Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective

Detalhes bibliográficos
Autor(a) principal: Braga, Rebeca Sousa
Data de Publicação: 2023
Outros Autores: Ferreira, Melisane Regina Lima, Bonfim, Rafaele Oliveira, Siqueira, Tatiane Cabral, Orfão, Nathalia Halax
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/18114
Resumo: Background and Objective: identifying the factors that weaken access to tuberculosis diagnosis allows assessing the actions and surveillance strategies of Primary Health Care (PHC), in addition to ensuring follow-up and monitoring of cases. This study aimed to analyze the dimension of access to diagnosis in PHC from health professionals’ perspective in a municipality in the Western Amazon. Methods: this is a descriptive survey-type study, carried out in a cross-sectional way and with a quantitative approach in Porto Velho with professionals who work in PHC in the urban area through interviews with the Primary Care Assessment Tool questionnaire, validated for Brazil and adapted for tuberculosis care. Only the access to diagnosis dimension of the version for health professionals was considered, which has twelve variables and presents categories of responses according to the Likert scale. Data were analyzed using descriptive statistics, after complying with ethical precepts. Results: a total of 266 professionals were interviewed, and the mean score was classified as regular as well as they almost always have difficulty obtaining information over the phone; sometimes they use motorized transport; have costs with public transport to travel to the health unit; and sometimes they miss a work shift or appointment for the appointment. Conclusion: it is essential to reflect on the role with PHC insertion and resolvability as well as adequate clinical conduct, considering the epidemiological data that remain challenging in the municipality.
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spelling Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspectiveAcceso al diagnóstico de tuberculosis en un municipio de la Amazonia occidental: perspectiva de los profesionales de la saludAcesso ao diagnóstico da tuberculose em um município da Amazônia Ocidental: ótica dos profissionais de saúdeTuberculosePessoal de saúdeDiagnósticoServiços de saúdeBackground and Objective: identifying the factors that weaken access to tuberculosis diagnosis allows assessing the actions and surveillance strategies of Primary Health Care (PHC), in addition to ensuring follow-up and monitoring of cases. This study aimed to analyze the dimension of access to diagnosis in PHC from health professionals’ perspective in a municipality in the Western Amazon. Methods: this is a descriptive survey-type study, carried out in a cross-sectional way and with a quantitative approach in Porto Velho with professionals who work in PHC in the urban area through interviews with the Primary Care Assessment Tool questionnaire, validated for Brazil and adapted for tuberculosis care. Only the access to diagnosis dimension of the version for health professionals was considered, which has twelve variables and presents categories of responses according to the Likert scale. Data were analyzed using descriptive statistics, after complying with ethical precepts. Results: a total of 266 professionals were interviewed, and the mean score was classified as regular as well as they almost always have difficulty obtaining information over the phone; sometimes they use motorized transport; have costs with public transport to travel to the health unit; and sometimes they miss a work shift or appointment for the appointment. Conclusion: it is essential to reflect on the role with PHC insertion and resolvability as well as adequate clinical conduct, considering the epidemiological data that remain challenging in the municipality.Justificación y Objetivos: identificar los factores que debilitan el acceso al diagnóstico de tuberculosis permite evaluar las acciones y estrategias de vigilancia de la Atención Primaria de Salud (APS), además de garantizar el seguimiento y seguimiento de los casos. Este estudio tuvo como objetivo analizar la dimensión del acceso al diagnóstico en la APS, desde la perspectiva de los profesionales de salud en un municipio de la Amazonia occidental. Métodos: estudio descriptivo, del tipo encuesta, realizado en abordaje transversal y cuantitativa en Porto Velho con profesionales que actúan en APS en el área urbana a través de entrevistas con el cuestionario Primary Care Assessment Tool, validado para Brasil y adaptada para la atención de la TB. Se consideró solamente la dimensión acceso al diagnóstico de la versión para profesionales de la salud que tiene doce variables y se presenta como categorías de respuestas según la escala Likert. Los datos fueron analizados con base en estadística descriptiva, después de cumplir con los preceptos éticos. Resultados: se entrevistó a un total de 266 profesionales, y el puntaje promedio fue clasificado como regular, además de tener casi siempre dificultades para obtener información por teléfono; a veces utilizando transporte motorizado y teniendo costos de transporte público al desplazarse a la unidad de salud; a veces perdiendo turno de trabajo o cita para la consulta. Conclusiones: es esencial reflejar el papel del papel con la inserción y resolución de la APS, así como la conducta clínica adecuada, considerando los datos epidemiológicos que siguen siendo desafiantes en el municipio.Justificativa e Objetivo: identificar os fatores que fragilizam o acesso ao diagnóstico da tuberculose permite avaliar as ações e estratégias de vigilância da Atenção Primária à Saúde (APS), além de garantir