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基层医疗质量及其对麻风病监测指标的影响。

Primary care quality and its effects on leprosy monitoring indicators.

机构信息

Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Universidade de Alicante, San Vicente del Raspeig, Spain.

出版信息

Rev Bras Enferm. 2020;73(4):e20190038. doi: 10.1590/0034-7167-2019-0038. Epub 2020 Jun 1.

Abstract

OBJECTIVES

to evaluate the quality of primary care in leprosy control actions, to correlate effects on monitoring indicators.

METHODS

a cross-sectional study, conducted in Belo Horizonte, from July to September 2014. Interviews with 408 professionals were conducted through the application of a tool that assesses attributes of primary care in leprosy control actions, and monitoring indicators were calculated. Spearman correlation was used, significance level p < 0.05.

RESULTS

the overall score correlated with the percentage of cases treated in primary care and of family health staff coverage. The derived score correlated with the percentage of cases treated in primary care, and the essential score correlated with the proportion and rate of cases diagnosed, with grade 2 physical disability.

CONCLUSIONS

the quality of leprosy control actions performed by primary care professionals produces impacts on health indicators, and developing strategies consistent with the reality of the territory is necessary.

摘要

目的

评估麻风病控制行动中初级保健的质量,并将其与监测指标的效果相关联。

方法

这是一项横断面研究,于 2014 年 7 月至 9 月在贝洛奥里藏特进行。通过应用一种评估麻风病控制行动中初级保健属性的工具对 408 名专业人员进行了访谈,并计算了监测指标。采用斯皮尔曼相关性分析,显著性水平 p < 0.05。

结果

总体评分与在初级保健中治疗的病例百分比以及家庭卫生人员覆盖率相关。推导评分与在初级保健中治疗的病例百分比相关,基本评分与诊断病例的比例和比率、二级身体残疾相关。

结论

初级保健专业人员开展的麻风病控制行动的质量对健康指标产生影响,因此有必要制定符合该地区实际情况的战略。

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