Arcêncio Ricardo Alexandre, Arakawa Tiemi, Oliveira Mayra Fernanda, Cardozo-Gonzales Roxana Isabel, Scatena Lucia Marina, Ruffino-Netto Antônio, Villa Tereza Cristina Scatena
Departamento Materno Infantil e Saúde Pública, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Rev Esc Enferm USP. 2011 Oct;45(5):1121-7. doi: 10.1590/s0080-62342011000500013.
The objective of this study was to analyze the financial challenges that patients have to deal with to access the Tuberculosis (TB) Care Reference Centers in Ribeirão Preto. Adjustments were made to the Primary Care Assessment (PCAT) and an opinion poll was made with one-hundred patients following treatment and 16 health care professionals working at TB Reference Centers in Ribeirão Preto. Anova, Kruskall Wallis and chi-square tests were used. Most patients were males and most health care professionals were female. Differences were found between Centers C and A, in that Center C (p=0.028) offers a bus pass, and in A (p=0.010) patients paid for their own transportation. The indicator medical appointment in 24 hours showed a satisfactory level. There were disagreements between the reports from patients and health professionals as to the center offering the bus pass. Patients face challenges in their treatment, such as costs with transportation or being late for work, which result in losses in the family income.
本研究的目的是分析患者在前往里贝朗普雷图结核病护理参考中心时必须应对的经济挑战。对初级保健评估（PCAT）进行了调整，并对100名接受治疗后的患者和16名在里贝朗普雷图结核病参考中心工作的医疗保健专业人员进行了民意调查。使用了方差分析、克鲁斯卡尔 - 沃利斯检验和卡方检验。大多数患者为男性，大多数医疗保健专业人员为女性。在C中心和A中心之间发现了差异，C中心（p = 0.028）提供公交卡，而在A中心（p = 0.010）患者需自行支付交通费用。24小时内预约就诊指标显示水平令人满意。在提供公交卡的中心方面，患者和医疗专业人员的报告存在分歧。患者在治疗过程中面临挑战，如交通费用或上班迟到导致家庭收入损失。
