Elisangela Gisele de Assis

Desempenho de serviços de saúde no Tratamento Diretamente Observado no domicílio para controle da tuberculose

Exploratory study of qualitative and quantitative nature that evaluates the performance of the health services in providing DOT in households of a big city in Brazil. For the quantitative analysis, indexes were created to evaluate the optimization of material/human resources and the observation of the medicine ingestion. It was observed that performance of services is influenced by the availability of human/material resources, the internal organization of services and the absence of the ill person in the household. For the qualitative analysis it was used the content analysis, thematic modality. The main factors influencing the performance of the health service were found to be its insufficiency of material and human resources and the ill persons social-cultural and economic context. Concluding, it is necessary permanent managerial, organizational and techno-assistance qualification of the health professionals in the TB control.Exploratory study of qualitative and quantitative nature that evaluates the performance of the health services in providing DOT in households of a big city in Brazil. For the quantitative analysis, indexes were created to evaluate the optimization of material/human resources and the observation of the medicine ingestion. It was observed that performance of services is influenced by the availability of human/material resources, the internal organization of services and the absence of the ill person in the household. For the qualitative analysis it was used the content analysis, thematic modality. The main factors influencing the performance of the health service were found to be its insufficiency ofmaterial and human resources and the ill persons social-cultural and economic context. Concluding, it is necessary permanent managerial, organizational and techno-assistance qualification of the health professionals in the TB control.

Cobertura do tratamento diretamente observado (DOTS) da Tuberculose no Estado de São Paulo (1998 a 2004)

The Supervised Treatment (ST) in the 36 priority municipalities for TB control of the State of Sao Paulo between 1998 and 2004 was analyzed with the aim of describing the coverage of the DOTS. This exploratory study used information from the State of Sao Paulos Health Secretarys EPI-TB data-base. An instrument of data collection was elaborated and the coverage of the ST was calculated. The data was put in the Excel program. In the municipalities that implemented the ST in 1998, coverage was under 20%. In 1999 half of the municipalities had coverage between 11% and 49%. In 2000, the implementation was 100%, but the maximum coverage was 61%. Between 2001 and 2002 the coverage increased in 69.44% of the municipalities. In 2003, coverage was below of 50% in 22 municipalities. In 2004 there was a trend to increasing coverage in 63.89% of the municipalities.The Supervised Treatment (ST) in the 36 priority municipalities for TB control of the State of São Paulo between 1998 and 2004 was analyzed with the aim of describing the coverage of the DOTS. This exploratory study used information from the State of São Paulos Health Secretarys EPI-TB database. An instrument of data collection was elaborated and the coverage of the ST was calculated. The data was put in the Excel program. In the municipalities that implemented the ST in 1998, coverage was under 20%. In 1999 half of the municipalities had coverage between 11% and 49%. In 2000, the implementation was 100%, but the maximum coverage was 61%. Between 2001 and 2002 the coverage increased in 69.44% of the municipalities. In 2003, coverage was below of 50% in 22 municipalities. In 2004 there was a trend to increasing coverage in 63.89% of the municipalities.

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

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.

Bond in health care: a systematic review of literature in Brazil (1998-2007)

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.

El vínculo en la atención a la salud: revisión sistematizada en la literatura, Brasil (1998-2007)

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.

Coverage of directly observed treatment (DOTS) of tuberculosis in the State of São Paulo (1998-2004)

