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[Performance of tuberculosis control services in municipalities of Paraná: family centeredness]
Mara Cristina Ribeiro Furlan1, Roxana Isabel Cardozo Gonzales2, Sonia Silva Marcon3
1Universidade Federal de Mato Grosso do Sul, Campus de Coxim, Mato Grosso do Sul, Brasil.
Objective:
To analyse and compare the performance of tuberculosis control services from the perspective of healthcare service users in relation to family centeredness.
Methods:
A descriptive, quantitative and qualitative study with 89 patients undergoing TB treatment in the 15th regional health district of Paraná. Data were collected from April to June 2012 using semi-structured interviews. The quantitative data were submitted to variance analysis or to the Kruskal-Wallis test and the qualitative data were subjected to content analysis.
Results:
The quantitative data showed that the health units performed better for the indicators 'healthcare professionals know the people who live with the user' (p = 0.1340) and 'evaluation of family members with specific tests' (p = 0.1430), while the benchmark outpatient units performed better for 'dialogue with family members about tuberculosis' (p = 0.5203) and 'treatment' (p = 0.4788). Analysis of the qualitative data produced two categories: 'family involvement in the treatment of tuberculosis' and 'disconnection of the health service from the family of patients with tuberculosis'.
Conclusions:
Healthcare teams should support and guide the families since they provide the care to patients undergoing tuberculosis treatment.
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