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Home / Publicações / Integrated health service delivery networks and tuberculosis avoidable hospitalizations: Is there a relation between them in Brazil

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

  • Autores: Arcêncio RA, Arroyo LH, Berra TZ, Chiaravalloti Neto F, da Costa Uchoa SA, da Cunha Garcia MC, de Almeida Crispim J, Fronteira I, Lapão LV, Palha PF, Pinto IC, Popolin MP, Ramos AC, Rodrigues LB, Santos Neto M, Touso MM, Yamamura M
  • Ano de Publicação: 2016
  • Journal: BMC Health Services Research
  • Link: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1320-y

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.

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.

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.

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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GHTM is a R&D Center that brings together researchers from IHMT with a track record in Tropical Medicine and International/Global Health. It aims at strengthening Portugal's role as a leading partner in the development and implementation of a global health research agenda. Our evidence-based interventions contribute to the promotion of equity in health and to improve the health of populations.

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