Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
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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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 |
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://online.unisc.br/seer/index.php/epidemiologia/article/view/18114 10.17058/reci.v13i2.18114 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/18114 |
identifier_str_mv |
10.17058/reci.v13i2.18114 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/18114/11043 https://online.unisc.br/seer/index.php/epidemiologia/article/view/18114/11044 |
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/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Unisc |
publisher.none.fl_str_mv |
Unisc |
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 instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Revista de Epidemiologia e Controle de Infecção |
collection |
Revista de Epidemiologia e Controle de Infecção |
repository.name.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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1800218812052668416 |