud. Se consideró accesos facilitados aquellos ubicados en una zona hasta a 800 metros de la vivienda y de difícil acceso a los que se encuentran a mayor distancia. Se utilizó estadística descriptiva y prueba de chi-cuadrado con análisis de residuos. Se encontró que la mayoría de las personas con tuberculosis tenían fácil acceso geográfico (91%), utilizaban los servicios de difícil acceso para la primera atención (74,6%) y para obtener el diagnóstico (86,5%). Asimismo, las personas con tuberculosis vivían cerca de las unidades de atención primaria, lo que permite que la residencia se encuentre en el territorio de cobertura de las unidades con estrategia de salud familiar. La atención primaria de salud tuvo la mayor contribución con fácil acceso a la primera atención y diagnóstico. Así, se concluye que el acceso a la detección de tuberculosis fue facilitado por los servicios de salud ubicados hasta a 800 metros del hogar, sin embargo, la mayoría de los encuestados utilizan servicios de difícil acceso tanto en la primera atención como en el diagnóstico.A tuberculose pulmonar é um grave problema de saúde pública e o acesso à detecção precoce da doença é fundamental para o controle. Assim, o objetivo deste estudo foi analisar o acesso geográfico e a utilização de serviços de saúde para a detecção da tuberculose pulmonar. Para isso, foram analisadas as distâncias entre o domicílio das pessoas com tuberculose e os serviços de saúde utilizados, a partir do georreferenciamento dos endereços dos domicílios e dos serviços de saúde. Considerou-se como acesso facilitado aqueles localizados em uma área até 800 metros da residência e de difícil acesso aos que estão mais distantes. Utilizou-se estatística descritiva e teste do qui-quadrado com análise de resíduos. Verificou-se que a maioria das pessoas com tuberculose tinha fácil acesso geográfico (91%), utilizava os serviços de difícil acesso para o primeiro atendimento (74,6%) e para a obtenção do diagnóstico (86,5%). Além disso, as pessoas com tuberculose residiam nas proximidades das unidades básicas de saúde, permitindo a residência ser no território de abrangência das unidades com estratégia saúde da família. A atenção primária à saúde teve a maior contribuição com fácil acesso ao primeiro atendimento e diagnóstico. Assim, conclui-se que o acesso à detecção da tuberculose foi facilitado pelos serviços de saúde localizados a até 800 metros de casa, porém a maioria dos entrevistados utiliza serviços de difícil acesso tanto no primeiro atendimento quanto no diagnóstico.Research, Society and Development2021-07-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/mswordhttps://rsdjournal.org/index.php/rsd/article/view/1700110.33448/rsd-v10i8.17001Research, Society and Development; Vol. 10 No. 8; e0610817001Research, Society and Development; Vol. 10 Núm. 8; e0610817001Research, Society and Development; v. 10 n. 8; e06108170012525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/17001/15159Copyright (c) 2021 Jéssica Oliveira Tomberg; Lílian Moura de Lima Spagnolo; Martina Dias da Rosa Martins; Johans Alexanders Arica Gutierrez; Roxana Isabel Cardozon Gonzaleshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessTomberg, Jéssica Oliveira Spagnolo, Lílian Moura de Lima Martins, Martina Dias da Rosa Gutierrez, Johans Alexanders Arica Gonzales, Roxana Isabel Cardozo 2021-08-21T18:46:59Zoai:ojs.pkp.sfu.ca:article/17001Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:37:24.591137Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Geographic access and use of health services in the detection of pulmonary tuberculosis Acceso geográfico y uso de los servicios de salud en la detección de tuberculosis pulmonar Acesso geográfico e utilização de serviços de saúde na detecção da tuberculose pulmonar |
title |
Geographic access and use of health services in the detection of pulmonary tuberculosis |
spellingShingle |
Geographic access and use of health services in the detection of pulmonary tuberculosis Tomberg, Jéssica Oliveira Tuberculose Acesso aos serviços de saúde Qualidade, acesso e avaliação da assistência à saúde Pesquisa sobre serviços de saúde Atenção primária à saúde. Tuberculosis Health services accessibility Quality, access and evaluation of health care Health services research Primary health care. Tuberculosis Accesibilidad a los servicios de salud Calidad, acceso y evaluación de la atención de salud ; Investigación sobre servicios de salud Atención primaria de salud. |
