Lenilde Duarte de Sá1, Lucia Marina Scatena2, Rosalina Aparecida Partezanni Rodrigues3, Jordana de Almeida Nogueira4, Antonia Oliveira Silva4, Tereza Cristina Scatena Villa5. 1. Departamento de Enfermagem Saúde Pública e Psiquiatria, Centro de Ciências da Saúde, Universidade Federal da Paraíba, João Pessoa, PB, BR. 2. Instituto de Departamento de Medicina Social, Universidade Federal do Triângulo Mineiro, Uberaba, MG, BR. 3. Departamento de Enfermagem Geral e Especializada, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR. 4. Departamento de Enfermagem Clínica, Centro de Ciências da Saúde, Universidade Federal da Paraíba, João Pessoa, PB, BR. 5. Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR.
Abstract
OBJECTIVE: to analyze the factors associated with the gateway of the health systems of Brazilian municipalities for the diagnosis of tuberculosis in older people. METHOD: survey study type, with a sample of 91 elders, in a population with 706 cases of tuberculosis. Data were collected by means of an instrument based on the Primary Care Assessment Tool (PCAT) adapted for tuberculosis care, emphasizing the gateway variable. Variables were categorized and compared between primary health care (PHC) and specialized care (SC) services. Bivariate analysis and the Chi-square association test were used. RESULTS: a statistically significant association (p = 0.0001) was found between the fi rst health service sought and the unit that diagnosed tuberculosis, showing better performance of specialized care services in the diagnosis. CONCLUSION: it is necessary to improve primary health care services to tackle delayed diagnosis of tuberculosis in older people.
OBJECTIVE: to analyze the factors associated with the gateway of the health systems of Brazilian municipalities for the diagnosis of tuberculosis in older people. METHOD: survey study type, with a sample of 91 elders, in a population with 706 cases of tuberculosis. Data were collected by means of an instrument based on the Primary Care Assessment Tool (PCAT) adapted for tuberculosis care, emphasizing the gateway variable. Variables were categorized and compared between primary health care (PHC) and specialized care (SC) services. Bivariate analysis and the Chi-square association test were used. RESULTS: a statistically significant association (p = 0.0001) was found between the fi rst health service sought and the unit that diagnosed tuberculosis, showing better performance of specialized care services in the diagnosis. CONCLUSION: it is necessary to improve primary health care services to tackle delayed diagnosis of tuberculosis in older people.
Authors: Javier Mariani; Daniel Ferrante; Gabriel Battistella; Martín Langsam; Freddy Pérez; Alejandro Macchia Journal: Rev Panam Salud Publica Date: 2021-02-05
Authors: Javier Mariani; Daniel Ferrante; Gabriel Battistella; Martín Langsam; Freddy Pérez; Alejandro Macchia Journal: Rev Panam Salud Publica Date: 2020-12-14