Envolvimento de equipes da atenção básica à saúde no controle da tuberculose

Abstract

Este estudo objetivou analisar o envolvimento de equipes da Atenção Básica à Saúde nas ações de controle da tuberculose, ante a percepção dos coordenadores do Programa de Controle da Tuberculose de nove municípios prioritários do Estado de São Paulo. Trata-se de uma pesquisa qualitativa, cujos dados foram coletados em junho/2005 por meio de entrevista semi-estruturada com nove coordenadores e analisados pela técnica de análise de conteúdo-modalidade temática. Os resultados apontaram dificuldades para incorporação das ações de controle da tuberculose, na atenção básica, relacionadas à debilidade quantitativa e qualitativa de recursos humanos e à visão centralizada e fragmentada da organização dessas ações no sistema de saúde. A integração das atividades de controle da tuberculose na atenção básica será possível mediante organização do sistema de saúde, seguindo os princípios da atenção primária e elaboração/implementação de uma política de recursos humanos que garanta formação e capacitação contínua das equipes de saúde.

As concepções de vínculo e a relação com o controle da tuberculose

“…The statements of the professionals are supported by a study developed regarding the involvement of primary health care teams in the control of tuberculosis in cities in São Paulo, in which the authors demonstrate the qualitative weakness of the health care professionals, indicating the quality of the professional-user interaction in handling the disease properly (16) .…”

“…It is also worth highlighting that the commitment and co-responsibility bonding concept was proposed to the FHT, aimed at achieving strategic purposes such as: helping the transformation of the hospital-centered biomedical model into a social and health production model at the PHC level, broadening the responsibilities of professionals and users in the administration of health services and humanizing health care practices (16) . Thus, the practice performance can only achieve integrality by the effective exercising of team work, by embracing health care users, by establishing bonds with the responsibility regarding a health problem, and by relating to them as integral subject-citizens, with rights and abilities to participate and to be the subject of their own therapeutic process.…”

Diagnostico da tuberculose: atencao basica ou pronto atendimento?

“…Simple alternatives, such as regular meetings for continuous professional development should form part of the teams' day-to-day activities. 17 Time devoted to education should be valued as part of the contracted hours 12 and should go beyond traditional teaching processes, characterized by organized interventions unconnected to professional practice. 11 Although health care professionals in PHC reported feeling prepared to identify a suspected TB case and request sputum smear, this attitude was not transformed into practice with regards being incorporated into responsibilities.…”

“…12 ES was the preferred gateway for public health care service users in Ribeirao Preto. 2,16 Studies 9,10,16,20,d show that PHC and ES are most sought at the onset of TB symptoms.…”

“…The aim, therefore, was to contribute to the production of knowledge aimed at evaluating health care services and formulating public policies leading to timely diagnosis of the disease in the health care system network. 12 The aim of this study was to evaluate the health care service quality gateway in diagnosing tuberculosis.…”