Performance indicators of DOT at home for tuberculosis control in a large city, SP, Brazil

Gonzáles, Roxana Isabel Cardozo; Monroe, Aline Aparecida; Arcêncio, Ricardo Alexandre; Oliveira, Mayra Fernanda de; Netto, Antônio Ruffino; Villa, Tereza Cristina Scatena

doi:10.1590/s0104-11692008000100015

Cited by 11 publications

(7 citation statements)

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“…Nonetheless, it should be considered that only the distance to the health service may not be a relevant barrier, as certain individuals prefer health services situated further away from their home, due to the stigma associated with this disease (22) . to those of other studies on health services' supervised treatment performance (23)(24) . Professionals working for health services that concentrate a great number of TB patients and have a larger area of coverage reported greater difficulty to perform the DOTS strategy at home, due to their responsibility to supervise a large number of patients and to the need to go to these homes in a short space of time (23) .…”

Section: Discussionmentioning

confidence: 53%

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Accessibility to tuberculosis treatment: assessment of health service performance

Arakawa¹,

Arcêncio

Scatolin

et al. 2011

Rev. Latino-Am. Enfermagem

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The aim of this study was to assess the accessibility of patients to the treatment of tuberculosis in Ribeirão Preto, countryside of São Paulo State. Evaluation study type, with a quantity approach. Interviews with 100 patients initiated on anti-tuberculosis chemotherapy between 2006-2007 were conducted, using a structured questionnaire based on the Primary Care Assessment Tool (PCAT). Data were analyzed through variance analysis. There was a positive feedback regarding to organizational accessibility, however, the performance of health services has been unsatisfactory in providing transportation vouchers and in addressing the need to use transport for displacement to the health unit, resulting in indirect costs to patients. The services with the highest number of patients treated were those with higher irregularity in the conduct of home visits, showing that the availability of resources (human, material and time) and the organization of care may influence the accessibility to treatment.

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Section: Discussionmentioning

confidence: 53%

“…In addition to the objective of supervising drug intake, the fact should be emphasized guarantee of a minimum structure for teams to perform and integration of efforts among different participants responsible for TB control (24) , aiming at the optimization and adequacy of existing resources for the several needs of TB patients.…”

Section: Discussionmentioning

confidence: 99%

Accessibility to tuberculosis treatment: assessment of health service performance

Arakawa¹,

Arcêncio

Scatolin

et al. 2011

Rev. Latino-Am. Enfermagem

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“…The involvement of other household members may be decisive for treatment completion and cure. 2,9 Besides, household members know the patient well and are invested in their care. HCW in TB programs are often overburdened by many duties, large patient numbers and limited transportation for outreach patients and treatment supervision.…”

Section: Discussionmentioning

confidence: 99%

Household members and health care workers as supervisors of tuberculosis treatment

Maciel¹,

Guidoni²,

Brioshi³

et al. 2010

Rev. Saúde Pública

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OBJECTIVE: To compare tuberculosis cure rates among patients supervised by household members or health care workers. METHODS: Prospective cohort study of 171 patients treated by the program in Vitoria, Southeastern Brazil, from 2004 to 2007. Each patient was followed-up for six months until the end of the treatment. Of the patients studied, a household member supervised 59 patients and healthcare workers supervised 112 patients. Patients' sociodemographic and clinic data were analyzed. Differences between groups were assessed using chi-square test or Student's t-test. Significance level was set at 5%. RESULTS: Most patients had smear positive, culture confirmed pulmonary tuberculosis. Two patients were HIV-positive. There were more illiterate patients in the healthcare-supervised group, in comparison to those supervised by their families (p=0.01). All patients supervised by a household member were cured compared to 90% of the patients supervised by health care workers (p = 0.024). CONCLUSIONS: Successful tuberculosis treatment was more frequent when supervised by household members.

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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.…”

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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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Performance indicators of DOT at home for tuberculosis control in a large city, SP, Brazil

Abstract: Cardozo Gonzáles RI, Monroe AA, Arcêncio RA, Oliveira MF, Ruffino Netto A, Villa TCS. Performance indicators of DOT at home for tuberculosis control in a large city, SP, Brazil. Rev Latino-am Enfermagem 2008 janeiro-fevereiro; 16(1):95-100.

Cited by 11 publications

References 10 publications

Accessibility to tuberculosis treatment: assessment of health service performance

Accessibility to tuberculosis treatment: assessment of health service performance

Household members and health care workers as supervisors of tuberculosis treatment

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

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