The Supervised Treatment (ST) in the 36 priority municipalities for TB control of the State of Sao Paulo between 1998 and 2004 was analyzed with the aim of describing the coverage of the DOTS. This exploratory study used information from the State of Sao Paulos Health Secretarys EPI-TB data-base. An instrument of data collection was elaborated and the coverage of the ST was calculated. The data was put in the Excel program. In the municipalities that implemented the ST in 1998, coverage was under 20%. In 1999 half of the municipalities had coverage between 11% and 49%. In 2000, the implementation was 100%, but the maximum coverage was 61%. Between 2001 and 2002 the coverage increased in 69.44% of the municipalities. In 2003, coverage was below of 50% in 22 municipalities. In 2004 there was a trend to increasing coverage in 63.89% of the municipalities.The Supervised Treatment (ST) in the 36 priority municipalities for TB control of the State of São Paulo between 1998 and 2004 was analyzed with the aim of describing the coverage of the DOTS. This exploratory study used information from the State of São Paulos Health Secretarys EPI-TB database. An instrument of data collection was elaborated and the coverage of the ST was calculated. The data was put in the Excel program. In the municipalities that implemented the ST in 1998, coverage was under 20%. In 1999 half of the municipalities had coverage between 11% and 49%. In 2000, the implementation was 100%, but the maximum coverage was 61%. Between 2001 and 2002 the coverage increased in 69.44% of the municipalities. In 2003, coverage was below of 50% in 22 municipalities. In 2004 there was a trend to increasing coverage in 63.89% of the municipalities.

Cobertura del tratamiento directamente observado (DOTS) de la tuberculosis en el Estado de São Paulo (1998 - 2004)

The Supervised Treatment (ST) in the 36 priority municipalities for TB control of the State of Sao Paulo between 1998 and 2004 was analyzed with the aim of describing the coverage of the DOTS. This exploratory study used information from the State of Sao Paulos Health Secretarys EPI-TB data-base. An instrument of data collection was elaborated and the coverage of the ST was calculated. The data was put in the Excel program. In the municipalities that implemented the ST in 1998, coverage was under 20%. In 1999 half of the municipalities had coverage between 11% and 49%. In 2000, the implementation was 100%, but the maximum coverage was 61%. Between 2001 and 2002 the coverage increased in 69.44% of the municipalities. In 2003, coverage was below of 50% in 22 municipalities. In 2004 there was a trend to increasing coverage in 63.89% of the municipalities.The Supervised Treatment (ST) in the 36 priority municipalities for TB control of the State of São Paulo between 1998 and 2004 was analyzed with the aim of describing the coverage of the DOTS. This exploratory study used information from the State of São Paulos Health Secretarys EPI-TB database. An instrument of data collection was elaborated and the coverage of the ST was calculated. The data was put in the Excel program. In the municipalities that implemented the ST in 1998, coverage was under 20%. In 1999 half of the municipalities had coverage between 11% and 49%. In 2000, the implementation was 100%, but the maximum coverage was 61%. Between 2001 and 2002 the coverage increased in 69.44% of the municipalities. In 2003, coverage was below of 50% in 22 municipalities. In 2004 there was a trend to increasing coverage in 63.89% of the municipalities.

Desempeño de los servicios de salud para el control de la tuberculosis a través del tratamiento domiciliar directamente observado

Exploratory study of qualitative and quantitative nature that evaluates the performance of the health services in providing DOT in households of a big city in Brazil. For the quantitative analysis, indexes were created to evaluate the optimization of material/human resources and the observation of the medicine ingestion. It was observed that performance of services is influenced by the availability of human/material resources, the internal organization of services and the absence of the ill person in the household. For the qualitative analysis it was used the content analysis, thematic modality. The main factors influencing the performance of the health service were found to be its insufficiency of material and human resources and the ill persons social-cultural and economic context. Concluding, it is necessary permanent managerial, organizational and techno-assistance qualification of the health professionals in the TB control.Exploratory study of qualitative and quantitative nature that evaluates the performance of the health services in providing DOT in households of a big city in Brazil. For the quantitative analysis, indexes were created to evaluate the optimization of material/human resources and the observation of the medicine ingestion. It was observed that performance of services is influenced by the availability of human/material resources, the internal organization of services and the absence of the ill person in the household. For the qualitative analysis it was used the content analysis, thematic modality. The main factors influencing the performance of the health service were found to be its insufficiency ofmaterial and human resources and the ill persons social-cultural and economic context. Concluding, it is necessary permanent managerial, organizational and techno-assistance qualification of the health professionals in the TB control.