Access to the diagnosis of tuberculosis in health services in the municipality of Vitoria, state of Espirito Santo, Brazil

作者：Loureiro Rafaela Borges^*; Scatena Villa Tereza Cristina; Ruffino Netto Antonio; Peres Renata Lyrio; Braga Jose Ueleres; Zandonade Eliana; Noia Maciel Ethel Leonor

来源：Ciencia & Saude Coletiva, 2014, 19(4): 1233-1244.

DOI：10.1590/1413-81232014194.01002013

• Tuberculosis
• Access
• Accessibility
• Health Services
• Diagnosis
• Primary health care

This study sought to assess the accessibility to the diagnosis of tuberculosis in health services in Victoria, state of Espirito Santo. It featured a cross-sectional study conducted in 2009 of patients with tuberculosis using the Primary Care Assessment Tool and statistical analysis with the Chi-square test (p < 0,05). In relation to initial access to care, it was seen that the health service of first access most sought was Primary Care (37.6%), with most diagnoses occurring in the Tuberculosis Control Program Reference Units (61.3%). There was evidence of association between first health service accessed and the factors of time delay in: obtaining consultation at the first health service sought (p = 0.0182); diagnosis made by the first health service sought (p = 0.0001); request for sputum exam (p = 0,0003); request for X-ray exams (p = 0.0159); referral for X-rays at another institution (p = 0.0001); diagnosis by the same health service (p = 0.0001); exams conducted by the same health service that initially diagnosed tuberculosis (p = 0.0018); and proximity to the home (p = 0.0001). Therefore, the identification of important gaps in accessibility to diagnosis of tuberculosis seems to be related to the operational difficulties of organization of health care.

• 出版日期2014-4
• 单位河北医科大学