title: [Effectiveness in the diagnosis of tuberculosis in Foz do Iguaçu, the triple-border area of Brazil, Paraguay and Argentina].
abstract: This study sought to assess the effectiveness of health services in the diagnosis of tuberculosis in Foz do Iguaçu-PR, the triple border region of Brazil, Paraguay, and Argentina. In this epidemiologic, cross-sectional study, 101 persons with tuberculosis were interviewed in 2009 by using an instrument based on the Primary Care Assessment Tool . The analysis was based on proportions and respective 95% confidence intervals (95%) and means. Emergency units (37%) and primary health care units (26%) were the most sought units. Access to medical consultation on the same day reached 70%, but tuberculosis was suspected in less than 47% of patients; bacilloscopy was conducted in 50% of patients. We conclude that although these services provide rapid care, they do not determine the true diagnosis and lead the patient to seek specialized services. Specialty services are more effective in establishing the correct diagnosis. In the triple border region, seeking care at a primary health care unit led to extra time and more returns to the hospital for a tuberculosis diagnosis.
authors.affiliation: Universidade Estadual do Oeste do Paraná, Brasil, Campus de Foz do IguaçuPR, Professor Adjunto, Universidade Estadual do Oeste do Paraná , Campus de Foz do Iguaçu , PR , Brasil .reisobrinho@unioeste.br.
authors.forename: Reinaldo Antonio
authors.initials: RA
authors.lastname: Silva-Sobrinho
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brasil, Ribeirão PretoSP, Doutora, Escola de Enfermagem de Ribeirão Preto , Universidade de São Paulo , Ribeirão Preto , SP , Brasil .
authors.forename: Maria Amélia Zanon
authors.initials: MA
authors.lastname: Ponce
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brasil, Ribeirão PretoSP, Doutora, Escola de Enfermagem de Ribeirão Preto , Universidade de São Paulo , Ribeirão Preto , SP , Brasil .
authors.forename: Rubia Laine de Paula
authors.initials: RL
authors.lastname: Andrade
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brasil, Ribeirão PretoSP, Mestre, Escola de Enfermagem de Ribeirão Preto , Universidade de São Paulo , Ribeirão Preto , SP , Brasil .
authors.forename: Aline Ale
authors.initials: AA
authors.lastname: Beraldo
authors.affiliation: Universidade Federal do Rio Grande do Norte, Brasil, NatalRN, Doutora, Universidade Federal do Rio Grande do Norte , Natal , RN , Brasil .
authors.forename: Erika Simone Galvão
authors.initials: ES
authors.lastname: Pinto
authors.affiliation: Universidade Federal do Triângulo Mineiro, Brasil, UberabaMG, Professora Adjunta, Universidade Federal do Triângulo Mineiro , Uberaba , MG , Brasil .
authors.forename: Lucia Marina
authors.initials: LM
authors.lastname: Scatena
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brasil, Ribeirão PretoSP, Professora Adjunta, Escola de Enfermagem de Ribeirão Preto , Universidade de São Paulo , Ribeirão Preto , SP , Brasil .
authors.forename: Aline Aparecida
authors.initials: AA
authors.lastname: Monroe
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brasil, Ribeirão PretoSP, Professora Associada, Escola de Enfermagem de Ribeirão Preto , Universidade de São Paulo , Ribeirão Preto , SP , Brasil .
authors.forename: Ione Carvalho
authors.initials: IC
authors.lastname: Pinto
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brasil, Ribeirão PretoSP, Professora Titular da Escola de Enfermagem de Ribeirão Preto , Universidade de São Paulo , Ribeirão Preto , SP , Brasil .
authors.forename: Tereza Cristina Scatena
authors.initials: TC
authors.lastname: Villa
mesh_terms: D001118:Argentina; D001938:Brazil; D006801:Humans; D008962:Models, Theoretical; D010239:Paraguay; D011785:Quality Assurance, Health Care; D014376:Tuberculosis / Q000175:diagnosis*