Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation

Objective: To understand the social representations of patients and professionals working in the field of tuberculosis, on the reasons for seeking diagnosis and treatment in the emergency room and not in the primary health care units called Unidades Básicas de Saúde (UBS) or in the health program P...

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Main Authors: Regiane de Paula, Fernando Lefevre, Ana Maria Cavalcanti Lefevre, Vera Maria Neder Galesi, Daniela Schoeps
Format: Article
Language:English
Published: Associação Brasileira de Pós-Graduação em Saúde Coletiva 2014-09-01
Series:Revista Brasileira de Epidemiologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300600&lng=en&tlng=en
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author Regiane de Paula
Fernando Lefevre
Ana Maria Cavalcanti Lefevre
Vera Maria Neder Galesi
Daniela Schoeps
author_facet Regiane de Paula
Fernando Lefevre
Ana Maria Cavalcanti Lefevre
Vera Maria Neder Galesi
Daniela Schoeps
author_sort Regiane de Paula
collection DOAJ
description Objective: To understand the social representations of patients and professionals working in the field of tuberculosis, on the reasons for seeking diagnosis and treatment in the emergency room and not in the primary health care units called Unidades Básicas de Saúde (UBS) or in the health program Programa de Saúde da Família near their residence. Methods: The survey was conducted in the health services in the municipalities of São Paulo and Guarulhos, Brazil, in hospitals and UBS. We interviewed 20 patients and 20 employees of these units, using the Collective Subject Discourse methodology to analyze their statements. The question presented to the users was: "Why did you seek the urgent emergency hospital and not the UBS to see if you had tuberculosis?" For professionals it was asked: "Why do you think the patient seeks diagnosis in the hospital and not in the UBS?" Results: As a result, two categories were found: (A) the cultural patterns; and (B) faults of the basic network. Conclusion: Analysis of the two explanatory dimensions show that the actions triggered by the health services should take into account the cultural patterns present in the social imaginary of the population; the health staff should receive training on specific knowledge of tuberculosis; there is a necessity of hiring human resources for the UBS and more inputs for programming.
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spelling doaj.art-18baf2cc5bed4558bc65fa47cd385a8d2022-12-21T22:27:13ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972014-09-0117360061410.1590/1809-4503201400030003S1415-790X2014000300600Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representationRegiane de PaulaFernando LefevreAna Maria Cavalcanti LefevreVera Maria Neder GalesiDaniela SchoepsObjective: To understand the social representations of patients and professionals working in the field of tuberculosis, on the reasons for seeking diagnosis and treatment in the emergency room and not in the primary health care units called Unidades Básicas de Saúde (UBS) or in the health program Programa de Saúde da Família near their residence. Methods: The survey was conducted in the health services in the municipalities of São Paulo and Guarulhos, Brazil, in hospitals and UBS. We interviewed 20 patients and 20 employees of these units, using the Collective Subject Discourse methodology to analyze their statements. The question presented to the users was: "Why did you seek the urgent emergency hospital and not the UBS to see if you had tuberculosis?" For professionals it was asked: "Why do you think the patient seeks diagnosis in the hospital and not in the UBS?" Results: As a result, two categories were found: (A) the cultural patterns; and (B) faults of the basic network. Conclusion: Analysis of the two explanatory dimensions show that the actions triggered by the health services should take into account the cultural patterns present in the social imaginary of the population; the health staff should receive training on specific knowledge of tuberculosis; there is a necessity of hiring human resources for the UBS and more inputs for programming.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300600&lng=en&tlng=enRepresentação socialTuberculoseServiços de saúdeAtenção primária à saúdeCultura organizacionalProfissionais de Saúde
spellingShingle Regiane de Paula
Fernando Lefevre
Ana Maria Cavalcanti Lefevre
Vera Maria Neder Galesi
Daniela Schoeps
Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation
Revista Brasileira de Epidemiologia
Representação social
Tuberculose
Serviços de saúde
Atenção primária à saúde
Cultura organizacional
Profissionais de Saúde
title Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation
title_full Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation
title_fullStr Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation
title_full_unstemmed Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation
title_short Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation
title_sort why do tuberculosis patients look for urgency and emergency unities for diagnosis a study on social representation
topic Representação social
Tuberculose
Serviços de saúde
Atenção primária à saúde
Cultura organizacional
Profissionais de Saúde
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300600&lng=en&tlng=en
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