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The Perspectives of Patients and Health Professionals Regarding the Tuberculosis Control Programme in Recife, Brazil: A Contribution to Evaluation

1
Pharmaceutical Science Department, Federal University of Pernambuco-Recife, Pernambuco 50740-52, Brazil
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Escola Superior de Enfermagem de Lisboa, Unidade de Investigação e Desenvolvimento em Enfermagem (UI&DE), 1990-096 Lisboa, Portugal
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Portugal & Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Monte de Caparica, Portugal
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Faculty of Sciences, Universidade de Lisboa, 1749-016 Lisboa, Portugal
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Otávio de Freitas Hospital-Recife, Pernambuco 50920-460, Brazil
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State Technical School Professor Agamenon Magalhães, Recife 52050-385, Pernambuco, Brazil
*
Author to whom correspondence should be addressed.
Pharmacy 2019, 7(2), 70; https://doi.org/10.3390/pharmacy7020070
Received: 26 March 2019 / Revised: 14 May 2019 / Accepted: 29 May 2019 / Published: 19 June 2019
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Abstract

The study objective is to describe patients and professionals’ perspectives on the Tuberculosis Control Program (PCT) in Recife, Brazil, contributing to the program evaluation. A cross-sectional study was conducted in three purposively selected sites, representing the three levels of care in the public health system. All eligible PCT patients in sites A, B and C were invited to participate (n = 123). Physicians, nurses, pharmacists and community health agents providing care to PCT patients in these sites, plus their managers, were purposively selected. Data were collected by means of interviews with 44 patients and a questionnaire to 24 professionals. Instruments encompassed previously published items to capture stakeholders’ perspectives (16 and 12 closed-questions, respectively), grouped into categories. The overall evaluation by patients was unsatisfactory (median score 35%; third quartile below 50%; interquartile range 21.9%). Analysis of scores by categories showed that opinions about organizational accessibility were significantly worse than about economic and geographical accessibility, taken together. Overall the median score attributed by professionals was 52% (third quartile below 65%). Professionals had significantly worse opinions about diagnosis, clinical and laboratory assistance. Patients and professionals’ perspectives highlight potential opportunities for improvement. Our findings can be used by managers as a starting point for shared decision-making, potentially contributing to a better performance of the PCT in Recife and, consequently, reducing the risk posed by tuberculosis. View Full-Text
Keywords: tuberculosis; program and health projects evaluation; patients’ perspectives; professionals’ perspectives tuberculosis; program and health projects evaluation; patients’ perspectives; professionals’ perspectives
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MDPI and ACS Style

Bezerra, S.S.; Guerreiro, M.P.; Pessoa, N.F.; Silva, M.G.P.; Barros, M.G.; Gomes, J.J.F.; Athayde, M.P.; Auad, R.Z.; Soares Sobrinho, J.L. The Perspectives of Patients and Health Professionals Regarding the Tuberculosis Control Programme in Recife, Brazil: A Contribution to Evaluation. Pharmacy 2019, 7, 70.

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