title: Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?
abstract: BACKGROUND
  The early identification of the Breathing Symptoms within the scope of Primary Health Care is recommended, and is also one of the strategies of national sanitary authorities for reaching the elimination of tuberculosis. The purpose of this study is to consider which attributes and which territories have shown the most significant progress in Primary Health Care, in terms of coordination of Health Care Networks, and also check if those areas of Primary Health Care that are most critical regarding coordination, there were more or less cases of avoidable hospitalizations for tuberculosis.
  
  
  METHODS
  This is an ecological study that uses primary and secondary data. For analysis, coropletic maps were developed through the ArcGIS software, version 10.2. There was also the calculation of gross annual and Bayesian rates for hospitalizations for tuberculosis, for each Primary Health Care territory.
  
  
  RESULTS
  There were satisfactory results for attributes such as Population (n = 37; 80.4 %), Primary Health Care (n = 43; 93.5 %), Support System (n = 45; 97.8 %); the exceptions were Logistics System (n = 32; 76.0 %) and Governance System, with fewer units in good condition (n = 31; 67.3 %). There is no evidence of any connection between networks' coordination by Primary Health Care and tuberculosis avoidable admissions.
  
  
  CONCLUSIONS
  The results show that progress has been made regarding the coordination of the Health Care Networks, and a positive trend has been shown, even though the levels are not excellent. It was found no relationship between the critical areas of Primary Health Care and tuberculosis avoidable hospitalizations, possibly because other variables necessary to comprehend the phenomena.
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. marcelappopolin@gmail.com.
authors.forename: Marcela Paschoal
authors.initials: MP
authors.lastname: Popolin
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. michelletouso@gmail.com.
authors.forename: Michelle Mosna
authors.initials: MM
authors.lastname: Touso
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. mellinayamamura@yahoo.com.br.
authors.forename: Mellina
authors.initials: M
authors.lastname: Yamamura
authors.affiliation: Institute for Health Sciences, Federal University of Mato Grosso, Av Alexandre Ferronato 1200, Reserve 35, 78550-000, Sinop, Mato Grosso, Brazil. ludbbr@yahoo.com.br.
authors.forename: Ludmila Barbosa Bandeira
authors.initials: LB
authors.lastname: Rodrigues
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. concycg@yahoo.com.br.
authors.forename: Maria Concebida
authors.initials: MC
authors.lastname: da Cunha Garcia
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. Luiz.arroyo@hotmail.com.
authors.forename: Luiz Henrique
authors.initials: LH
authors.lastname: Arroyo
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. antonio.ramos@usp.br.
authors.forename: Antônio Carlos Vieira
authors.initials: AC
authors.lastname: Ramos
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. thaiszamboni@live.com.
authors.forename: Thais Zamboni
authors.initials: TZ
authors.lastname: Berra
authors.affiliation: Centre of Social Sciences, Health and Technology of the Federal University of Maranhão (UFMA), Rua Turqueza, 65900-410, Imperatriz, Maranhão, Brazil. marcelinosn@gmail.com.
authors.forename: Marcelino
authors.initials: M
authors.lastname: Santos Neto
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. julianecrisp@gmail.com.
authors.forename: Juliane
authors.initials: J
authors.lastname: de Almeida Crispim
authors.affiliation: Department of Epidemiology, Faculty of Public Health, University of São Paulo, Avenida Dr. Arnaldo, 715, 01246-904, São Paulo, São Paulo, Brazil. franciscochiara@usp.br.
authors.forename: Francisco
authors.initials: F
authors.lastname: Chiaravalotti Neto
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. ionecarv@eerp.usp.br.
authors.forename: Ione Carvalho
authors.initials: IC
authors.lastname: Pinto
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. palha@eerp.usp.br.
authors.forename: Pedro Fredemir
authors.initials: PF
authors.lastname: Palha
authors.affiliation: Department of Group Health, Federal University of Rio Grande do Norte, Avenida Senador Salgado Filho, 3000, Rio Grande do Norte, 59078-970, Natal, Brazil. alicedacostauchoa@gmail.com.
authors.forename: Severina Alice
authors.initials: SA
authors.lastname: da Costa Uchoa
authors.affiliation: WHO Collaborating Centre for Health Workforce Policy and Planning, International Public Health and Biostatistics, Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Rua Junqueira 100, Lisbon, P-1349-008, Portugal. luis.lapao@ihmt.unl.pt.
authors.forename: Luís Velez
authors.initials: LV
authors.lastname: Lapão
authors.affiliation: International Public Health and Biostatistics, Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Rua Junqueira 100, Lisbon, P-1349-008, Portugal. ifronteira@ihmt.unl.pt.
authors.forename: Inês
authors.initials: I
authors.lastname: Fronteira
authors.affiliation: Maternal-Infant and Public Health Nursing Department, College of Nursing of Ribeirão Preto, University of São Paulo, Av dos Bandeirantes 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil. ricardo@eerp.usp.br.
authors.forename: Ricardo Alexandre
authors.initials: RA
authors.lastname: Arcêncio
mesh_terms: D001499:Bayes Theorem; D001938:Brazil / Q000453:epidemiology; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D005260:Female; D006306:Health Surveys; D006760:Hospitalization; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration*; D014376:Tuberculosis / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control