Care production for tuberculosis cases: analysis according to the elements of the Chronic Care Model

Author(s)

da Silva, Daiane Medeiros ; Gomes de Farias, Herika Brito ; Scatena Villa, Tereza Cristina ; de Sa, Lenilde Duarte ; Firmino Brunello, Maria Eugenia ; Nogueira, Jordana de Almeida

• Document type: Journal article
• Source: Revista da Escola de Enfermagem da USP; v. 50, n. 2, p. 237-244, MAR-APR 2016.
• Web of Science Citations: 3

Abstract

Objective: To analyze the care provided to tuberculosis cases in primary health care services according to the elements of the Chronic Care Model. Method: Cross-sectional study conducted in a capital city of the northeastern region of Brazil involving 83 Family Health Strategy professionals. A structured tool adapted to tuberculosis-related care in Brazil was applied. Analysis was based on the development of indicators with capacity to produce care varying between limited and optimum. Results: The organization of care for tuberculosis and supported self-care presented reasonable capacity. In the coordination with the community, the presence of the community agent presented optimum capacity. Partnership with organizations of the community and involvement of experts presented limited capacity. The qualification of professionals, the system for scheduling and monitoring tuberculosis in the community, and the clinical information system presented basic capacity. Conclusion: The capacity of the primary health care services to produce tuberculosis-related care according to the elements of the Chronic Care Model is still limited. Overcoming the fragmentation of care and prioritizing a systemic operation between actions and services of the health care network remains as a major challenge. (AU)

• FAPESP's process: 13/22512-3 - Evaluation of the integration health services for treatment of tuberculosis in primary health care networks in regions of Brazil
• Grantee: Tereza Cristina Scatena Villa
• Support Opportunities: Regular Research Grants