Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Parana State, Brazil

Autor(es):Mostrar menos -

Pieri, Flavia Meneguetti ^[1] ; Touso, Michelle Mosna ^[2] ; Bandeira Rodrigues, Ludmila Barbosa ^[3] ; Yamamura, Mellina ^[2] ; Pinto, Ione Carvalho ^[4] ; Dessunti, Elma Mathias ^[1] ; Crispim, Juliane de Almeida ^[2] ; Vieira Ramos, Antonio Carlos ^[5] ; Arroyo, Luiz Henrique ^[5] ; Neto, Marcelino Santos ^[6] ; da Cunha Garcia, Maria Concebida ^[2] ; Popolin, Marcela Paschoal ^[2] ; dos Santos Silveira, Tatiane Ramos ^[5] ; Arcencio, Ricardo Alexandre ^[4]

Afiliação do(s) autor(es)

^[1] Univ Estadual Londrina, Dept Nursing, Londrina, Parana - Brazil

^[2] Univ Sao Paulo, Ribeirao Preto Coll Nursing, Nursing & Publ Hlth Grad Program, Sao Paulo - Brazil

^[3] Univ Fed Mato Grosso, Dept Med, Cuiaba, Mato Grosso - Brazil

^[4] Univ Sao Paulo, Ribeirao Preto Coll Nursing, Dept Maternal Infantile Nursing & Publ Hlth, Sao Paulo - Brazil

^[5] Univ Sao Paulo, Ribeirao Preto Coll Nursing, Sao Paulo - Brazil

^[6] Univ Fed Maranhao, Ctr Social Sci Hlth & Technol, Imperatriz, Maranhao - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PLoS Neglected Tropical Diseases; v. 8, n. 11 NOV 2014.
• Citações Web of Science: 2

Resumo

Background: In Brazil, leprosy has been listed among the health priorities since 2006, in a plan known as the ``Pact for life{''} (Pacto pela Vida). It is the sole country on the American continent that has not reached the global goal of disease elimination. Local health systems face many challenges to achieve this global goal. The study aimed to investigate how patients perceive the local health system's performance to eliminate leprosy and whether these perceptions differ in terms of the patients' income. Methodology/Principal Findings: A cross-sectional study was conducted in Londrina, State of Parana, Brazil. Interviews were performed with the leprosy patients. The local health system was assessed through a structured and adapted tool, considering the domains judged as good quality of health care. The authors used univariate, bivariate and multivariate analyses. One hundred and nineteen patients were recruited for the study, 50.4% (60) of them were male, 54.0% (64) were between 42 and 65 years old and 66.3% (79) had finished elementary school. The results showed that patients used the Primary Health Care service near their place of residence but did not receive the leprosy diagnosis there. Important advances of this health system were verified for the elimination of leprosy, verifying protocols for good care delivery to the leprosy patients, but these services did not develop collective health actions and did not engage the patients' family members and community. Conclusions/Significance: The patients' difficulty was observed to have access to the diagnosis and treatment at health services near their homes. Leprosy care is provided at the specialized level, where the patients strongly bond with the teams. The care process is individual, with limited perspectives of integration among the health services for the purpose of case management and social mobilization of the community to the leprosy problem. (AU)

• Processo FAPESP: 12/51235-5 - As condições sensíveis à atenção primária e às redes de atenção à saúde: o caso da tuberculose em Ribeirão Preto/SP
• Beneficiário: Ricardo Alexandre Arcêncio
• Modalidade de apoio: Auxílio à Pesquisa - Pesquisa em Políticas Públicas para o SUS