The Perspectives of Patients and Health Professionals Regarding the Tuberculosis Control Programme in Recife, Brazil: A Contribution to Evaluation

The Perspectives of Patients and Health Professionals Regarding the Tuberculosis Control Programme in Recife, Brazil: A Contribution to Evaluation

The study objective is to describe patients and professionals' perspectives on the Tuberculosis Control Program (PCT) in Recife, Brazil, contributing to the program evaluation. A cross-sectional study was conducted in three purposively selected sites, representing the three levels of care in th...

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Bibliographic Details
Published in:Pharmacy Vol. 7; no. 2; p. 70
Main Authors: Bezerra, Simone Santos, Guerreiro, Mara Pereira, Pessoa, Nathany França, Silva, Maria Gabriela Pereira da, Barros, Mirela Galvão de, Gomes, João José Ferreira, Athayde, Maria Paula, Auad, Rodrigo Zeymer, Soares Sobrinho, José Lamartine
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 19-06-2019
MDPI
Subjects:
Hospitals
Medical personnel
Patients
patients’ perspectives
Pharmacists
Primary care
Professionals
professionals’ perspectives
program and health projects evaluation
Studies
Systematic review
Tuberculosis
Brazil
Portugal
professionals’ perspectives
program and health projects evaluation
patients’ perspectives
tuberculosis
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Summary:The study objective is to describe patients and professionals' perspectives on the Tuberculosis Control Program (PCT) in Recife, Brazil, contributing to the program evaluation. A cross-sectional study was conducted in three purposively selected sites, representing the three levels of care in the public health system. All eligible PCT patients in sites A, B and C were invited to participate (n = 123). Physicians, nurses, pharmacists and community health agents providing care to PCT patients in these sites, plus their managers, were purposively selected. Data were collected by means of interviews with 44 patients and a questionnaire to 24 professionals. Instruments encompassed previously published items to capture stakeholders' perspectives (16 and 12 closed-questions, respectively), grouped into categories. The overall evaluation by patients was unsatisfactory (median score 35%; third quartile below 50%; interquartile range 21.9%). Analysis of scores by categories showed that opinions about organizational accessibility were significantly worse than about economic and geographical accessibility, taken together. Overall the median score attributed by professionals was 52% (third quartile below 65%). Professionals had significantly worse opinions about diagnosis, clinical and laboratory assistance. Patients and professionals' perspectives highlight potential opportunities for improvement. Our findings can be used by managers as a starting point for shared decision-making, potentially contributing to a better performance of the PCT in Recife and, consequently, reducing the risk posed by tuberculosis.
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ISSN:2226-4787
2226-4787
DOI:10.3390/pharmacy7020070