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Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?

BACKGROUND: The early identification of the Breathing Symptoms within the scope of Primary Health Care is recommended, and is also one of the strategies of national sanitary authorities for reaching the elimination of tuberculosis. The purpose of this study is to consider which attributes and which...

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Autores principales: Popolin, Marcela Paschoal, Touso, Michelle Mosna, Yamamura, Mellina, Rodrigues, Ludmila Barbosa Bandeira, da Cunha Garcia, Maria Concebida, Arroyo, Luiz Henrique, Ramos, Antônio Carlos Vieira, Berra, Thais Zamboni, Santos Neto, Marcelino, de Almeida Crispim, Juliane, Chiaravalotti Neto, Francisco, Pinto, Ione Carvalho, Palha, Pedro Fredemir, da Costa Uchoa, Severina Alice, Lapão, Luís Velez, Fronteira, Inês, Arcêncio, Ricardo Alexandre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4774126/
https://www.ncbi.nlm.nih.gov/pubmed/26931507
http://dx.doi.org/10.1186/s12913-016-1320-y
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author Popolin, Marcela Paschoal
Touso, Michelle Mosna
Yamamura, Mellina
Rodrigues, Ludmila Barbosa Bandeira
da Cunha Garcia, Maria Concebida
Arroyo, Luiz Henrique
Ramos, Antônio Carlos Vieira
Berra, Thais Zamboni
Santos Neto, Marcelino
de Almeida Crispim, Juliane
Chiaravalotti Neto, Francisco
Pinto, Ione Carvalho
Palha, Pedro Fredemir
da Costa Uchoa, Severina Alice
Lapão, Luís Velez
Fronteira, Inês
Arcêncio, Ricardo Alexandre
author_facet Popolin, Marcela Paschoal
Touso, Michelle Mosna
Yamamura, Mellina
Rodrigues, Ludmila Barbosa Bandeira
da Cunha Garcia, Maria Concebida
Arroyo, Luiz Henrique
Ramos, Antônio Carlos Vieira
Berra, Thais Zamboni
Santos Neto, Marcelino
de Almeida Crispim, Juliane
Chiaravalotti Neto, Francisco
Pinto, Ione Carvalho
Palha, Pedro Fredemir
da Costa Uchoa, Severina Alice
Lapão, Luís Velez
Fronteira, Inês
Arcêncio, Ricardo Alexandre
author_sort Popolin, Marcela Paschoal
collection PubMed
description BACKGROUND: The early identification of the Breathing Symptoms within the scope of Primary Health Care is recommended, and is also one of the strategies of national sanitary authorities for reaching the elimination of tuberculosis. The purpose of this study is to consider which attributes and which territories have shown the most significant progress in Primary Health Care, in terms of coordination of Health Care Networks, and also check if those areas of Primary Health Care that are most critical regarding coordination, there were more or less cases of avoidable hospitalizations for tuberculosis. METHODS: This is an ecological study that uses primary and secondary data. For analysis, coropletic maps were developed through the ArcGIS software, version 10.2. There was also the calculation of gross annual and Bayesian rates for hospitalizations for tuberculosis, for each Primary Health Care territory. RESULTS: There were satisfactory results for attributes such as Population (n = 37; 80.4 %), Primary Health Care (n = 43; 93.5 %), Support System (n = 45; 97.8 %); the exceptions were Logistics System (n = 32; 76.0 %) and Governance System, with fewer units in good condition (n = 31; 67.3 %). There is no evidence of any connection between networks’ coordination by Primary Health Care and tuberculosis avoidable admissions. CONCLUSION: The results show that progress has been made regarding the coordination of the Health Care Networks, and a positive trend has been shown, even though the levels are not excellent. It was found no relationship between the critical areas of Primary Health Care and tuberculosis avoidable hospitalizations, possibly because other variables necessary to comprehend the phenomena.
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spelling pubmed-47741262016-03-03 Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil? Popolin, Marcela Paschoal Touso, Michelle Mosna Yamamura, Mellina Rodrigues, Ludmila Barbosa Bandeira da Cunha Garcia, Maria Concebida Arroyo, Luiz Henrique Ramos, Antônio Carlos Vieira Berra, Thais Zamboni Santos Neto, Marcelino de Almeida Crispim, Juliane Chiaravalotti Neto, Francisco Pinto, Ione Carvalho Palha, Pedro Fredemir da Costa Uchoa, Severina Alice Lapão, Luís Velez Fronteira, Inês Arcêncio, Ricardo Alexandre BMC Health Serv Res Research Article BACKGROUND: The early identification of the Breathing Symptoms within the scope of Primary Health Care is recommended, and is also one of the strategies of national sanitary authorities for reaching the elimination of tuberculosis. The purpose of this study is to consider which attributes and which territories have shown the most significant progress in Primary Health Care, in terms of coordination of Health Care Networks, and also check if those areas of Primary Health Care that are most critical regarding coordination, there were more or less cases of avoidable hospitalizations for tuberculosis. METHODS: This is an ecological study that uses primary and secondary data. For analysis, coropletic maps were developed through the ArcGIS software, version 10.2. There was also the calculation of gross annual and Bayesian rates for hospitalizations for tuberculosis, for each Primary Health Care territory. RESULTS: There were satisfactory results for attributes such as Population (n = 37; 80.4 %), Primary Health Care (n = 43; 93.5 %), Support System (n = 45; 97.8 %); the exceptions were Logistics System (n = 32; 76.0 %) and Governance System, with fewer units in good condition (n = 31; 67.3 %). There is no evidence of any connection between networks’ coordination by Primary Health Care and tuberculosis avoidable admissions. CONCLUSION: The results show that progress has been made regarding the coordination of the Health Care Networks, and a positive trend has been shown, even though the levels are not excellent. It was found no relationship between the critical areas of Primary Health Care and tuberculosis avoidable hospitalizations, possibly because other variables necessary to comprehend the phenomena. BioMed Central 2016-03-01 /pmc/articles/PMC4774126/ /pubmed/26931507 http://dx.doi.org/10.1186/s12913-016-1320-y Text en © Popolin et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Popolin, Marcela Paschoal
Touso, Michelle Mosna
Yamamura, Mellina
Rodrigues, Ludmila Barbosa Bandeira
da Cunha Garcia, Maria Concebida
Arroyo, Luiz Henrique
Ramos, Antônio Carlos Vieira
Berra, Thais Zamboni
Santos Neto, Marcelino
de Almeida Crispim, Juliane
Chiaravalotti Neto, Francisco
Pinto, Ione Carvalho
Palha, Pedro Fredemir
da Costa Uchoa, Severina Alice
Lapão, Luís Velez
Fronteira, Inês
Arcêncio, Ricardo Alexandre
Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?
title Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?
title_full Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?
title_fullStr Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?
title_full_unstemmed Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?
title_short Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?
title_sort integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in brazil?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4774126/
https://www.ncbi.nlm.nih.gov/pubmed/26931507
http://dx.doi.org/10.1186/s12913-016-1320-y
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