title: [Organization of health services and tuberculosis care management].
abstract: The scope of this study was to analyze the discourse of managers regarding the relationship between the organization of the health services and tuberculosis care management in a city in the metropolitan region of João Pessoa, State of Pernambuco. Using qualitative research in the analytical field of the French line of Discourse Analysis, 16 health workers who worked as members of the management teams took part in the study. The transcribed testimonials were organized using Atlas.ti version 6.0 software. After detailed reading of the empirical material, an attempt was made to identify the paraphrasic, polyssemic and metaphoric processes in the discourses, which enabled identification of the following discourse formation: Organization of the health services and the relation with TB care management: theory and practice. In the discourse of the managers the fragmentation of the actions of control of tuberculosis, the lack of articulation between the services and sectors, the compliance of the specific activities for TB, as well as the lack of strategic planning for management of care of the disease are clearly revealed. In this respect, for the organization of the health services to be effective, it is necessary that tuberculosis be considered a priority and acknowledged as a social problem in the management agenda.
authors.affiliation: Faculdade de Enfermagem Nova Esperança, João Pessoa, PB. annejaque@gmail.com
authors.forename: Anne Jaquelyne Roque
authors.initials: AJ
authors.lastname: Barrêto
authors.forename: Lenilde Duarte
authors.initials: LD
authors.lastname: de Sá
authors.forename: Jordana de Almeida
authors.initials: Jde A
authors.lastname: Nogueira
authors.forename: Pedro Fredemir
authors.initials: PF
authors.lastname: Palha
authors.forename: Patrícia Geórgia de Oliveira Diniz
authors.initials: PG
authors.lastname: Pinheiro
authors.forename: Nilma Maria Porto
authors.initials: NM
authors.lastname: de Farias
authors.forename: Débora Cezar de Souza
authors.initials: DC
authors.lastname: Rodrigues
authors.forename: Tereza Cristina Scatena
authors.initials: TC
authors.lastname: Villa
mesh_terms: D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D014376:Tuberculosis / Q000628:therapy*