Publicação
The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation
| Resumo: | 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. |
|---|---|
| Autores principais: | Bezerra, Simone Santos |
| Outros Autores: | 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; Sobrinho, José Lamartine Soares |
| Assunto: | tuberculosis program and health projects evaluation patients’ perspectives professionals’ perspectives |
| Ano: | 2019 |
| País: | Portugal |
| Tipo de documento: | contribuição para revista |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| Idioma: | inglês |
| Origem: | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| _version_ | 1868695850152099840 |
|---|---|
| author | Bezerra, Simone Santos |
| author2 | 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 Sobrinho, José Lamartine Soares |
| author2_role | author author author author author author author author |
| author_facet | 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 Sobrinho, José Lamartine Soares |
| author_role | author |
| contributor_name_str_mv | Repositório Comum |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Bezerra, Simone Santos\"},{\"Person.name\":\"Guerreiro, Mara Pereira\"},{\"Person.name\":\"Pessoa, Nathany França\"},{\"Person.name\":\"Silva, Maria Gabriela Pereira da\"},{\"Person.name\":\"Barros, Mirela Galvão de\"},{\"Person.name\":\"Gomes, João José Ferreira\"},{\"Person.name\":\"Athayde, Maria Paula\"},{\"Person.name\":\"Auad, Rodrigo Zeymer\"},{\"Person.name\":\"Sobrinho, José Lamartine Soares\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Comum |
| datacite.creators.creator.creatorName.fl_str_mv | 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 Sobrinho, José Lamartine Soares |
| datacite.date.Accepted.fl_str_mv | 2019-06-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2025-07-17T14:00:43Z |
| datacite.date.embargoed.fl_str_mv | 2025-07-17T14:00:43Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | tuberculosis program and health projects evaluation patients’ perspectives professionals’ perspectives |
| datacite.titles.title.fl_str_mv | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation |
| dc.contributor.none.fl_str_mv | Repositório Comum |
| dc.creator.none.fl_str_mv | 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 Sobrinho, José Lamartine Soares |
| dc.date.Accepted.fl_str_mv | 2019-06-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2025-07-17T14:00:43Z |
| dc.date.embargoed.fl_str_mv | 2025-07-17T14:00:43Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.26/58098 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | MDPI |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | tuberculosis program and health projects evaluation patients’ perspectives professionals’ perspectives |
| dc.title.fl_str_mv | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_3e5a |
| description | 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. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | contributionToPeriodical |
| fulltext.url.fl_str_mv | https://comum.rcaap.pt/bitstreams/c8332b12-cc65-4a0d-af42-a0621b2507f7/download |
| id | em_9867fdd446f08cd9b2ccc87ec8dbbdce |
| identifier.url.fl_str_mv | http://hdl.handle.net/10400.26/58098 |
| instacron_str | em |
| institution | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| instname_str | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| language | eng |
| network_acronym_str | em |
| network_name_str | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| oai_identifier_str | oai:comum.rcaap.pt:10400.26/58098 |
| organization_str_mv | urn:organizationAcronym:em |
| person_str_mv | 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 Sobrinho, José Lamartine Soares |
| publishDate | 2019 |
| publisher.none.fl_str_mv | MDPI |
| reponame_str | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| repository_id_str | urn:repositoryAcronym:em |
| service_str_mv | urn:repositoryAcronym:em |
| spelling | engMDPIengThe 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.application/pdfengThe perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluationBezerra, Simone SantosGuerreiro, Mara PereiraPessoa, Nathany FrançaSilva, Maria Gabriela Pereira daBarros, Mirela Galvão deGomes, João José FerreiraAthayde, Maria PaulaAuad, Rodrigo ZeymerSobrinho, José Lamartine SoaresHostingInstitutionOrganizationalRepositório Comume-mailmailto:comum@rcaap.ptcomum@rcaap.ptISSNIsPartOf2226-4787DOIIsPartOf10.3390/pharmacy70200702025-07-17T14:00:43Z2019-062019-06-01T00:00:00ZHandlehttp://hdl.handle.net/10400.26/58098http://purl.org/coar/access_right/c_abf2open accesstuberculosisprogram and health projects evaluationpatients’ perspectivesprofessionals’ perspectives1011282 bytesother research producthttp://purl.org/coar/resource_type/c_3e5acontribution to journal2019-06http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://comum.rcaap.pt/bitstreams/c8332b12-cc65-4a0d-af42-a0621b2507f7/downloadPharmacy7270 |
| spellingShingle | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation Bezerra, Simone Santos tuberculosis program and health projects evaluation patients’ perspectives professionals’ perspectives |
| status | SINGLETON |
| subject.fl_str_mv | tuberculosis program and health projects evaluation patients’ perspectives professionals’ perspectives |
| title | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation |
| title_full | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation |
| title_fullStr | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation |
| title_full_unstemmed | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation |
| title_short | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation |
| title_sort | The perspectives of patients and health professionals regarding the tuberculosis control programme in Recife, Brazil: a contribution to evaluation |
| topic | tuberculosis program and health projects evaluation patients’ perspectives professionals’ perspectives |
| topic_facet | tuberculosis program and health projects evaluation patients’ perspectives professionals’ perspectives |
| url | http://hdl.handle.net/10400.26/58098 |
| visible | 1 |