Rabelo Juliana Veiga Costa, Navarro Pedro Daibert de, Carvalho Wânia da Silva, Almeida Isabela Neves de, Oliveira Camila Stefânie Fonseca, Haddad João Paulo Amaral, Miranda Silvana Spindola de
Secretaria Municipal de Saúde de Belo Horizonte, Belo Horizonte, Brasil.
Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2021 Apr 7;37(3):e00112020. doi: 10.1590/0102-311X00112020. eCollection 2021.
The World Health Organization highlights the importance of health services organization and performance in tuberculosis (TB) control activities. This study aimed to assess the performance of primary healthcare services in Belo Horizonte, Minas Gerais State, Brazil, in TB control activities in the dimensions Structure and Process, before and after the use of a validated instrument called Stratification by Degree of Clinical Risk and Tuberculosis Treatment Dropout (ERTB). This was a descriptive and prospective study with two interviews (455 professionals), the second of which after the ERTB. Performance classification was: ≤ 49.9%, critical; 50-79.9%, unsatisfactory, and ≥ 80%, satisfactory. The comparative assessment used the McNemar statistical test with p < 0.05. After risk stratification, most of the variables in each dimension improved significantly. The authors conclude that it was possible to identify satisfactory performance in most of the variables assessed in the Structure and Process dimensions in primary healthcare services in Belo Horizonte in relation to TB control activities, using a standardized questionnaire.
世界卫生组织强调了卫生服务组织及绩效在结核病控制活动中的重要性。本研究旨在评估巴西米纳斯吉拉斯州贝洛奥里藏特市初级卫生保健服务在使用一种名为“临床风险程度分层与结核病治疗中断”（ERTB）的经过验证的工具之前和之后，在结核病控制活动的结构和过程维度中的绩效。这是一项描述性前瞻性研究，进行了两次访谈（455名专业人员），第二次访谈在使用ERTB之后。绩效分类为：≤49.9%，关键；50 - 79.9%，不满意；≥80%，满意。比较评估采用McNemar统计检验，p < 0.05。风险分层后，每个维度的大多数变量都有显著改善。作者得出结论，使用标准化问卷可以确定贝洛奥里藏特市初级卫生保健服务在结核病控制活动的结构和过程维度中评估的大多数变量的绩效令人满意。
