title: The adoption of a new diagnostic technology for tuberculosis in two Brazilian cities from the perspective of patients and healthcare workers: a qualitative study.
abstract: BACKGROUND
  This article presents the qualitative component linked to a larger study of implementation of the Xpert™ MTB/Rif technology in two Brazilian cities. Despite intrinsic advantages of new health technologies, its introduction can be disruptive to existing routines, and it is thus important to understand how these innovations are perceived by the different groups involved in its regular use.
  
  
  METHODS
  This study was based on semi-structured interviews with patients, lab technicians, health care workers and managers involved with diagnosis and care of Tuberculosis (TB). The interviews had their content analyzed in order to abstract the different perspectives for the various actors.
  
  
  RESULTS
  For patients the changes were not perceived as significant, since their greatest concerns were related to treatment and the stigma associated with TB. The professionals in general welcomed the new technique, which dramatically decreases the workload, time and reliability of diagnosis, in their view. However, we noted difficulties with the concomitant implementation of new IT technology for recording and reporting test results, which negatively impacted the time necessary to get lab diagnosis to physicians.
  
  
  CONCLUSIONS
  Through this analysis we detected some bottlenecks in the surrounding environment, not necessarily linked to the technology itself but which could hamper considerably its advantages.
authors.affiliation: Departamento de Planejamento e Administração em Saúde, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, (R. S. Fco. Xavier, 524 7º Andar Bloco D.), Rio de Janeiro, RJ, (20559-900), Brazil. kenneth@uerj.br.
authors.forename: Kenneth R
authors.initials: KR
authors.lastname: de Camargo
authors.affiliation: Departamento de Saúde e Sociedade, Instituto de Saúde Coletiva, Universidade Federal Fluminense, (Rua Marquês do Paraná, 303 - 3º andar), Niterói, RJ, (24030-210), Brazil. carla.rguedes@gmail.com.
authors.forename: Carla R
authors.initials: CR
authors.lastname: Guedes
authors.affiliation: Departamento de Planejamento e Administração em Saúde, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, (R. S. Fco. Xavier, 524 7º Andar Bloco D.), Rio de Janeiro, RJ, (20559-900), Brazil. caetano.r@gmail.com.
authors.forename: Rosângela
authors.initials: R
authors.lastname: Caetano
authors.affiliation: Global Health Strategies Brazil, (Largo do Machado, 21 sala 518), Rio de Janeiro, RJ, (22221-020), Brazil. amenezes@globalhealthstrategies.com.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Menezes
authors.affiliation: Internal Medicine Post-graduation Program, University Hospital, Federal University of Rio de Janeiro, (Av. Brigadeiro Trompowski s/no, Ilha do Fundão), Rio de Janeiro, RJ, (21949-90), Brazil. atrajman@gmail.com.
authors.forename: Anete
authors.initials: A
authors.lastname: Trajman
mesh_terms: D000328:Adult; D020811:Biomedical Technology; D001938:Brazil; D002947:Cities; D004059:Diffusion of Innovation; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D036301:Qualitative Research; D015203:Reproducibility of Results; D014376:Tuberculosis / Q000175:diagnosis*