Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil
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Publication Date: | 2014 |
Other Authors: | , , , , |
Format: | Article |
Language: | eng |
Source: | Revista de Saúde Pública |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000300497 |
Summary: | OBJECTIVE To evaluate factors associated with users’ satisfaction in the Tuberculosis Control Program. METHODS A cross-sectional study of 295 patients aged ≥ 18 years, with two or more outpatient visits in the Tuberculosis Control Program, in five cities in the metropolitan region of Rio de Janeiro, RJ, Southeastern Brazil, in 2010. Considering an estimated population of 4,345 patients, the sampling plan included 15 health care units participating in the program, divided into two strata: units in Rio de Janeiro City, selected with probability proportional to the monthly average number of outpatient visits, and units in the other four cities. In the units, four temporal clusters of five patients each were selected with equal probability, totaling 300 patients. A questionnaire investigating the users’ clinical and sociodemographic variables and aspects of care and service in the program relevant to user satisfaction was applied to the patients. Descriptive statistics about users and their satisfaction with the program were obtained, and the effects of factors associated with satisfaction were estimated. RESULTS Patients were predominantly males (57.7%), with a mean age of 40.9 and with low level of schooling. The mean treatment time was 4.1 months, mostly self-administered (70.4%). Additionally, 25.8% had previously been treated for tuberculosis. There was a high level of satisfaction, especially regarding medication provision, and respect to patients by the health professionals. Patients who were younger (≤ 30), those on self-administered treatment, and with graduate level, showed less satisfaction. Suggestions to improve the services include having more doctors (70.0%), and offering exams in the same place of attendance (55.1%). CONCLUSIONS Patient satisfaction with the Tuberculosis Control Program was generally high, although lower among younger patients, those with university education and those on self-administered treatment. The study indicates the need for changes to structural and organizational aspects of care, and provides practical support for its improvement. |
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Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, BrazilTuberculosisAntitubercular Agents, supply & distributionPatient SatisfactionProgram EvaluationCommunicable Disease ControlCross-Sectional Studies OBJECTIVE To evaluate factors associated with users’ satisfaction in the Tuberculosis Control Program. METHODS A cross-sectional study of 295 patients aged ≥ 18 years, with two or more outpatient visits in the Tuberculosis Control Program, in five cities in the metropolitan region of Rio de Janeiro, RJ, Southeastern Brazil, in 2010. Considering an estimated population of 4,345 patients, the sampling plan included 15 health care units participating in the program, divided into two strata: units in Rio de Janeiro City, selected with probability proportional to the monthly average number of outpatient visits, and units in the other four cities. In the units, four temporal clusters of five patients each were selected with equal probability, totaling 300 patients. A questionnaire investigating the users’ clinical and sociodemographic variables and aspects of care and service in the program relevant to user satisfaction was applied to the patients. Descriptive statistics about users and their satisfaction with the program were obtained, and the effects of factors associated with satisfaction were estimated. RESULTS Patients were predominantly males (57.7%), with a mean age of 40.9 and with low level of schooling. The mean treatment time was 4.1 months, mostly self-administered (70.4%). Additionally, 25.8% had previously been treated for tuberculosis. There was a high level of satisfaction, especially regarding medication provision, and respect to patients by the health professionals. Patients who were younger (≤ 30), those on self-administered treatment, and with graduate level, showed less satisfaction. Suggestions to improve the services include having more doctors (70.0%), and offering exams in the same place of attendance (55.1%). CONCLUSIONS Patient satisfaction with the Tuberculosis Control Program was generally high, although lower among younger patients, those with university education and those on self-administered treatment. The study indicates the need for changes to structural and organizational aspects of care, and provides practical support for its improvement. Faculdade de Saúde Pública da Universidade de São Paulo2014-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000300497Revista de Saúde Pública v.48 n.3 2014reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-8910.2014048004793info:eu-repo/semantics/openAccessPortela,Margareth CrisóstomoLima,Sheyla Maria LemosBrito,CláudiaFerreira,Vanja Maria BessaEscosteguy,Claudia CaminhaVasconcellos,Maurício Teixeira Leite deeng2014-09-23T00:00:00Zoai:scielo:S0034-89102014000300497Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2014-09-23T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil |
title |
Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil |
spellingShingle |
Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil Portela,Margareth Crisóstomo Tuberculosis Antitubercular Agents, supply & distribution Patient Satisfaction Program Evaluation Communicable Disease Control Cross-Sectional Studies |
title_short |
Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil |
title_full |
Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil |
title_fullStr |
Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil |
title_full_unstemmed |
Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil |
title_sort |
Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil |
author |
Portela,Margareth Crisóstomo |
author_facet |
Portela,Margareth Crisóstomo Lima,Sheyla Maria Lemos Brito,Cláudia Ferreira,Vanja Maria Bessa Escosteguy,Claudia Caminha Vasconcellos,Maurício Teixeira Leite de |
author_role |
author |
author2 |
Lima,Sheyla Maria Lemos Brito,Cláudia Ferreira,Vanja Maria Bessa Escosteguy,Claudia Caminha Vasconcellos,Maurício Teixeira Leite de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Portela,Margareth Crisóstomo Lima,Sheyla Maria Lemos Brito,Cláudia Ferreira,Vanja Maria Bessa Escosteguy,Claudia Caminha Vasconcellos,Maurício Teixeira Leite de |
dc.subject.por.fl_str_mv |
Tuberculosis Antitubercular Agents, supply & distribution Patient Satisfaction Program Evaluation Communicable Disease Control Cross-Sectional Studies |
topic |
Tuberculosis Antitubercular Agents, supply & distribution Patient Satisfaction Program Evaluation Communicable Disease Control Cross-Sectional Studies |
description |
OBJECTIVE To evaluate factors associated with users’ satisfaction in the Tuberculosis Control Program. METHODS A cross-sectional study of 295 patients aged ≥ 18 years, with two or more outpatient visits in the Tuberculosis Control Program, in five cities in the metropolitan region of Rio de Janeiro, RJ, Southeastern Brazil, in 2010. Considering an estimated population of 4,345 patients, the sampling plan included 15 health care units participating in the program, divided into two strata: units in Rio de Janeiro City, selected with probability proportional to the monthly average number of outpatient visits, and units in the other four cities. In the units, four temporal clusters of five patients each were selected with equal probability, totaling 300 patients. A questionnaire investigating the users’ clinical and sociodemographic variables and aspects of care and service in the program relevant to user satisfaction was applied to the patients. Descriptive statistics about users and their satisfaction with the program were obtained, and the effects of factors associated with satisfaction were estimated. RESULTS Patients were predominantly males (57.7%), with a mean age of 40.9 and with low level of schooling. The mean treatment time was 4.1 months, mostly self-administered (70.4%). Additionally, 25.8% had previously been treated for tuberculosis. There was a high level of satisfaction, especially regarding medication provision, and respect to patients by the health professionals. Patients who were younger (≤ 30), those on self-administered treatment, and with graduate level, showed less satisfaction. Suggestions to improve the services include having more doctors (70.0%), and offering exams in the same place of attendance (55.1%). CONCLUSIONS Patient satisfaction with the Tuberculosis Control Program was generally high, although lower among younger patients, those with university education and those on self-administered treatment. The study indicates the need for changes to structural and organizational aspects of care, and provides practical support for its improvement. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000300497 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000300497 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0034-8910.2014048004793 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.48 n.3 2014 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1748936502760439808 |