Health services in tuberculosis control: family focus and community orientation

Oliveira, Sônia Aparecida da Cruz; Netto, Antônio Ruffino; Villa, Tereza Cristina Scatena; Vendramini, Silvia Helena Figueiredo; Andrade, Rúbia Laine de Paula; Scatena, Lúcia Marina

doi:10.1590/s0104-11692009000300013

Cited by 9 publications

(17 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The high incidence of pulmonary TB found in this study was expected, as the pulmonary system is the most manifestation site of this disease (6,13,19) . The clinical assessment and the diagnostic tests employed are the most common and least expensive techniques to identify pulmonary TB (20)(21) .…”

Section: Discussionsupporting

confidence: 60%

“…These changes were aimed at making horizontal the actions of surveillance and the prevention and control of disease and at enhancing the bonds between the population and healthcare providers. In this context, the Family Health Strategy plays a major role because it represents the entrance to the healthcare system and promotes the development of bonds between healthcare professionals and users through supportive listening and co-responsibility for treatment (13) .…”

Section: Discussionmentioning

confidence: 99%

“…The only preventive measure that truly removes the risk factors for TB is the elimination of contamination sources by means of the active identification and proper treatment of infected individuals (12)(13) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros

Caliari

Figueiredo

2012

Acta paul. enferm.

View full text Add to dashboard Cite

Objective: To characterize the profile of patients with tuberculosis (TB) and identify the service flowchart, and the opinion of professionals responsible for the Tuberculosis Control Program of municipalities in the Regional Health Department III of the State of São Paulo. Methods: A descriptive study of quantitative approach covering 122 notifications identified in the Control System of Patients with Tuberculosis, 2007Tuberculosis, /2008, and six interviews with nurses responsible for this program in the region. Results: Of 122 notifications identified, 69% were men, 35% were unemployed, 25% were alcoholics and 86% had pulmonary TB. The control activities were centralized, and the nurses were responsible for programs in the region. These professionals identified favorable points of team involvement and ease in requesting examinations. Unfavorable points included the lack of equipment and professionals, and the delays in obtaining exams. Conclusion: The region has the typical profile for TB, including aspects of social fragility, centralized control actions, and those in charge do not recognize the centralization of the actions, and the lack of autonomy of the units or weaknesses of the program.. Keywords: Health services evaluation; Tuberculosis; National health programs RESUMOObjetivo: Caracterizar o perfil de pacientes com tuberculose (TB) e identificar o fluxograma de atendimento e a opinião dos profissionais responsáveis pelo Programa de Controle da Tuberculose de municípios do Departamento da Regional de Saúde III do Estado de São Paulo. Métodos: Estudo descritivo de abordagem quantitativa abrangendo 122 notificações identificadas no Sistema de Controle de Pacientes com Tuberculose, de 2007/2008, e seis entrevistas com enfermeiros responsáveis por esse Programa, na região. Resultado: Das 122 notificações identificadas, 69% eram de homens, 35% desempregados, 25% etilistas e 86% com TB pulmonar. As ações de controle eram centralizadas, e os enfermeiros eram os responsáveis pelos programas da região. Estes profissionais apontaram como pontos favoráveis o envolvimento da equipe e a facilidade em solicitar exames. Como desfavoráveis, a falta de equipamentos e de profissionais e demora na realização de exames. Conclusão: A região apresenta o perfil típico para TB, incluindo aspectos de fragilidade social, ações de controle centralizadas, e os responsáveis não reconhecem a centralização das ações e a falta de autonomia das unidades como fragilidades do programa. Descritores: Avaliação de programas e projetos de saúde; Tuberculose; Programas nacionais de saúde RESUMENObjetivo: Caracterizar el perfil de pacientes con tuberculosis (TB) e identificar el fluxograma de atención y la opinión de los profesionales responsables del Programa de Control de Tuberculosis de municipios del Departamento de la Región de Salud III del Estado de Sao Paulo. Métodos: Se trata de un estudio descriptivo con abordaje cuantitativo que abarcó 122 notificaciones identificadas en el Sistema de Control de Pacientes con Tuberculosis...

show abstract

Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros

Caliari

Figueiredo

2012

Acta paul. enferm.

