Tuberculosis Control Program and patient satisfaction, Rio de Janeiro, Brazil

Revista de Saúde Pública

Margareth Crisóstomo Portela¹  Sheyla Maria Lemos Lima¹  Cláudia Brito¹  Vanja Maria Bessa Ferreira¹  Claudia Caminha Escosteguy¹  Maurício Teixeira Leite De Vasconcellos¹ 

关键词: Tuberculosis;    Antitubercular Agents;    supply & distribution;    Patient Satisfaction;    Program Evaluation;    Communicable Disease Control;    Cross-Sectional Studies;    Tuberculose;    Antituberculosos;    provisão & distribuição;    Satisfação do Paciente;    Avaliação de Programas e Projetos de Saúde;    Controle de Doenças Transmissíveis;    Estudos Transversais;   

DOI  :  10.1590/S0034-8910.2014048004793

来源: SciELO

【 摘 要 】

OBJECTIVETo evaluate factors associated with users’ satisfaction in the Tuberculosis Control Program. METHODSA cross-sectional study of 295 patients aged ≥ 18 years, with two or more outpatient visits in the Tuberculosis Control Program, in five cities in the metropolitan region of Rio de Janeiro, RJ, Southeastern Brazil, in 2010. Considering an estimated population of 4,345 patients, the sampling plan included 15 health care units participating in the program, divided into two strata: units in Rio de Janeiro City, selected with probability proportional to the monthly average number of outpatient visits, and units in the other four cities. In the units, four temporal clusters of five patients each were selected with equal probability, totaling 300 patients. A questionnaire investigating the users’ clinical and sociodemographic variables and aspects of care and service in the program relevant to user satisfaction was applied to the patients. Descriptive statistics about users and their satisfaction with the program were obtained, and the effects of factors associated with satisfaction were estimated. RESULTSPatients were predominantly males (57.7%), with a mean age of 40.9 and with low level of schooling. The mean treatment time was 4.1 months, mostly self-administered (70.4%). Additionally, 25.8% had previously been treated for tuberculosis. There was a high level of satisfaction, especially regarding medication provision, and respect to patients by the health professionals. Patients who were younger (≤ 30), those on self-administered treatment, and with graduate level, showed less satisfaction. Suggestions to improve the services include having more doctors (70.0%), and offering exams in the same place of attendance (55.1%). CONCLUSIONSPatient satisfaction with the Tuberculosis Control Program was generally high, although lower among younger patients, those with university education and those on self-administered treatment. The study indicates the need for changes to structural and organizational aspects of care, and provides practical support for its improvement.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License