Mariani Javier, Ferrante Daniel, Battistella Gabriel, Langsam Martín, Pérez Freddy, Macchia Alejandro
Fundación GESICA Buenos Aires Argentina Fundación GESICA, Buenos Aires, Argentina.
Secretariat of Network Health Planning and Management, Ministry of Health of the city of Buenos Aires Buenos Aires Argentina Secretariat of Network Health Planning and Management, Ministry of Health of the city of Buenos Aires, Buenos Aires, Argentina.
Rev Panam Salud Publica. 2021 Feb 5;45:e22. doi: 10.26633/RPSP.2021.22. eCollection 2021.
Evaluate primary health care functions from the perspective of patients with tuberculosis from slums in the city of Buenos Aires, Argentina.
Cross-sectional observational study with adult patients with tuberculosis (TB) and without TB (NoTB), living in slums (S) and outside them (NoS). Participants' perceptions were evaluated using the Primary Care Assessment Tool for users (abbreviated version), which measures four main domains (first contact, ongoing care, coordination with specialists, and comprehensiveness) and selected secondary domains. A Likert scale was used, ranging from "No, not at all" (1 point) to "Yes, definitely" (4 points). Scores ≥ 3 were considered to indicate adequate performance of functions. Averages were calculated for each domain, as well as two overall scores: with and without secondary domains.
83 participants were included (20 TB-S, 21 TB-NoS, 19 NoTB-S, and 23 NoTB-NoS). The evaluated functions were perceived as inadequate. The TB-S group gave the lowest overall scores, not reaching 3 points in any domain. There were no significant differences in domains or overall scores between groups. Participants with TB gave lower scores in all domains, except in family-centered care, where they gave a significantly higher score than NoTB participants. The overall score without secondary domains was lower for TB participants than for the NoTB groups.
According to the perception of participants with TB and without TB, primary health care functions are not satisfactory, either in slums or outside them.
从阿根廷布宜诺斯艾利斯市贫民窟结核病患者的角度评估初级卫生保健功能。
对居住在贫民窟（S）及其以外地区（非S）的成年结核病（TB）患者和非结核病（NoTB）患者进行横断面观察性研究。使用面向用户的初级保健评估工具（缩写版）评估参与者的看法，该工具测量四个主要领域（首次接触、持续护理、与专科医生的协调以及全面性）和选定的次要领域。采用李克特量表，范围从“不，一点也不”（1分）到“是，绝对”（4分）。得分≥3分被认为表明功能表现良好。计算每个领域的平均值以及两个总体得分：包括次要领域和不包括次要领域的得分。
纳入83名参与者（20名TB-S、21名TB-非S、19名NoTB-S和23名NoTB-非S）。所评估的功能被认为不充分。TB-S组的总体得分最低，在任何领域都未达到3分。各组在领域得分或总体得分上无显著差异。结核病患者在所有领域的得分较低，但在以家庭为中心的护理方面，他们的得分显著高于非结核病参与者。不包括次要领域的总体得分，结核病参与者低于非结核病组。
根据结核病患者和非结核病患者的看法，初级卫生保健功能在贫民窟及其以外地区都不尽人意。