View full text Add to dashboard Cite

show abstract

“…The professionals identified DOTS as being a strength, helping patients feel more committed to their treatment (17)(18) , which meets the strategy's guidelines that recommends sharing responsibility between professionals and patients to achieve treatment success (19) . The patients participated in determining the frequency and place where DOTS supervision would be carried out, showing that some needs are taken into account, which is essential to the issue of adherence (14,17) .…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis: limitations and strengths of Directly Observed Treatment Short-Course

Queiroz

De-La-Torre-Ugarte-Guanilo

Ferreira

et al. 2012

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

This study analyzed the limitations and strengths of the Directly Observed Treatment Short-Course (DOTS) for tuberculosis from the perspective of patients and healthcare providers in a Technical Health Supervision unit in the city of São Paulo, SP, Brazil. Four patients and 17 healthcare providers from nine Primary Care Units were interviewed from April to June 2006, after signing free and informed consent forms. The reports were decoded according to the speech analysis technique. The Theory of the Social Determination of the Health-Disease Process was adopted as the theoretical framework. The strengths were: establishment of bonds between healthcare providers and patients and the introduction of incentives, which promotes treatment adherence. Limitations included: restricted involvement of DOTS' healthcare providers and reconciling patients' working hours with supervision. Treatment adherence goes beyond the biological sphere and healthcare providers should acknowledge patients' needs that go beyond the supervision of medication taken.

show abstract

“…Considering the findings involving TB already documented in this periodical (7)(8)(9)(10)(11) , this study brings a new contribution on the subject, given the paucity of The focus group is a research technique that allows qualitative data to be obtained from group sessions in which four to twelve people, who share a common trait, discuss various aspects of a specific theme, with the presence of a moderator and an observer (12) .…”

Section: Introductionmentioning

confidence: 99%

The Active Search for Respiratory Symptomatics for the Control of Tuberculosis in the Potiguara Indigenous Scenario, Paraiba, Brazil

Nóbrega

Nogueira

Netto

et al. 2010

Rev. Latino-Am. Enfermagem

Self Cite

View full text Add to dashboard Cite

This study sought to analyze the actions of an active search for respiratory symptomatics (RSs) in the control of tuberculosis (TB) enfermagem e agentes indígenas de saúde. Utilizou-se a técnica de grupo focal como instrumento de coleta de dados, cujo tratamento fundamentou-se na técnica de análise de discurso. Evidenciaram-se debilidades de natureza operacional, relacionadas à organização do serviço de saúde local para a implantação de rotinas de diagnóstico para a TB: ausência de rotina sistematizada para a busca de SR, dificuldades na organização do material para exame bacteriológico, abordagem inadequada ao paciente, durante a coleta do escarro, e insuficiente capacitação profissional. Julga-se necessário melhorar a organização dos serviços para a detecção precoce dos casos de TB, no cenário indígena local.Descritores: Tuberculose; População Indígena; Serviços de Saúde.La búsqueda activa de sintomáticos respiratorios para el control de la tuberculosis en el escenario indígena Potiguara, estado de Paraíba, BrasilEste estudio analiza las acciones de la búsqueda activa de sintomáticos respiratorios (SR) para el control de la tuberculosis (TB) en el Distrito Sanitario Especial Indígena Potiguara, en Paraíba, Brasil, en el período de mayo a junio de 2007. Después de aprobado por el Comité de Ética en Investigación, fueron reunidos 23 profesionales, entre médicos, enfermeros, técnicos de enfermería y agentes indígenas de la salud. Se utilizó la técnica de grupo focal como instrumento de recolección de datos, cuyo tratamiento se fundamentó en la técnica de análisis de discurso. Se evidenciaron debilidades de naturaleza operacional, relacionadas a la organización del servicio de salud local para la implantación de rutinas de diagnóstico para la TB, que fueron: ausencia de una rutina sistematizada para la búsqueda de SR, dificultades en la organización del material para examen bacteriológico, abordaje inadecuado al paciente durante la recolección del esputo, e insuficiente capacitación profesional. Se juzga necesario mejorar la organización de los servicios para la detección precoz de los casos de TB en el escenario indígena local.

show abstract

Health services in tuberculosis control: family focus and community orientation

Abstract: This study aimed to assess, according to patients' perception, the performance of the Health Services responsible for tuberculosis (TB)

Cited by 9 publications

References 7 publications

Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros

Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros

Tuberculosis: limitations and strengths of Directly Observed Treatment Short-Course

The Active Search for Respiratory Symptomatics for the Control of Tuberculosis in the Potiguara Indigenous Scenario, Paraiba, Brazil

Contact Info

Product

Resources

About