Characteristics of basic health units and detection of tuberculosis cases
Rev. Soc. Bras. Med. Trop
;
52: e20180230, 2019. tab
Artículo
en Inglés
| LILACS
| ID: biblio-977119
ABSTRACT
Abstract INTRODUCTION Tuberculosis (TB) is an infectious and contagious disease caused by Mycobacterium tuberculosis. TB emerged in the 21st century as an unsolved public health problem. This study aimed to analyze the relationship between the characteristics of basic health units (BHUs) and the number of TB cases detected in Maranhão, Brazil. METHODS An ecological, analytical study was conducted using the municipalities in the state of Maranhão as the unit of analysis. Data regarding the number of detected TB cases was obtained from the Sistema de Informação de Agravos de Notificação database, and the characteristics of the BHUs were obtained from the first cycle of data collection for the Program to Improve Access and Quality of Basic Care. The BHU structure was classified as adequate (80%-100%), partially adequate (60%-79%), poorly adequate (40%-59%), or inadequate (<40%) according to the presence of specified items. The number of BHUs per municipality in each adequacy category was estimated. Inflated Poisson regression analysis was performed to estimate the incidence density ratios (IDRs) and the 95% confidence intervals (95% CIs). RESULTS Municipalities with a higher level of BHU adequacy had a higher number of detected TB cases (IDR = 1.61, 95% CI: 1.01-2.60). CONCLUSIONS Better structured health services in primary care may be associated with better detection and/or notification of TB cases.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Atención Primaria de Salud
/
Calidad de la Atención de Salud
/
Tuberculosis Pulmonar
/
Investigación sobre Servicios de Salud
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio diagnóstico
Límite:
Humanos
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Rev. Soc. Bras. Med. Trop
Asunto de la revista:
Medicina Tropical
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
Brasil
/
Estados Unidos
Institución/País de afiliación:
Duke University/US
/
Organização Mundial de Saúde/BR
/
Secretaria Municipal de Saúde/BR
/
Universidade CEUMA/BR
/
Universidade Federal de Minas Gerais/BR
/
Universidade Federal de Pelotas/BR
/
Universidade Federal do Maranhão/BR
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