Avaliação da estrutura e do processo de atenção à pessoa com tuberculose em unidade de Pronto Socorro.

Abstract

The tuberculosis (TB) is a health public problem. The high indicators of TB are relating with the process of decentralization of control to the primary health care, with regard to the access of users. Moreover, weaknesses in the organizational aspects of primary health care directs a portion of the population to care in urgency and emergency units, among which the emergency department (ED). Thereby, this unit needs to be prepared for a direct attention and qualified to users with symptoms of TB. So, the aim of evaluate the structure and process for attention offered by ED Pelotas (RS) to respiratory symptoms for the diagnosis of tuberculosis. For evaluate of the ED were used elements of structure (physical resources, facilities, equipment and human) and the process (conduct of health professionals) proposed by Donabedian (1980). This study a quantitative, cross-sectional, done with 115 health professionals (nurses, doctors, nursing assistances and nursing technicians) working in ED Pelotas in the months of May - July 2013. The variables of interest compose an instrument proposed to evaluate the health primary care to the theme of TB. For data analysis used the structure variables. The variables related to physical resources, facilities and equipment were evaluated descriptively. As regards the variables of human resources organization were analyzed by Multiple Correspondence Analysis (MCA) stratified by professional category. Observed reports of presence mask, of health professionals to deal with TB, facility to convince the user to collect sputum and filling in the forms by health professionals. The Nursing auxiliaries and Nursing technicians be associated: outdated clinical and diagnostic tests for TB, unknown if the work overload influences the actions of diagnosis of TB, unknown and deny that the municipality/institution provides update about TB. Although the Emergency Unit had shown flaws in structure, this has the essential elements for the development of actions for the diagnosis of TB.