Characteristics of basic health units and detection of tuberculosis cases
Rev. Soc. Bras. Med. Trop
;
52: e20180230, 2019. tab
Artigo
em Inglês
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Atenção Primária à Saúde
/
Qualidade da Assistência à Saúde
/
Tuberculose Pulmonar
/
Pesquisa sobre Serviços de Saúde
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo diagnóstico
Limite:
Humanos
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Rev. Soc. Bras. Med. Trop
Assunto da revista:
Medicina Tropical
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Estados Unidos
Instituição/País de afiliação:
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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