Patient care seeking barriers and tuberculosis programme reform: a qualitative study

Needham, Dale M.; Bowman, Dennis; Foster, Susan D.; Godfrey‐Faussett, Peter

doi:10.1016/s0168-8510(03)00065-4

Cited by 54 publications

(75 citation statements)

References 21 publications

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“…By analyzing the quantitative data of answers by each score, it is observed that the score number three shows median of 43.6% (which equivalent to 17 whom show higher vulnerability to adherence to TB treatment. However, it is also the score that had a wider range of data, with a quite considerable variation between the data (minimum of 5.1% and a maximum of 92.3% of responses).…”

Section: Resultsmentioning

confidence: 99%

“…TB treatment often includes staying away from work [17]. This treatment involves going to appointments, making follow-up examinations and attend the supervision of medication doses, which can modify the daily life of patients and, on certain occasions, causes the person to lose job day to meet the commitments that the treatment of the disease requires [18].…”

Section: Discussionmentioning

confidence: 99%

“…However, the recommendation o retirement must take the time that baciloscopy remains positive [17,20], not justifying the employer's stance on wanting to ward off the ill worker of activities.…”

Section: Discussionmentioning

confidence: 99%

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Accession To Tuberculosis Treatment: Individual And Social Vulnerability Elements

et al. 2015

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Introduction: Tuberculosis (TB) remains as a major public health problem, being the second infectious disease to cause death all over the world. The Directly Observed Treatment (DOT) is one of the recommended strategies to control this disease. The accession in this mode of treatment is integrated into the Tuberculosis Control Program (PCT), this program also provide socio-economic incentives as the distribution of food baskets, bus passes and breakfast. Moreover, public policies for social protection help both family development and social vulnerability. Tuberculosis is still associated with social exclusion and marginalization of the population subjected to poor living conditions and limited access to public services.Objective: Analyze the potential accession to tuberculosis treatment related to individual and social vulnerability aspects. Methods:Cross-sectional, qualitative study, conducted with 39 individuals diagnosed with tuberculosis and in treatment for at least 30 days in the city of Campina Grande, Paraiba, Brazil. 20 markers were used as analysis units, with the possibility of score responses from one to three. The lower scores indicate lower potential of adherence to treatment, while the highest ones express greater potential accession.Results: xx markers that were more related to score one and indicated lower potential adherence to tuberculosis treatment were: tuberculosis impact on labor; conception of health-disease causality and work process (employment status). In contrast, markers that were more closely related to the score three that resonate with greater

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Accession To Tuberculosis Treatment: Individual And Social Vulnerability Elements

et al. 2015

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“…Outro aspecto relevante observado foi que áreas do cuidado que demandam um tempo mais prolongado de assistência foram os mais citados e estudados. Doenças que têm uma evolução crônica, tais como, tuberculose, AIDS e de caráter psiquiátrico, foram o foco da maior parte dos estudos, pois estas exigem do doente e da equipe uma relação amigável, pautada no respeito e confiança, não podendo dispensar o diálogo, que não deve ser baseado apenas nos problemas de saúde, mas sim, valorizar outros fatores que podem influenciar na continuidade do tratamento, haja vista que são doenças extremamente carregadas de estigmas e preconceitos, além de acarretar, algumas vezes problemas relacionados ao convívio familiar e social (18)(19)(20)(21) . Na maioria das vezes esses pacientes necessitam de tratamento prolongado, com grande quantidade de medicamentos, não podendo ser interrompido.…”

Section: Discussionunclassified

O vínculo na atenção à saúde: revisão sistematizada na literatura, Brasil (1998-2007)

