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Health services performance for TB treatment in Brazil: a cross-sectional study

Overview of attention for article published in BMC Health Services Research, September 2011
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Title
Health services performance for TB treatment in Brazil: a cross-sectional study
Published in
BMC Health Services Research, September 2011
DOI 10.1186/1472-6963-11-241
Pubmed ID
Authors

Tereza CS Villa, Antônio Ruffino-Netto, Lucia M Scatena, Rubia LP Andrade, Maria EF Brunello, Jordana A Nogueira, Pedro F Palha, Lenilde D Sá, Marluce MA Assis, Silvia HF Vendramini, Aline A Monroe, Ricardo A Arcêncio, Tiemi Arakawa

Abstract

ABSTRACT: BACKGROUND: Researches to evaluate Primary Health Care performance in TB control in Brazil show that different cities aggregate local specificities in the dynamics of coping with the disease. This study aims to evaluate health services' performance in TB treatment in cities across different Brazilian regions. METHODS: This cross-sectional study was conducted in five cities that are considered priorities for TB control in Brazil: Itaboraí (ITA), Ribeirão Preto (RP) and São José do Rio Preto (SJRP) in the Southeast; Campina Grande (CG) and Feira de Santana (FS) in the Northeast. Data were collected through interviews with 514 TB patients under treatment in 2007, using the Primary Care Assessment Tool adapted for TB care in Brazil. Indicators were constructed based on the mean response scores (Likert scale) and compared among the study sites. RESULTS: "Access to treatment" was evaluated as satisfactory in the Southeast and regular in the Northeast, which displayed poor results on 'home visits' and 'distance between treatment site and patient's house'. "Bond" was assessed as satisfactory in all cities, with a slightly better performance in RP and SJRP. "Range of services" was rated as regular, with better performance of southeastern cities. 'Health education', 'DOT' and 'food vouchers' were less offered in the Northeast. "Coordination" was evaluated as satisfactory in all cities. "Family focus" was evaluated as satisfactory in RP and SJRP, and regular in the others. 'Professional asking patient's family about other health problems' was evaluated as unsatisfactory, except in RP. CONCLUSIONS: Two types of obstacles are faced for health service performance in TB treatment in the cities under analysis, mainly in the Northeast. The first is structural and derives from difficulties to access health services and actions. The second is organizational and derives from the way health technologies and services are distributed and integrated. Incentives to improve care organization and management practices, aimed at the integration of primary, secondary and tertiary services, can contribute towards a better performance of health services in TB treatment.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 67 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 3 4%
United States 2 3%
Romania 1 1%
Unknown 61 91%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 19%
Student > Bachelor 11 16%
Researcher 9 13%
Student > Doctoral Student 6 9%
Professor 5 7%
Other 11 16%
Unknown 12 18%
Readers by discipline Count As %
Medicine and Dentistry 21 31%
Social Sciences 9 13%
Nursing and Health Professions 8 12%
Business, Management and Accounting 4 6%
Biochemistry, Genetics and Molecular Biology 2 3%
Other 9 13%
Unknown 14 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 November 2013.
All research outputs
#20,210,424
of 22,731,677 outputs
Outputs from BMC Health Services Research
#7,074
of 7,606 outputs
Outputs of similar age
#121,238
of 131,850 outputs
Outputs of similar age from BMC Health Services Research
#90
of 93 outputs
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We're also able to compare this research output to 93 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.