Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/31045
Title: Access to tuberculosis diagnosis in Itaboraí City, Rio de Janeiro, Brazil: the patient’s point of view
Authors: Motta, M. C. S.
Villa, T. C. S.
Golub, J.
Kritski, A. L.
Ruffino-Netto, A.
Silva, D. F.
Harter, R. G.
Scatena, L. M.
Affilliation: Universidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Neri. Rio de Janeiro, RJ, Brasil.
Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, SP, Brasil.
Johns Hopkins Medical Institutions. Department of Medicine and Epidemiology. Baltimore, Maryland, USA.
Universidade Federal do Rio de Janeiro. Faculdade de Medicina. Rio de Janeiro, RJ, Brasil.
Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Ribeirão Preto, SP, Brasil.
Programa de Controle da Tuberculose. Itaboraí, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Saúde Materno Infantil e Saúde Pública. Ribeirão Preto, SP, Brasil.
Abstract: SETTING—Itaboraí Municipality in Rio de Janeiro, Brazil. OBJECTIVE—To evaluate access to tuberculosis (TB) diagnosis for users of the Family Health Program (FHP) and Reference Ambulatory Units (RAUs). DESIGN—A cross-sectional study was conducted in Itaboraí City, Rio de Janeiro, Brazil. Between July and October 2007, a sample of 100 TB patients registered consecutively with the TB Control Program was interviewed using the primary care assessment tool. The two highest scores, describing ‘almost always’ and ‘always’, or ‘good’ and ‘very good’, were used as a cut-off point to define high quality access to diagnosis. RESULTS—FHP patients were older and had less education than RAU interviewees. Sex and overcrowding did not differ in the two groups. Patient groups did not differ with regard to the number of times care was sought at a unit, transport problems, cost of attending units and availability of consultation within 24 h. Adequate access to diagnosis was identified by 62% of the FHP patients and 53% of the RAU patients (P = 0.01). CONCLUSION—In Itaboraí, Rio de Janeiro, TB patients believe that the FHP units provide greater access to TB diagnosis than RAUs. These findings will be used by the Department of Health to improve access to diagnosis in Itaboraí.
Keywords: Primary health care
Tuberculosis
Access to health services
Health sector reform
TB diagnostic delay
keywords: Atenção primária à saúde
Atraso no diagnóstico da TB
Tuberculose
Acesso a serviços de saúde
Reforma do setor da saúde
Itaboraí (RJ)
Issue Date: 2009
Publisher: International Union Against Tuberculosis and Lung Disease
Citation: MOTTA, M. C. S. et al. Access to tuberculosis diagnosis in Itaboraí City, Rio de Janeiro, Brazil: the patient’s point of view. Int J Tuberc Lung Dis., v. 13, n. 9, p. 1137–1141, Sept. 2009.
ISSN: 1027-3719
Copyright: restricted access
Appears in Collections:IOC - Artigos de Periódicos

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