Cargando…
Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Paraná State, Brazil
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...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4238994/ https://www.ncbi.nlm.nih.gov/pubmed/25412349 http://dx.doi.org/10.1371/journal.pntd.0003324 |
_version_ | 1782345540422336512 |
---|---|
author | Pieri, Flávia Meneguetti Touso, Michelle Mosna Rodrigues, Ludmila Barbosa Bandeira Yamamura, Mellina Pinto, Ione Carvalho Dessunti, Elma Mathias Crispim, Juliane de Almeida Ramos, Antônio Carlos Vieira Arroyo, Luiz Henrique Neto, Marcelino Santos Garcia, Maria Concebida da Cunha Popolin, Marcela Paschoal Silveira, Tatiane Ramos dos Santos Arcêncio, Ricardo Alexandre |
author_facet | Pieri, Flávia Meneguetti Touso, Michelle Mosna Rodrigues, Ludmila Barbosa Bandeira Yamamura, Mellina Pinto, Ione Carvalho Dessunti, Elma Mathias Crispim, Juliane de Almeida Ramos, Antônio Carlos Vieira Arroyo, Luiz Henrique Neto, Marcelino Santos Garcia, Maria Concebida da Cunha Popolin, Marcela Paschoal Silveira, Tatiane Ramos dos Santos Arcêncio, Ricardo Alexandre |
author_sort | Pieri, Flávia Meneguetti |
collection | PubMed |
description | 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 Paraná, 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. |
format | Online Article Text |
id | pubmed-4238994 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-42389942014-11-26 Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Paraná State, Brazil Pieri, Flávia Meneguetti Touso, Michelle Mosna Rodrigues, Ludmila Barbosa Bandeira Yamamura, Mellina Pinto, Ione Carvalho Dessunti, Elma Mathias Crispim, Juliane de Almeida Ramos, Antônio Carlos Vieira Arroyo, Luiz Henrique Neto, Marcelino Santos Garcia, Maria Concebida da Cunha Popolin, Marcela Paschoal Silveira, Tatiane Ramos dos Santos Arcêncio, Ricardo Alexandre PLoS Negl Trop Dis Research Article 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 Paraná, 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. Public Library of Science 2014-11-20 /pmc/articles/PMC4238994/ /pubmed/25412349 http://dx.doi.org/10.1371/journal.pntd.0003324 Text en © 2014 Pieri et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Pieri, Flávia Meneguetti Touso, Michelle Mosna Rodrigues, Ludmila Barbosa Bandeira Yamamura, Mellina Pinto, Ione Carvalho Dessunti, Elma Mathias Crispim, Juliane de Almeida Ramos, Antônio Carlos Vieira Arroyo, Luiz Henrique Neto, Marcelino Santos Garcia, Maria Concebida da Cunha Popolin, Marcela Paschoal Silveira, Tatiane Ramos dos Santos Arcêncio, Ricardo Alexandre Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Paraná State, Brazil |
title | Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Paraná State, Brazil |
title_full | Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Paraná State, Brazil |
title_fullStr | Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Paraná State, Brazil |
title_full_unstemmed | Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Paraná State, Brazil |
title_short | Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy, Paraná State, Brazil |
title_sort | patients' perceptions on the performance of a local health system to eliminate leprosy, paraná state, brazil |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4238994/ https://www.ncbi.nlm.nih.gov/pubmed/25412349 http://dx.doi.org/10.1371/journal.pntd.0003324 |
work_keys_str_mv | AT pieriflaviameneguetti patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT tousomichellemosna patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT rodriguesludmilabarbosabandeira patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT yamamuramellina patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT pintoionecarvalho patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT dessuntielmamathias patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT crispimjulianedealmeida patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT ramosantoniocarlosvieira patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT arroyoluizhenrique patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT netomarcelinosantos patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT garciamariaconcebidadacunha patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT popolinmarcelapaschoal patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT silveiratatianeramosdossantos patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil AT arcencioricardoalexandre patientsperceptionsontheperformanceofalocalhealthsystemtoeliminateleprosyparanastatebrazil |