Avaliação dos serviços de atenção primária no controle da tuberculose : perspectiva de profissionais de saúde da 15ª Regional de Saúde do Paraná

• Ano de defesa: 2013
• Autor(a) principal: Cecilio, Hellen Pollyanna Mantelo
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual de Maringá; Brasil; Departamento de Enfermagem; Programa de Pós-Graduação em Enfermagem; UEM; Maringá, PR; Centro de Ciências da Saúde
• Palavras-chave em Português: Tuberculose; Atenção primária à saúde; Avaliação de Serviços de Saúde; Enfermagem; Paraná (Estado); Brasil.; Tuberculosis; Primary Health Care; Health Services Evaluation; Nursing; Paraná (State); Brazil.; Ciências da Saúde
• Link de acesso: http://repositorio.uem.br:8080/jspui/handle/1/2327

Tuberculosis configures a health problem that, even having easy diagnosis, free treatment and cure in most cases, remains a priority in international and national actions. In Brazil, the services of primary health care are responsible for the actions of controlling the disease. Taking it into consideration, this study aimed to analyze the organization and performance of the primary care services in tuberculosis control, from the perspective of the health professionals acting within the 15th Health Region of Paraná. It is a cross sectional study, in the field of the evaluative research, ranging two methodological aspects, quantitative and qualitative. The study is part of a larger project entitled ?Care and control of tuberculosis in the state of Paraná?. In the period from June to September 2013, nurses and physicians working in primary care under the 15th Health Region were interviewed through the questionnaire Primary Care Assessment Tool and the questions: ?How do you evaluate the time for obtaining the diagnosis of tuberculosis in this municipality?; Why?;What is your opinion on the directly observed treatment??. Quantitative data were subjected to analysis of variance, and the qualitative ones to content analysis. Were interviewed 134 health professionals, of which 78 (58.2%) were nurses and 56 (41.8%),physicians. More than half (56.7%) had specialization degree and 3.7%, master degree. The time working in the same function ranged from six months to forty years, with a mean of 9.66±8.33 years. In addition, 66.4% of the professionals worked for more than four years of tuberculosis control actions. The majority (94.8%) worked in Family Health Strategy and 5.2% in Reference Hospitals for care of patients with tuberculosis. In relation to the port of entrance, 95.5% of the professionals reported the Basic Health Unit as main service sought for prevention and control of health and 82.8% reported that this service is also sought in the presence of signs and symptoms of the disease. In terms of access, the average score obtained by nurses and physicians was characterized as regular, which indicates a care model still fragmented. The list of services had an average score rated as regular, in the opinion of nurses and physicians, assuming the existence of gaps in care for patients with tuberculosis. Regarding the coordination, the score found was characterized as satisfactory, indicating that the primary health care has managed to integrate the various actors involved in the care of patients. The family focus dimension achieved satisfactory score, indicating that actions to control the disease have considered the social, economic and family aspects in the care of the sick person. However, the orientation for the community dimension obtained unsatisfactory score in the view of nurses and doctors ,which demonstrates the need to incorporate to the work process actions for society sensitization and participation. It is concluded that there is need for improvement of some aspects of care in this scenario, so that the organization and performance of health services can contribute effectively to the control of tuberculosis in the country.