Desempenho dos serviços de saúde na viabilização do diagnóstico da Tuberculose.

• Ano de defesa: 2011
• Autor(a) principal: Paiva, Rosa Camila Gomes
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraí­ba; BR; Enfermagem; Programa de Pós Graduação em Enfermagem; UFPB
• Palavras-chave em Português: Tuberculose; Organização dos Serviços de Saúde; Retardo no Diagnóstico; Tuberculosis; Health Services Organization; Delay in Diagnosis; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/tede/5095

Tuberculosis (TB) is still a great challenge for public health in Brazil and in the world, being the use of health services the center of functioning of the health systems. In this aspect, the form of organization of TB care should be a guaranteeing factor in the access to the early diagnosis of TB in the cities of Brazil. The time of TB diagnosis corresponds to the period between the beginning of the signs and symptoms and the closing of diagnosis, however the access to the diagnosis in the primary care seems to be hampered by several obstacles that need to be elucidated. The present study aimed to analyze, in the perception of the diseased, the use of health services in the Attention to TB diagnosis identifying the first health service sought by the diseased when they began to present signs and symptoms; the health services that made the diagnosis and the time elapsed between the search of the diseased for the health service and the diagnosis of TB and the association between components of accessibility and the type of service sought by the diseased. The execution of this research occurred by means of a sectional epidemiological inquiry of quantitative approach. The scenery of this investigation was the city of João Pessoa, in the state of Paraíba. The population of the study was composed by the diseased with TB (in treatment, older than 18 years, resident of the studied city), being the sample constituted of 101 patients. The data were collected by means of primary sources (interview with the diseased) and secondary sources (charts) digitalized and stored in electronic spreadsheet of Microsoft Office Excel 2003 and transferred to the Table of Data Entry of Software Statistica 9.0 of Statsoft for the application of Pearson s chi-square test. In the use of the association test, statistical significance, p<0.05, was evidenced between the first health service sought by the diseased and the localization of diagnosis, where the Family Health Strategy (FHS) was the first health service most sought by the diseased with 46.5% and the Tuberculosis Control Program (TCP) was the service that most made TB diagnosis with 54.4% of the cases. In regard to the time for the diagnosis of TB 84 (83.2%) of the diseased were diagnosed in the time interval less than or equal to 30 days. However, despite the existence of a decentralization of Health the FHS is still not efficient in what regards the guarantee of access to TB diagnosis, where the TCP continues to centralize the actions regarding TB diagnosis being characterized as main entryway of TB cases in the city of João Pessoa. Therefore efforts must be undertaken to transform this reality and make FHS the entryway for the access to TB diagnoses through more resolving health services make, articulated and structured to act in the control of TB.