Arakawa Tiemi, Arcêncio Ricardo Alexandre, Scatolin Beatriz Estuque, Scatena Lúcia Marina, Ruffino-Netto Antônio, Villa Tereza Cristina Scatena
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, SP, Brazil.
Rev Lat Am Enfermagem. 2011 Jul-Aug;19(4):994-1002. doi: 10.1590/s0104-11692011000400019.
The aim of this study was to assess the accessibility of patients to the treatment of tuberculosis in Ribeirão Preto, countryside of São Paulo State. Evaluation study type, with a quantity approach. Interviews with 100 patients initiated on anti-tuberculosis chemotherapy between 2006-2007 were conducted, using a structured questionnaire based on the Primary Care Assessment Tool (PCAT). Data were analyzed through variance analysis. There was a positive feedback regarding to organizational accessibility, however, the performance of health services has been unsatisfactory in providing transportation vouchers and in addressing the need to use transport for displacement to the health unit, resulting in indirect costs to patients. The services with the highest number of patients treated were those with higher irregularity in the conduct of home visits, showing that the availability of resources (human, material and time) and the organization of care may influence the accessibility to treatment.
本研究的目的是评估圣保罗州乡村地区里贝朗普雷图市结核病患者获得治疗的可及性。采用定量方法的评估研究类型。使用基于初级保健评估工具（PCAT）的结构化问卷，对2006年至2007年间开始接受抗结核化疗的100名患者进行了访谈。通过方差分析对数据进行了分析。在组织可及性方面有积极反馈，然而，卫生服务机构在提供交通券以及满足患者前往卫生机构就诊所需交通需求方面的表现不尽人意，给患者带来了间接费用。接受治疗患者数量最多的服务机构在进行家访时的规律性较差，这表明资源（人力、物力和时间）的可用性以及护理组织可能会影响治疗的可及性。
