title: [Access to the diagnosis of tuberculosis in health services in the municipality of Vitoria, state of Espírito Santo, Brazil].
abstract: This study sought to assess the accessibility to the diagnosis of tuberculosis in health services in Victoria, state of Espírito Santo. It featured a cross-sectional study conducted in 2009 of patients with tuberculosis using the Primary Care Assessment Tool and statistical analysis with the Chi-square test (p <0,05). In relation to initial access to care, it was seen that the health service of first access most sought was Primary Care (37.6%), with most diagnoses occurring in the Tuberculosis Control Program Reference Units (61.3%). There was evidence of association between first health service accessed and the factors of time delay in: obtaining consultation at the first health service sought (p = 0.0182); diagnosis made by the first health service sought (p = 0.0001); request for sputum exam (p = 0,0003); request for X-ray exams (p = 0.0159); referral for X-rays at another institution (p = 0.0001); diagnosis by the same health service (p = 0.0001); exams conducted by the same health service that initially diagnosed tuberculosis (p = 0.0018); and proximity to the home (p = 0.0001). Therefore, the identification of important gaps in accessibility to diagnosis of tuberculosis seems to be related to the operational difficulties of organization of health care.
authors.affiliation: Universidade Federal do Espírito Santo, Vitória, ES, Brasil, rafaelabloureiro@gmail.com.
authors.forename: Rafaela Borges
authors.initials: RB
authors.lastname: Loureiro
authors.affiliation: Departamento de Enfermagem em Saúde Pública, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Tereza Cristina Scatena
authors.initials: TC
authors.lastname: Villa
authors.affiliation: Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Antônio
authors.initials: A
authors.lastname: Ruffino-Netto
authors.affiliation: Universidade Federal do Espírito Santo, Vitória, ES, Brasil, rafaelabloureiro@gmail.com.
authors.forename: Renata Lyrio
authors.initials: RL
authors.lastname: Peres
authors.affiliation: Departamento de Epidemiologia, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro.
authors.forename: Jose Ueleres
authors.initials: JU
authors.lastname: Braga
authors.affiliation: Universidade Federal do Espírito Santo.
authors.forename: Eliana
authors.initials: E
authors.lastname: Zandonade
authors.affiliation: Universidade Federal do Espírito Santo, Vitória, ES, Brasil, rafaelabloureiro@gmail.com.
authors.forename: Ethel Leonor Noia
authors.initials: EL
authors.lastname: Maciel
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014376:Tuberculosis / Q000175:diagnosis*; D055815:Young Adult