| Full text | |
| Author(s): |
Regina Melchior
[1]
;
Maria Ines Battistella Nemes
[2]
;
Cáritas Relva Basso
[3]
;
Elen Rose Lodeiro Castanheira
[4]
;
Maria Teresa Soares de Britto e Alves
[5]
;
Cássia Maria Buchalla
[6]
;
Angela Aparecida Donini
[7]
Total Authors: 7
|
| Affiliation: | [1] Universidade Estadual de Londrina. Departamento de Saúde Coletiva - Brasil
[2] Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva - Brasil
[3] Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva - Brasil
[4] Universidade Estadual Paulista. Departamento de Saúde Pública - Brasil
[5] Universidade Federal do Maranhão. Departamento de Saúde Pública - Brasil
[6] USP. Faculdade de Saúde Pública. Departamento de Epidemiologia
[7] Ministério da Saúde. Programa Nacional de DST/Aids - Brasil
Total Affiliations: 7
|
| Document type: | Journal article |
| Source: | Revista de Saúde Pública; v. 40, n. 1, p. 143-151, 2006-02-00. |
| Abstract | |
OBJECTIVE: In the context of universal access to antiretroviral treatment, the results of the Brazilian AIDS Program will depend on the quality of the care provided. The aim of the present study was to evaluate the healthcare provided by outpatient services for the treatment of AIDS patients. METHODS: The present study was carried out in seven Brazilian States between 2001 and 2002. We evaluated the quality of the care provided to AIDS patients from the standpoint of resource availability and care process organization. A questionnaire comprising 112 structured questions addressing these aspects was sent to 336 services. RESULTS: Response rate was 95.8% (322). Greater adequacy is seen for indicators of resource availability than for those of work organization. The supply of antiretroviral medication is sufficient in 95.5% of services. CD4 and viral load tests are available at adequate amounts in 59 and 41% of services, respectively. In 90.4% of services there is at least one non-medical professional (psychologist, nurse, or social worker). As to work organization, 80% scheduled the date but not the time of medical appointments; 40.4% scheduled more than 10 appointments per period; 17% did not have exclusive managers; and 68.6% did not hold systematic staff meetings. CONCLUSIONS: The results indicate that, in addition to ensuring the more homogeneous distribution of resources, the program must invest in the training and dissemination of care management skills, as confirmed by the results of care process organization. (AU) | |