Health services in tuberculosis control: family focus and community orientation

Revista Latino-Americana de Enfermagem

Sônia Aparecida Da Cruz Oliveira²  Antonio Ruffino Netto¹  Tereza Cristina Scatena Villa¹  Silvia Helena Figueiredo Vendramini¹  Rubia Laine De Paula Andrade¹  Lúcia Marina Scatena¹ 

[1] ,Escola de Enfermagem de Ribeirão Preto

关键词: primary health care;    tuberculosis;    health services evaluation;    atención primaria de salud;    tuberculosis;    evaluación de servicios de salud;    atenção primária à saúde;    tuberculose;    avaliação de serviços de saúde;   

DOI  :  10.1590/S0104-11692009000300013

来源: SciELO

【 摘 要 】

This study aimed to assess, according to patients' perception, the performance of the Health Services responsible for tuberculosis (TB) control, concerning the dimensions family focus and community orientation. A cross-sectional evaluative research was carried out with 108 TB patients. A questionnaire developed by Starfield and Macinko was used, adapted for TB care by Villa and Ruffino-Netto. Results evidence, in the first dimension, that health professionals (HP) are concerned with patients' signs and symptoms; and, at a lower level, with other health problems of relatives, endangering the comprehensive healthcare. In the second dimension, HP show little concern with the active search of cases, deficiency in HP training, and low rates of examined contacts. Results show the need to broaden HP's epidemiological view, as their attention is focused on patients, with few preventive actions concerning family/community. This evidences the need for a closer relationship among HP/patients/family/community.

【 授权许可】

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