Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?

Author(s):Show less -

Popolin, Marcela Paschoal ^[1] ; Touso, Michelle Mosna ^[1] ; Yamamura, Mellina ^[1] ; Bandeira Rodrigues, Ludmila Barbosa ^[2] ; da Cunha Garcia, Maria Concebida ^[1] ; Arroyo, Luiz Henrique ^[1] ; Vieira Ramos, Antonio Carlos ^[1] ; Berra, Thais Zamboni ^[1] ; Neto, Marcelino Santos ^[3] ; Crispim, Juliane de Almeida ^[1] ; Neto, Francisco Chiaravalotti ^[4] ; Pinto, Ione Carvalho ^[1] ; Palha, Pedro Fredemir ^[1] ; da Costa Uchoa, Severina Alice ^[5] ; Lapao, Luis Velez ^[6] ; Fronteira, Ines ^[7] ; Arcencio, Ricardo Alexandre ^[1]

Affiliation

^[1] Univ Sao Paulo, Coll Nursing Ribeirao Preto, Maternal Infant & Publ Hlth Nursing Dept, Ave Bandeirantes 3900, BR-14040902 Sao Paulo - Brazil

^[2] Univ Fed Mato Grosso, Inst Hlth Sci, Ave Alexandre Ferronato 1200, Reserve 35, BR-78550000 Sinop, Mato Grosso - Brazil

^[3] Fed Univ Maranhao UFMA, Ctr Social Sci Hlth & Technol, Rua Turqueza, BR-65900410 Imperatriz, Maranhao - Brazil

^[4] Univ Sao Paulo, Fac Publ Hlth, Dept Epidemiol, Ave Dr Arnaldo 715, BR-01246904 Sao Paulo - Brazil

^[5] Univ Fed Rio Grande do Norte, Dept Grp Hlth, Ave Senador Salgado Filho 3000, BR-59078970 Natal, RN - Brazil

^[6] Univ Nova Lisboa, Inst Higiene & Med Trop, WHO Collaborating Ctr Hlth Workforce Policy & Pla, Int Publ Hlth & Biostat, Global Hlth & Trop Med, Rua Junqueira 100, P-1349008 Lisbon - Portugal

^[7] Univ Nova Lisboa, Inst Higiene & Med Trop, Int Publ Hlth & Biostat, Global Hlth & Trop Med, Rua Junqueira 100, P-1349008 Lisbon - Portugal

• Document type: Journal article
• Source: BMC HEALTH SERVICES RESEARCH; v. 16, MAR 1 2016.
• Web of Science Citations: 2

Abstract

Background: The early identification of the Breathing Symptoms within the scope of Primary Health Care is recommended, and is also one of the strategies of national sanitary authorities for reaching the elimination of tuberculosis. The purpose of this study is to consider which attributes and which territories have shown the most significant progress in Primary Health Care, in terms of coordination of Health Care Networks, and also check if those areas of Primary Health Care that are most critical regarding coordination, there were more or less cases of avoidable hospitalizations for tuberculosis. Methods: This is an ecological study that uses primary and secondary data. For analysis, coropletic maps were developed through the ArcGIS software, version 10.2. There was also the calculation of gross annual and Bayesian rates for hospitalizations for tuberculosis, for each Primary Health Care territory. Results: There were satisfactory results for attributes such as Population ( n = 37; 80.4 %), Primary Health Care (n = 43; 93.5 %), Support System (n = 45; 97.8 %); the exceptions were Logistics System (n = 32; 76.0 %) and Governance System, with fewer units in good condition (n = 31; 67.3 %). There is no evidence of any connection between networks' coordination by Primary Health Care and tuberculosis avoidable admissions. Conclusion: The results show that progress has been made regarding the coordination of the Health Care Networks, and a positive trend has been shown, even though the levels are not excellent. It was found no relationship between the critical areas of Primary Health Care and tuberculosis avoidable hospitalizations, possibly because other variables necessary to comprehend the phenomena. (AU)

• FAPESP's process: 13/22486-2 - The determinants of admissions for tuberculosis in Ribeirão Preto: A geo-ecological approach
• Grantee: Marcela Paschoal Popolin
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 12/51235-5 - Primary health care sensitive conditions and health care networks: the case of tuberculosis in Ribeirão Preto - SP
• Grantee: Ricardo Alexandre Arcêncio
• Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)