title_short |
Geographic access and use of health services in the detection of pulmonary tuberculosis |
title_full |
Geographic access and use of health services in the detection of pulmonary tuberculosis |
title_fullStr |
Geographic access and use of health services in the detection of pulmonary tuberculosis |
title_full_unstemmed |
Geographic access and use of health services in the detection of pulmonary tuberculosis |
title_sort |
Geographic access and use of health services in the detection of pulmonary tuberculosis |
author |
Tomberg, Jéssica Oliveira |
author_facet |
Tomberg, Jéssica Oliveira Spagnolo, Lílian Moura de Lima Martins, Martina Dias da Rosa Gutierrez, Johans Alexanders Arica Gonzales, Roxana Isabel Cardozo |
author_role |
author |
author2 |
Spagnolo, Lílian Moura de Lima Martins, Martina Dias da Rosa Gutierrez, Johans Alexanders Arica Gonzales, Roxana Isabel Cardozo |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Tomberg, Jéssica Oliveira Spagnolo, Lílian Moura de Lima Martins, Martina Dias da Rosa Gutierrez, Johans Alexanders Arica Gonzales, Roxana Isabel Cardozo |
dc.subject.por.fl_str_mv |
Tuberculose Acesso aos serviços de saúde Qualidade, acesso e avaliação da assistência à saúde Pesquisa sobre serviços de saúde Atenção primária à saúde. Tuberculosis Health services accessibility Quality, access and evaluation of health care Health services research Primary health care. Tuberculosis Accesibilidad a los servicios de salud Calidad, acceso y evaluación de la atención de salud ; Investigación sobre servicios de salud Atención primaria de salud. |
topic |
Tuberculose Acesso aos serviços de saúde Qualidade, acesso e avaliação da assistência à saúde Pesquisa sobre serviços de saúde Atenção primária à saúde. Tuberculosis Health services accessibility Quality, access and evaluation of health care Health services research Primary health care. Tuberculosis Accesibilidad a los servicios de salud Calidad, acceso y evaluación de la atención de salud ; Investigación sobre servicios de salud Atención primaria de salud. |
description |
Pulmonary tuberculosis is a serious public health problem, and access to early detection of the disease is critical for control. Thus, the objective of this study was to analyze the geographic access and the use of health services for the detection of pulmonary tuberculosis. For this, we analyzed the distances between the home of people with tuberculosis and the health services used, from the georeferencing of addresses of households and health services. Facilitated access was considered to be those located in an area up to 800 meters away from the home and difficult access to those at a greater distance. Descriptive statistics and chi-square test with residue analysis were used. It was found that most people with tuberculosis had easy geographic access (91%), used the services with difficult access for the first care (74.6%) and to obtain the diagnosis (86.5%). Also, people with tuberculosis lived close to the primary health care units, allowing the residence to be in the territory of coverage of the units with family health strategy. Primary health care had the largest contribution with easy access to the first care and diagnosis. Thus, it is concluded that access to tuberculosis detection was facilitated by health services located up to 800 meters from the home, however, the majority of respondents use services with difficult access in both first care and diagnosis. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/17001 10.33448/rsd-v10i8.17001 |
url |
https://rsdjournal.org/index.php/rsd/article/view/17001 |
identifier_str_mv |
10.33448/rsd-v10i8.17001 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/17001/15159 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/msword |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 8; e0610817001 Research, Society and Development; Vol. 10 Núm. 8; e0610817001 Research, Society and Development; v. 10 n. 8; e0610817001 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
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UNIFEI |
reponame_str |
Research, Society and Development |
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Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052681188016128 |