et al. 2010

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O vínculo na atenção à saúde: revisão sistematizada na literatura, Brasil (1998-2007)*Bond in health care: a systematic review of literature in Brazil (1998Brazil ( -2007 El vínculo en la atención a la salud: revisión sistematizada en la literatura, Brasil (1998Brasil ( -2007 ABSTRACT Objective:To review the Brazilian scientific literature on bond in health care. Methods: The review was limited to the period from 1998 to 2007. A literature search was conducted in the LILACS and SciELO databases using the following key words: primary health care, acceptance, tuberculosis (indexed), bond, adhesion, health, basic care, continuity, and abandon (not indexed). Initially 50 publications were selected and categorized. Results: The findings suggest a greater interest on the topic after 2004. There was a predominance of publications on primary health care in journals that value community health. Conclusions: Bond was found to be an important factor in primary health care and led to better understanding of the real problems of the population receiving care in those services. In addition, bond facilitated the interactions between clients and health care professionals. Key Words: Primary health care; Scientific and technical publications; Professional-patient relations. RESUMENEl objetivo del estudio fue levantar producciones científicas brasileñas que se relacionaban con la dimensión vínculo en la atención primaria a la salud. El estudio abarcó el período de 1998 a 2007, a partir de las bases de datos LILACS y SciELO por medio de las palabras clave: atención primaria a la salud, acogimiento, tuberculosis (indexados), vínculo, adhesión, salud, atención básica, longitudinal y abandono (no indexados). Fueron seleccionadas 50 producciones que posteriormente fueron categorizadas. Los hallazgos mostraron que hubo un interés mayor por la temática después del año de 2004, predominando publicaciones en periódicos que valorizan la salud colectiva y estudios que se sitúan en el nivel primario de atención. Se entiende que el vínculo es un factor importante para la atención a la salud y tiende a mejorar el conocimiento de los reales problemas de la población atendida por los servicios, además de facilitar la relación de los usuarios con los profesionales que los atienden. Palabras clave: Atención primaria a la salud; Publicaciones científicas y técnicas; Relaciones profesional-paciente.

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“…No município de Manaus, observa-se que a tuberculose possui estreita relação com os pacientes do sexo masculino, economicamente ativos, provedor do núcleo familiar e com baixa escolaridade, o que corrobora com outros estudos (NEEDHAM et al, 2004;SELIG, et al, 2004;BIERRENBACH et al, 2007a;MOREIRA et al, 2008;LOW et al, 2009;PRADHAN et al, 2010 (COSTA et al, 1998;FERREIRA et al, 2005;RODRIGUES et al, 2010).…”

Section: Discussionunclassified

Perfil dos doentes de tuberculose no município de Manaus - Amazonas (2007)

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AgradecimentosAo ser superior que rege os homens... o tratamento e 1.268 que tiveram alta por cura, totalizando 1.580 casos. A maioria, 938 (59,4%) indivíduos era do sexo masculino, predominantemente da cor parda, residentes na zona urbana. Em relação à forma clínica, tipo de entrada e tipo de tratamento, verificou-se predominância da forma pulmonar em 1.230 casos (77,6%), 1.362 (86,2%) casos novos e 1.373 (92%) pacientes que realizaram o tratamento auto-administrado. A maioria dos casos, 1.007(63,73%) foi diagnosticada nas unidades de referência e a cobertura do tratamento supervisionado foi de apenas 8,0% dos casos. O agravo associado à tuberculose mais prevalente foi HIV/aids (11,3%) seguido do alcoolismo (9,6%). A idade média entre os doentes foi 37,5 anos e a mediana de 33,7 anos. O estudo mostra a importância da utilização do sistema de informação como ferramenta de avaliação e monitoramento das ações de controle da tuberculose. Nesse sentido, revelou importantes associações no perfil dos doentes de tuberculose e aponta necessidades do fortalecimento da atenção básica para o diagnóstico da tuberculose e o incremento do tratamento supervisionado no controle da tuberculose, assim como maior articulação do Programa de Controle do Trabalho com outros programas. À ProfPalavras-chave: tuberculose, mortalidade, pacientes desistentes do tratamento, alta por cura, sistemas de informação.

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Patient care seeking barriers and tuberculosis programme reform: a qualitative study

Cited by 54 publications

References 21 publications

Accession To Tuberculosis Treatment: Individual And Social Vulnerability Elements

Accession To Tuberculosis Treatment: Individual And Social Vulnerability Elements

O vínculo na atenção à saúde: revisão sistematizada na literatura, Brasil (1998-2007)

Perfil dos doentes de tuberculose no município de Manaus - Amazonas (2007)

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