Accessibility to tuberculosis treatment: assessment of health service performance

Authors

  • Tiemi Arakawa Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Ricardo Alexandre Arcêncio Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Beatriz Estuque Scatolin Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Lúcia Marina Scatena Universidade Federal do Triângulo Mineiro; Departamento de Medicina Social
  • Antônio Ruffino-Netto Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto
  • Tereza Cristina Scatena Villa Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto

DOI:

https://doi.org/10.1590/S0104-11692011000400019

Keywords:

Tuberculosis, Directly Observed Therapy, Health Services Evaluation, Health Services Accessibility

Abstract

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.

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Published

2011-08-01

Issue

Vol. 19 No. 4 (2011)

Section

Editorial

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Accessibility to tuberculosis treatment: assessment of health service performance . (2011). Revista Latino-Americana De Enfermagem, 19(4), 994-1002. https://doi.org/10.1590/S0104-11692011000400019