acompanhamento e monitoramento dos casos. Este estudo teve como objetivo analisar a dimensão do acesso ao diagnóstico na APS, sob a ótica dos profissionais de saúde em um município da Amazônia Ocidental. Métodos: estudo descritivo, do tipo inquérito, realizado de forma transversal e abordagem quantitativa em Porto Velho, com os profissionais que atuam na APS da zona urbana por meio de entrevistas com o questionário Primary Care Assessment Tool, validado para o Brasil e adaptado para a atenção à TB. Considerou-se apenas a dimensão acesso ao diagnóstico da versão para profissionais de saúde, que possui doze variáveis, apresentando como categorias de respostas segundo a escala tipo Likert. Os dados foram analisados a partir da estatística descritiva, após atender aos preceitos éticos. Resultados: foram entrevistados 266 profissionais, sendo que o escore médio foi classificado como regular, bem como quase sempre têm dificuldade para obter informação por telefone; às vezes utilizam transporte motorizado, possuem custos com transporte público no deslocamento à unidade de saúde; e às vezes perdem turno de trabalho ou compromisso para a consulta. Conclusão: é essencial a reflexão do protagonismo com inserção e resolubilidade da APS, bem como conduta clínica adequada, considerando os dados epidemiológicos que permanecem desafiadores no município.Unisc2023-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1811410.17058/reci.v13i2.18114Revista de Epidemiologia e Controle de Infecção; Vol. 13 No. 2 (2023)Revista de Epidemiologia e Controle de Infecção; v. 13 n. 2 (2023)2238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCengporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/18114/11043https://online.unisc.br/seer/index.php/epidemiologia/article/view/18114/11044Copyright (c) 2023 Rebeca Sousa Braga, Melisane Regina Lima Ferreira, Rafaele Oliveira Bonfim, Tatiane Cabral Siqueira, Nathalia Halax Orfãohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBraga, Rebeca SousaFerreira, Melisane Regina LimaBonfim, Rafaele OliveiraSiqueira, Tatiane CabralOrfão, Nathalia Halax2023-06-28T13:50:36Zoai:ojs.online.unisc.br:article/18114Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2023-06-28T13:50:36Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
Acceso al diagnóstico de tuberculosis en un municipio de la Amazonia occidental: perspectiva de los profesionales de la salud
Acesso ao diagnóstico da tuberculose em um município da Amazônia Ocidental: ótica dos profissionais de saúde
title Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
spellingShingle Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
Braga, Rebeca Sousa
Tuberculose
Pessoal de saúde
Diagnóstico
Serviços de saúde
title_short Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
title_full Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
title_fullStr Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
title_full_unstemmed Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
title_sort Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
author Braga, Rebeca Sousa
author_facet Braga, Rebeca Sousa
Ferreira, Melisane Regina Lima
Bonfim, Rafaele Oliveira
Siqueira, Tatiane Cabral
Orfão, Nathalia Halax
author_role author
author2 Ferreira, Melisane Regina Lima
Bonfim, Rafaele Oliveira
Siqueira, Tatiane Cabral
Orfão, Nathalia Halax
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Braga, Rebeca Sousa
Ferreira, Melisane Regina Lima
Bonfim, Rafaele Oliveira
Siqueira, Tatiane Cabral
Orfão, Nathalia Halax
dc.subject.por.fl_str_mv Tuberculose
Pessoal de saúde
Diagnóstico
Serviços de saúde
topic Tuberculose
Pessoal de saúde
Diagnóstico
Serviços de saúde
description Background and Objective: identifying the factors that weaken access to tuberculosis diagnosis allows assessing the actions and surveillance strategies of Primary Health Care (PHC), in addition to ensuring follow-up and monitoring of cases. This study aimed to analyze the dimension of access to diagnosis in PHC from health professionals’ perspective in a municipality in the Western Amazon. Methods: this is a descriptive survey-type study, carried out in a cross-sectional way and with a quantitative approach in Porto Velho with professionals who work in PHC in the urban area through interviews with the Primary Care Assessment Tool questionnaire, validated for Brazil and adapted for tuberculosis care. Only the access to diagnosis dimension of the version for health professionals was considered, which has twelve variables and presents categories of responses according to the Likert scale. Data were analyzed using descriptive statistics, after complying with ethical precepts. Results: a total of 266 professionals were interviewed, and the mean score was classified as regular as well as they almost always have difficulty obtaining information over the phone; sometimes they use motorized transport; have costs with public transport to travel to the health unit; and sometimes they miss a work shift or appointment for the appointment. Conclusion: it is essential to reflect on the role with PHC insertion and resolvability as well as adequate clinical conduct, considering the epidemiological data that remain challenging in the municipality.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-01
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dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 13 No. 2 (2023)
Revista de Epidemiologia e Controle de Infecção; v. 13 n. 2 (2023)
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
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reponame_str Revista de Epidemiologia e Controle de Infecção
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