Dagoberta Alves Vieira

[Geographical and organizational aspects of primary health care services in detecting tuberculosis cases in Pelotas, Rio Grande do Sul, Brazil, 2012].

Resumo OBJETIVO: avaliar os aspectos geograficos e organizacionais dos servicos de atencao primaria a saude na deteccao de casos de tuberculose em Pelotas-RS, Brasil. METODOS: estudo de avaliacao com desenho descritivo, realizado com 276 profissionais de saude em 2012; os dados foram coletados mediante aplicacao de questionario estruturado, contemplando aspectos geograficos e organizacionais, valorados utilizando-se escala Likert de cinco pontos. RESULTADOS: a media de uso do transporte motorizado pelos sintomaticos respiratorios para o deslocamento ate o servico de saude foi considerada regular pelos entrevistados; embora exista disponibilidade satisfatoria de profissionais, a rotatividade de recursos humanos e o cumprimento de horario foram considerados insatisfatorios; ja o tempo medio destinado aos atendimentos e de espera pela consulta medica superior a 60 minutos foram considerados regulares. CONCLUSAO: as caracteristicas organizacionais e geograficas identificadas como insatisfatorias podem interferir na deteccao de casos de tuberculose em Pelotas-RS.

Avaliação do acompanhamento e desfecho de casos de tuberculose em município do sul do Brasil

Objectives To monitor and assess the outcome of treatment for pulmonary tuberculosis in the tuberculosis control program in a prioritized municipality in Southern Brazil. Methods a quantitative study, descriptive, documentary, using records of people with tuberculosis in treatment between 2009-2013, the collection took place between June and July 2014 in the Tuberculosis Control Program. Descriptive statistics was used. Results The average number of consultations among the 629 patients was 7.2 per patient, with a mean interval of 1.03 months between visits. The average of smears was 2.7 tests per patient during the study period. The outcome of treatment was a cure rate of 87.8%, an abandonment rate of 8.3% and 6.5% of deaths. Conclusions despite the cure rate, abandonment is still high, thus, it is necessary to explore strategies for better adherence to treatment, and the commitment of the municipal administration in articulating monitoring in primary health care.

Detection of tuberculosis: respiratory symptoms flow and results achieved

OBJECTIVE to analyze the flow of care to the person with symptoms of tuberculosis and the results achieved in the detection of cases in Primary Health Care units of two municipalities of Rio Grande do Sul. METHOD descriptive of mixed methods, developed between 2013 and 2016. We used secondary data of 69 units and semi-structured interviews with 10 professionals. Descriptive statistical analysis and content analysis were used. RESULTS it was observed that the fragmented flow of attention to the respiratory symptoms in Pelotas resulted in low detection of cases by Primary Care, 8.8% of the diagnoses of the municipality. The Sapucaia do Sul flow presents continuity of care, and Primary Care performed 50% of the diagnoses of the municipality. CONCLUSION the organization of flows by municipal management was instrumental in promoting or limiting the commitment of Primary Health Care teams in coordinating care and consequently in achieving the goals of disease control.

Aspectos geográficos e organizacionais dos serviços de atenção primária à saúde na detecção de casos de tuberculose em Pelotas, Rio Grande do Sul, 2012

Resumo OBJETIVO: avaliar os aspectos geograficos e organizacionais dos servicos de atencao primaria a saude na deteccao de casos de tuberculose em Pelotas-RS, Brasil. METODOS: estudo de avaliacao com desenho descritivo, realizado com 276 profissionais de saude em 2012; os dados foram coletados mediante aplicacao de questionario estruturado, contemplando aspectos geograficos e organizacionais, valorados utilizando-se escala Likert de cinco pontos. RESULTADOS: a media de uso do transporte motorizado pelos sintomaticos respiratorios para o deslocamento ate o servico de saude foi considerada regular pelos entrevistados; embora exista disponibilidade satisfatoria de profissionais, a rotatividade de recursos humanos e o cumprimento de horario foram considerados insatisfatorios; ja o tempo medio destinado aos atendimentos e de espera pela consulta medica superior a 60 minutos foram considerados regulares. CONCLUSAO: as caracteristicas organizacionais e geograficas identificadas como insatisfatorias podem interferir na deteccao de casos de tuberculose em Pelotas-RS.

Aspectos geográficos y organizacionales de servicios de atención primaria en salud para la detección de casos de tuberculosis en Pelotas, Rio Grade do Sul, 2012

Resumo OBJETIVO: avaliar os aspectos geograficos e organizacionais dos servicos de atencao primaria a saude na deteccao de casos de tuberculose em Pelotas-RS, Brasil. METODOS: estudo de avaliacao com desenho descritivo, realizado com 276 profissionais de saude em 2012; os dados foram coletados mediante aplicacao de questionario estruturado, contemplando aspectos geograficos e organizacionais, valorados utilizando-se escala Likert de cinco pontos. RESULTADOS: a media de uso do transporte motorizado pelos sintomaticos respiratorios para o deslocamento ate o servico de saude foi considerada regular pelos entrevistados; embora exista disponibilidade satisfatoria de profissionais, a rotatividade de recursos humanos e o cumprimento de horario foram considerados insatisfatorios; ja o tempo medio destinado aos atendimentos e de espera pela consulta medica superior a 60 minutos foram considerados regulares. CONCLUSAO: as caracteristicas organizacionais e geograficas identificadas como insatisfatorias podem interferir na deteccao de casos de tuberculose em Pelotas-RS.

Monitoring and assessment of outcome in cases of tuberculosis in a municipality of Southern Brazil.

Objectives To monitor and assess the outcome of treatment for pulmonary tuberculosis in the tuberculosis control program in a prioritized municipality in Southern Brazil. Methods a quantitative study, descriptive, documentary, using records of people with tuberculosis in treatment between 2009-2013, the collection took place between June and July 2014 in the Tuberculosis Control Program. Descriptive statistics was used. Results The average number of consultations among the 629 patients was 7.2 per patient, with a mean interval of 1.03 months between visits. The average of smears was 2.7 tests per patient during the study period. The outcome of treatment was a cure rate of 87.8%, an abandonment rate of 8.3% and 6.5% of deaths. Conclusions despite the cure rate, abandonment is still high, thus, it is necessary to explore strategies for better adherence to treatment, and the commitment of the municipal administration in articulating monitoring in primary health care.

Seguimiento y evaluación de los resultados de los casos de tuberculosis en el municipio del sur de Brasil

Objectives To monitor and assess the outcome of treatment for pulmonary tuberculosis in the tuberculosis control program in a prioritized municipality in Southern Brazil. Methods a quantitative study, descriptive, documentary, using records of people with tuberculosis in treatment between 2009-2013, the collection took place between June and July 2014 in the Tuberculosis Control Program. Descriptive statistics was used. Results The average number of consultations among the 629 patients was 7.2 per patient, with a mean interval of 1.03 months between visits. The average of smears was 2.7 tests per patient during the study period. The outcome of treatment was a cure rate of 87.8%, an abandonment rate of 8.3% and 6.5% of deaths. Conclusions despite the cure rate, abandonment is still high, thus, it is necessary to explore strategies for better adherence to treatment, and the commitment of the municipal administration in articulating monitoring in primary health care.