Patients' perceptions on the performance of a local health system to eliminate leprosy,Paraná State, Brazil.

Autor: Pieri FM; Department of Nursing, Universidade Estadual de Londrina, Londrina, Paraná, Brazil., Touso MM; Nursing and Public Health Graduate Program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Rodrigues LB; Department of Medicine, Universidade Federal de Mato Grosso, Cuiabá, Mato Grosso, Brazil., Yamamura M; Nursing and Public Health Graduate Program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Pinto IC; Department of Maternal-Infantile Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Dessunti EM; Department of Nursing, Universidade Estadual de Londrina, Londrina, Paraná, Brazil., Crispim Jde A; Nursing and Public Health Graduate Program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Ramos AC; University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Arroyo LH; University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Neto MS; Center of Social Science, Health and Technology, Universidade Federal do Maranhão, Imperatriz, Maranhão, Brazil., Garcia MC; Nursing and Public Health Graduate Program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Popolin MP; Nursing and Public Health Graduate Program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Silveira TR; University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Arcêncio RA; Department of Maternal-Infantile Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: PLoS neglected tropical diseases [PLoS Negl Trop Dis] 2014 Nov 20; Vol. 8 (11), pp. e3324. Date of Electronic Publication: 2014 Nov 20 (Print Publication: 2014).
DOI: 10.1371/journal.pntd.0003324
Abstrakt: 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.
Databáze: MEDLINE
Externí odkaz: