Marques Cristiano Corrêa de Azevedo, Carvalheiro José da Rocha
Secretaria de Estado da Saúde de São Paulo, Instituto Butantan, São Paulo-SP, Brasil.
Secretaria de Estado da Saúde de São Paulo, Instituto de Saúde, São Paulo-SP, Brasil.
Epidemiol Serv Saude. 2017 Jul-Sep;26(3):513-524. doi: 10.5123/S1679-49742017000300009.
to assess the performance of the diagnostic network in the implementation process of the Program for Viral Hepatitis Prevention and Control in São Paulo State, Brazil, from 1997 to 2012.
evaluation study based on documentary research and structured interviews, combined with a historical series analysis of indicators developed to assess the implementation process of the program, using data from the Department of the Brazilian National Health System.
from 1997 to 2012, the serology, biopsy and molecular biology diagnostic networks showed an increase in the coefficients of coverage of 7.4, 7.3, and 62.0 times, respectively, with an increase in cases detection and treatment access.
despite the effective implementation of the diagnostic network, there is a need to review the search strategy for new cases, and access to liver biopsy, still insufficient to the program demand.
评估1997年至2012年巴西圣保罗州病毒性肝炎预防与控制项目实施过程中诊断网络的表现。
基于文献研究和结构化访谈的评估研究，结合对为评估该项目实施过程而制定的指标进行的历史序列分析，使用巴西国家卫生系统部门的数据。
1997年至2012年，血清学、活检和分子生物学诊断网络的覆盖系数分别增加了7.4倍、7.3倍和62.0倍，病例检测和治疗可及性有所提高。
尽管诊断网络得到有效实施，但仍需审查新病例的搜索策略，且肝活检的可及性仍不足以满足项目需求。
