Medline
Romera, A.A, et al (2016)44 Romera AA, Barreto AJR, Pinheiro PGOD, Adário KDO, Sá LD. Discurso dos enfermeiros gestores relacionados aos condicionantes que (des)favorecem o controle da tuberculose em idosos. Rev Gaúcha Enferm 2016;37(4):e57327 [9 p.]. Disponível em: https://www.scielo.br/pdf/rgenf/v37n4/0102-6933-rgenf-1983-144720160457327.pdf
https://www.scielo.br/pdf/rgenf/v37n4/01...
Brazil / Qualitative |
Analyze the discourse of nursing managers related to the conditions that facilitate or hamper TB control in older adults. |
Related to professional training: |
Training of professionals only if necessary |
Professionals unprepared for care |
Qualifications of professionals |
Continuing Health Education |
| Educational practice based on vertical knowledge transmission |
Lack of reflection by professionals on TB care actions for older adults |
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| Qualification process is the sole responsibility of management |
Lack of organization and failures in care |
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Cinahl
Sá, L.D. et al (2015)1414 Sá LD, Scatena LM, Rodrigues RAP, Nogueira JA, Silva AO, Villa TCS. Gateway to the diagnosis of tuberculosis among elders in Brazilian municipalities. Rev Bras Enferm. 2015;68(3):408-14.
Brazil / Qualitative |
Analyze the factors associated with the gateway to health systems in Brazilian municipalities for the diagnosis of TB in older adults |
Related to professional qualification: |
Lack of professional competence to assign diagnostics and transfer responsibilities to users for diagnostic confirmation |
Delays in diagnosis |
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| Related to the gateway for TB diagnosis: |
Primary health care services are not the first point sought by TB patients, nor the first to prove effective for diagnostic confirmation |
Lack of trust on the part of patients and families and delayed diagnosis |
Standardization of Primary Health Care services as the first service for suspected TB users. |
Qualified and trained professional to diagnose the disease, easy access and specific actions to identify symptomatic patients |
| Related to the bond between professional and patient: |
Failings in intake actions and the bond between health service professionals in primary health care and users |
Seek other services |
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| Related to the logistics of health services: |
Unsuitable hours of functioning for family health units |
Distancing from users |
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| Lack of specific actions to identify respiratory symptoms |
Increase in cases |
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| Difficulty in managing spontaneous demand and low resolutive capacity |
Lack of TB control |
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| Lack of knowledge on the part of users about the location of the family health unit |
Low disease coverage |
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Cinahl
Andrade, S.L.E. et al (2016)1010 Andrade SLE, Rodrigues DCS, Barrêto AJR, Oliveira AAV, Santos ARB, Sá LD. Tuberculosis among the elderly: health care system gateway and late diagnosis. Rev Enferm UERJ. 2016;24(3):e5702 [9 p.].
Brazil / Qualitative |
To analyze the factors related to delayed diagnosis in older adults in a municipality in the metropolitan region of João Pessoa, Paraiba, evaluating them as part of the gateway process. |
Related to the TB diagnosis gateway |
Primary health care services are not the first sought |
Delays in diagnosis |
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| Related to the logistics of health services: |
Passive search for respiratory symptoms |
User seeks treatment from other services and diagnosis is delayed |
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| Searching for cases is not a priority within the reality of primary care services |
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| Related to the bond between professional and patient: |
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Building of bonds |
Closer professional relationship with users and home visits |
Medline
Chen, C. et al (2015)1717 Chen CC, Chiang CY, Pan SC, Wang JY, Lin HH. Health system delay among patients with tuberculosis in Taiwan: 2003-2010. BMC Infect Dis. 2015;15(491):1-9.
Taiwan / Quantitative |
To analyze the temporal pattern of delays in the health system among 3,117 TB patients between 2003 and 2010, in Taiwan. |
Related to professional qualification: |
Little awareness of doctors and the general public about TB |
Low efficiency of disease diagnosis |
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| Related to the gateway to TB diagnosis: |
Seeks private or specialist services |
Delays in diagnosis |
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| Related to the logistics of health services: |
Reduced case tracking |
Delayed diagnosis |
Seek to reduce delays in health services |
Contact tracing |
Medline
Yellappa, V. et al (2017)1919 Yellappa V, Lefèvre P, Battaglioli T, Devadasan N, Stuyft PVD. Patients pathways to tuberculosis diagnosis and treatment in a fragmented healthsystem: a qualitative study from a south Indian district. BMC Public Health. 2017;17:1-10.
India / Qualitative |
Understand the factors that influence the therapeutic itinerary of the TB patient for the National Revised Tuberculosis Control Program of India (RNTCP) and the practices of patient cross-referencing linked to private practices |
Related to professional qualification: |
Lack of health education by professionals |
Limited awareness of patients about tuberculosis |
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| Related to the bond between professional and patient: |
Lack of effective communication |
Non-adherence of user to treatment |
Understanding of patients about the particularities of the disease |
Health education and effective communication and clarification |
Lilacs
Oliveira, A. A. V. et al. (2013)1515 Oliveira AAV, Sá LD, Nogueira JA, Andrade FLE, Palha PF, Villa TCS. Diagnosis of tuberculosis in older people: barriers related to Access to health services. Rev Esc Enferm USP. 2013;47(1):145-51
Brazil / Qualitative |
Analyze barriers to TB diagnosis in older adults related to health services in the city of João Pessoa, Paraiba. |
Related to professional qualification: |
FHS professionals are not responsible for tuberculosis diagnosis, implying a lack of professional qualification and knowledge. |
Poor service and failures to identify diagnoses |
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| Related to the TB diagnosis gateway: |
Patients believe that the services offered by other levels of care have greater resolutive capacity |
Lack of trust on the part of patients |
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| Related to the bond between professional and patient: |
Lack of nurse-user interaction. |
Care does not take into account the patient’s individual characteristics |
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| Related to the logistics of health services: |
Absence of responsibility of professionals when diagnosing TB |
Poor service and failures in identifying diagnoses |
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Work from the perspective of integrality. |
Target care towards those with TB. |
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