Quality of healthcare services to reduce leprosy in Brazil: a trend analysis from 2001 to 2020.

Autor:	Mártires GDS; Universidade Federal do Amazonas, School of Medicine - Manaus (AM), Brazil., Lima GLDS; Universidade Federal do Amazonas, School of Medicine - Manaus (AM), Brazil., Gomes DE; Universidade Federal do Amazonas, School of Medicine - Manaus (AM), Brazil., Lessa ADC; Universidade Federal dos Vales do Jequitinhonha e Mucuri, Postgraduate Program in Health, Society and Environment - Diamantina (MG), Brasil., Souza CDSM; Universidade Federal do Amazonas, Postgraduate Program in Health Sciences - Manaus (AM), Brazil., Ignotti E; Universidade do Estado do Mato Grosso, Postgraduate Program in Environmental Sciences - Cáceres (MT), Brazil., Freitas RF; Universidade Federal do Amazonas, Postgraduate Program in Family Health - Manaus (AM), Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2024 Jul 01; Vol. 27, pp. e240034. Date of Electronic Publication: 2024 Jul 01 (Print Publication: 2024).
DOI:	10.1590/1980-549720240034
Abstrakt:	Objective: To analyze the temporal trend of healthcare services quality indicators to reduce leprosy in Brazil, over a 20-year period. Methods: This is an epidemiological study with a temporal trend, whose data were extracted from the Notifiable Diseases Information System. Indicators were constructed from the Ministry of Health Technical-Operational Manual that presents the Guidelines for Surveillance, Care and Elimination of Leprosy as a Public Health Problem. For trend analysis of the selected indicators, the Prais-Winsten model was used and the Average Annual Growth Rate (AAGR) was also calculated. Results: In the 20-year time series investigated here, 732,959 cases of leprosy were reported in Brazil. The trend was stationary for: new leprosy cases cure rate (β=-0.000; p=0.196; AAGR=-0.2), new leprosy cases drop out rate (β=-0.001; p=0.147; AAGR=-0.4), new leprosy cases contact tracing rate (β=-0.001; p=0.112; AAGR=1.6), new cases of leprosy with degree physical disability assessment rate among new cases (β=-0.000; p=0.196; AAGR=-0.2) and cases cured in the year with the degree of physical disability assessed (β=0.002; p=0.265; AAGR=0.5); while the indicator of recurrence rate among cases reported in the year (β=0.019; p<0.001; AAGR=0.5) showed an increasing trend. Conclusion: Based on the evaluation of indicators to assess the quality of healthcare services to reduce leprosy, it was evident that Brazil has major challenges for its full implementation, with improvements being necessary in the quality of care service offered to the population.
Databáze:	MEDLINE
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