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Objective: to describe the organization of health services for tuberculosis case diagnosis and treatment in the city of Manaus, Amazonas, Brazil.

Methods: this was a descriptive study of 156 new tuberculosis cases diagnosed and residing in Manaus in 2014, characterized according to socioeconomic, demographic, health-disease process aspects, relationship with health services and treatment outcome, by administering individual questionnaires in the 1st and 6st months of treatment.

Results: some 70% of cases were diagnosed at the tuberculosis reference center; most of the cases were unaware that there was a community health agent in their neighborhood; regarding treatment follow-up, 55.3% had to join an appointment waiting list; only 67.3% of cases were monitored by the same professional throughout entire treatment.

Conclusion: the findings indicate presence of barriers to case diagnosis and treatment, both in the referral center and also in primary healthcare units.

Titel:	Organization of health services for tuberculosis case diagnosis and treatment in Manaus, Amazonas, Brazil, 2014.
Autor/in / Beteiligte Person:	Sacramento, DS ; Lavor, DCBDS ; Oliveira, LRT ; Gomes, APBL ; Gonçalves, MJF
Zeitschrift:	Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil, Jg. 28 (2019-06-27), Heft 2, S. e2017500
Veröffentlichung:	Brasília, DF : Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil ; <i>Original Publication</i>: Brasília, DF : Secretaria de Vigilância em Saúde do Ministério da Saúde, 2003-, 2019
Medientyp:	academicJournal
ISSN:	2237-9622 (electronic)
DOI:	10.5123/S1679-49742019000200007
Schlagwort:	Adolescent Adult Brazil epidemiology Female Humans Male Middle Aged Primary Health Care organization & administration Socioeconomic Factors Surveys and Questionnaires Tuberculosis diagnosis Tuberculosis therapy Waiting Lists Young Adult Delivery of Health Care organization & administration Tuberculosis epidemiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Transliterated Title: Organização dos serviços de saúde para o diagnóstico e tratamento dos casos de tuberculose em Manaus, Amazonas, 2014. Publication Type: Journal Article Language: English; Portuguese [Epidemiol Serv Saude] 2019 Jun 27; Vol. 28 (2), pp. e2017500. <i>Date of Electronic Publication: </i>2019 Jun 27. MeSH Terms: Delivery of Health Care / organization & administration ; Tuberculosis / epidemiology ; Adolescent ; Adult ; Brazil / epidemiology ; Female ; Humans ; Male ; Middle Aged ; Primary Health Care / organization & administration ; Socioeconomic Factors ; Surveys and Questionnaires ; Tuberculosis / diagnosis ; Tuberculosis / therapy ; Waiting Lists ; Young Adult Contributed Indexing: Local Abstract: [Publisher, Portuguese] descrever a organização dos serviços de saúde para diagnóstico e tratamento dos casos de tuberculose na cidade de Manaus, Amazonas, Brasil. [Publisher, Portuguese] estudo descritivo de 156 casos novos de tuberculose diagnosticados e residentes em Manaus, em 2014, caracterizados quanto aos aspectos socioeconômicos, demográficos, processo saúde-doença, relação com os serviços de saúde e resultado do tratamento, mediante aplicação de questionários individuais no 1o e no 6o mês de tratamento. [Publisher, Portuguese] cerca de 70% dos casos foram diagnosticados no centro de referência para tuberculose; a maioria deles desconhecia existir agente comunitário de saúde em seu bairro; quanto ao acompanhamento de tratamento, 55,3% necessitam ingressar em filas para marcação de consultas; somente 67,3% dos casos foram acompanhados pelo mesmo profissional durante todo o tratamento. [Publisher, Portuguese] os achados indicam presença de barreiras no diagnóstico e tratamento dos casos, tanto no centro de referência como nas unidades de atenção primária à saúde. [Publisher, Spanish; Castilian] describir la organización de los servicios de salud para el diagnóstico y tratamiento de la tuberculosis en Manaus, Amazonas, Brasil. [Publisher, Spanish; Castilian] estudio descriptivo de 156 casos nuevos de tuberculosis diagnosticados y residentes en Manaus en 2014, caracterizados cuanto a aspectos socioeconómicos, demográficos, proceso salud-enfermedad, relación con los servicios de salud y resultado del tratamiento, mediante la aplicación de cuestionarios individuales en el primero y el sexto mes de tratamiento. [Publisher, Spanish; Castilian] aproximadamente 70% de los casos fueron diagnosticados en el centro de referencia para tuberculosis; la mayoría desconocía la existencia de un agente comunitario de salud del barrio; en cuanto al seguimiento de tratamiento, 55,3% necesitan obtener fichas para marcar las consultas; sólo un 67,3% de los casos fueron acompañados por el mismo profesional durante todo el tratamiento. [Publisher, Spanish; Castilian] los hallazgos indican la presencia de barreras para el diagnóstico y el tratamiento de casos, sea en el centro de referencia o en unidades de atención primaria de salud. Entry Date(s): Date Created: 20190705 Date Completed: 20200611 Latest Revision: 20200611 Update Code: 20231215

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Organization of health services for tuberculosis case diagnosis and treatment in Manaus, Amazonas, Brazil, 2014.