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dc.contributor.authorLemos, Everton Ferreira-
dc.contributor.authorAlves, Aline Mara da Silva-
dc.contributor.authorOliveira, Giovana de Castro-
dc.contributor.authorRodrigues, Marcella Paranhos-
dc.contributor.authorMartins, Natália Daiane Garoni-
dc.contributor.authorCroda, Julio-
dc.identifier.citationLEMOS, Everton Ferreira; ALVES, Aline Mara da Silva; OLIVEIRA, Giovana de Castro; RODRIGUES, Marcella Paranhos; MARTINS, Natália Daiane Garoni; CRODA, Julio. Health-service performance of TB treatment for indigenous and non-indigenous populations in Brazil: a cross-sectional study. BMC Health Services Research, v. 14, n. 1, p. 237, 2014en_US
dc.publisherBioMed Centralen_US
dc.rightsopen accessen_US
dc.subject.otherRegião Centro-Oesteen_US
dc.subject.otherMato Grosso do Sulen_US
dc.titleHealth-service performance of TB treatment for indigenous and non-indigenous populations in Brazil: a cross-sectional studyen_US
dc.description.abstractenBackground: Health-service evaluation studies are fundamental for proposing interventions and ensuring improvements in healthcare quality. The present study assesses the performance of health services for indigenous and non-indigenous populations with regard to tuberculosis (TB) control. Methods: Interviews with TB patients who underwent treatment between 2009 and 2011 were conducted using the Primary Care Assessment Tool adapted for TB care in Brazil. Results: Primary healthcare (PHC) was the first treatment for most patients at symptom onset, and the diagnoses were typically performed by specialized services. Many patients experienced delayed TB diagnoses that required more than three medical appointments (51% and 47% for indigenous and non-indigenous populations, respectively). Indigenous people received social support, such as basic-needs grocery packages (2.19 ± 1.63 vs. 1.13 ± 0.49 for non-indigenous people, p < 0.01) and home visits from health professionals, with an emphasis on the performance of directly observed treatment strategies (DOT; 4.57 ± 0.89 vs. 1.68 ± 1.04 for non-indigenous people, p < 0.01). Conclusions: Regardless of the differences between indigenous and non-indigenous populations, the time needed to receive a TB diagnosis was unsatisfactory for both groups. Furthermore, DOT must be performed with better coverage among non-indigenous patientsen_US
dc.subject.decsSaúde de Populações Indígenasen_US
dc.subject.decsÍndios Sul-Americanosen_US
dc.subject.decsServiços de Saúde do Indígenaen_US
dc.subject.decsDoenças Infecciosasen_US
dc.subject.enHealth of Indigenous Peoplesen_US
dc.subject.enIndians, South Americanen_US
dc.subject.enHealth Services, Indigenousen_US
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