Tuberculose em município de porte médio do Sudeste do Brasil: indicadores de morbidade e mortalidade, de 1985 a 2003

This study evaluated the performance of health care services implementing TB control actions in relation to the establishment of bonds between health professionals and patients in São José do Rio Preto, SP, Brazil from the perspective of patients, health professionals, and managers.A total of 108 patients, 37 health professionals and 15 managers were interviewed through a questionnaire containing 10 indicators of bond-establishment based on the instruments of the Primary Care Assessment Tool, adapted to evaluate tuberculosis control in Brazil. The three groups of actors considered the establishment of bonds satisfactory, though opinions of patients and managers differed in almost all indicators. This fact indicates that the view of managers is still predominantly focused on bureaucratic and administrative aspects, which shows the need for managers to integrate more management and care actions. Vínculo entre profesional y enfermo en el tratamiento de la tuberculosis: desempeño de la atención básica en un municipio del estado de Sao PauloEl objetivo del estudio fue evaluar el desempeño de los servicios de salud que realizan acciones de control de la TB relacionado al vínculo entre el profesional y el enfermo, en el municipio de Sao José del Rio Preto, en Sao Paulo, en la percepción de enfermos, profesionales de la salud y gestores. Fueron entrevistados 108 enfermos, 37 profesionales y 15 gestores utilizando un cuestionario elaborado con 10 indicadores para la dimensión vínculo construidos con base en el Primary Care Asesment Tool, adaptado para evaluar de la atención a la tuberculosis en Brasil. El vínculo fue evaluado como satisfactorio por los tres actores, entre tanto hubo variabilidad entre las opiniones de los enfermos y los gestores en casi todos los indicadores, lo que permite inferir que la visión de los gestores todavía está orientada predominantemente por los aspectos burocrático/administrativos, necesitando que estos integren más las acciones gerenciales y asistenciales.

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“…In 2002, the ST coverage among non-TB/HIV co-infected individuals was below 20% but reached 59% in that same year (13) .…”

Section: Discussionmentioning

confidence: 99%

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

Ponce

Vendramini

Santos

et al. 2011

Rev. Latino-Am. Enfermagem

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“…In 1998, the coverage of the strategy was 3.1%, increasing to 62% in 2004. (6) The number of new cases of pulmonary TB with positive sputum smear microscopy results at diagnosis in relation to treatment noncompliance, cure, death, and detection, between 1998 and 2003, indicate decreases in the rates of treatment noncompliance and case detection, as well as increases in cure rates and mortality rates (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

“…(3) In 1998, the DOTS strategy was proposed, incorporated into the National Tuberculosis Control Plan, (4) and gradually implemented in Brazilian cities as a strategy within the Unified Health System, encouraging the identification and treatment of new cases by granting benefits upon the signatories of a statement of compliance. (5) The city of São José do Rio Preto (SJRP), with a population of 406,827 inhabitants, (6) is located in the northwest region of the state of São Paulo, which is characterized as a regional center, the headquarters of the 8th administrative region (comprising 96 municipalities), and an area of influence that reaches part of the states of Minas Gerais, Mato Grosso, and Mato Grosso do Sul.…”

Section: Introductionmentioning

confidence: 99%

“…(7) The population structure of the city is similar to that of cities in developed countries, with a decrease in the population aged 0-4 years and a noticeable increase in the economically active population (14 to 49 years of age) as well as in the population aged 50 or older, especially in the population older than 75 years of age. (6,7) In addition to the increased need for equipment and services available for use by the community, the construction of housing units for migrants, stimulated by the National Housing Bank through the Program for Mid-sized Cities (created in order to evaluate the demographic situation in large metropolitan areas), in conjunction with the changes in the health policy of the country, from the 1980s onward, led to the development and growth of public health services in SJRP.…”

Section: Introductionmentioning

confidence: 99%

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Estudo descritivo sobre a implantação da estratégia de tratamento de curta duração diretamente observado no controle da tuberculose em São José do Rio Preto e seus impactos (1998-2003)

et al. 2007

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, was conducted using a specific instrument. The data were analyzed using descriptive statistics. Results: After the implementation of the DOTS strategy, there was a decrease in noncompliance and case detection rates as well as an increase in cure and death rates. The increase in the number of tuberculosis-related deaths might be attributable to three factors: the predominance of the disease in individuals over 50 years of age, tuberculosis/HIV co-infection, and the presence of accompanying diseases. Conclusion: The implementation of the DOTS strategy strengthened the decentralization of the tuberculosis control plans as well as the integration of the Basic Health Care Clinic teams with the Tuberculosis Control Program team. Political commitment of the administrator to tuberculosis control, in conjunction with the policy of benefits and incentives, is essential for the sustainability of the DOTS strategy.Keywords: Tuberculosis; Epidemiology; Health services; Politics; Directly observed therapy. Descriptive study of the implementation and impact of the directly observed treatment, short-course strategy in the São José do Rio Preto municipal tuberculosis control program (1998)(1999)(2000)(2001)(2002)(2003)

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“…Adherence to ST has been analyzed by many researchers (1)(2)(3)13,15,21) since the implementation of the DOTS in the state of São Paulo. Many of these researchers concluded that the strategy increases adherence rates and diminishes abandonment.…”

Section: Rev Esc Enfermmentioning

confidence: 99%

Tuberculose: tratamento supervisionado nas Coordenadorias de Saúde Norte, Oeste e Leste do Município de São Paulo

Queiroz

Bertolozzi

2010

Rev. esc. enferm. USP

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In general, the DOTS makes it possible to establish attachments and that treatment adherence is associated with the need of returning to work. The identified weaknesses were the health professionals' lack of involvement in the treatment and the irregular distribution of incentives. Results show that treatment adherence transcends the biological and individual scope, and that it is central that health professionals recognize patients as people who have specific needs that are not limited to the tuberculosis treatment. KEY WORDS RESUMENEl estudio objetivó analizar las potencialidades y límites de la estrategia del Tratamiento Directamente Supervisado (DOTS), de acuerdo el punto de vista de pacientes y empleados de Unidades Básicas de Salud de las Coordinaciones Norte, Oeste y Este de la Municipalidad de São Paulo. Las entrevistas fueron recolectadas con consentimiento libre y aclarado, y decodificadas a través de la técni-ca de análisis del discurso. Se tomó como referencia teórica la Teoría de la Determinación Social del Proceso Salud-Enfermedad. De un modo general, se identificó que el DOTS posibilita la creación de vínculo y que la adhesión al tratamiento se asocia a la necesidad de volver al trabajo. Los límites detectados fueron la ausencia de compromiso por parte de los profesionales respecto del tratamiento y la distribución irregular de incentivos. Los hallazgos revelan que la adhesión al tratamiento trasciende los ámbitos biológico e individual, apuntándose como fundamental el hecho de que los trabajadores de la salud reconozcan a los pacientes como portadores de necesidades que no se restringen al tratamiento de la tuberculosis. DESCRIPTORES

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Tuberculose em município de porte médio do Sudeste do Brasil: indicadores de morbidade e mortalidade, de 1985 a 2003

Cited by 45 publications

References 3 publications

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

Estudo descritivo sobre a implantação da estratégia de tratamento de curta duração diretamente observado no controle da tuberculose em São José do Rio Preto e seus impactos (1998-2003)

Tuberculose: tratamento supervisionado nas Coordenadorias de Saúde Norte, Oeste e Leste do Município de São Paulo

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