Accessibility to tuberculosis treatment: assessment of health service performance

Revista Latino-Americana de Enfermagem

Tiemi Arakawa¹  Ricardo Alexandre Arcêncio²  Beatriz Estuque Scatolin²  Lúcia Marina Scatena¹  Antônio Ruffino-netto¹  Tereza Cristina Scatena Villa² 

[1] ,Universidade de São Paulo Escola de Enfermagem de Ribeirão PretoSP ,Brazil

关键词: Tuberculosis;    Directly Observed Therapy;    Health Services Evaluation;    Health Services Accessibility;    Tuberculose;    Terapia Diretamente Observada;    Avaliação de Serviços de Saúde;    Acessibilidade aos Serviços de Saúde;    Tuberculosis;    Terapia por Observación Directa;    Evaluación de Servicios de Salud;    Accesibilidad a los Servicios de Salud;   

DOI  :  10.1590/S0104-11692011000400019

来源: SciELO

【 摘 要 】

The aim of this study was to assess the accessibility of patients to the treatment of tuberculosis in Ribeirão Preto, countryside of São Paulo State. Evaluation study type, with a quantity approach. Interviews with 100 patients initiated on anti-tuberculosis chemotherapy between 2006-2007 were conducted, using a structured questionnaire based on the Primary Care Assessment Tool (PCAT). Data were analyzed through variance analysis. There was a positive feedback regarding to organizational accessibility, however, the performance of health services has been unsatisfactory in providing transportation vouchers and in addressing the need to use transport for displacement to the health unit, resulting in indirect costs to patients. The services with the highest number of patients treated were those with higher irregularity in the conduct of home visits, showing that the availability of resources (human, material and time) and the organization of care may influence the accessibility to treatment.

【 授权许可】

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