Financial challenges to access tuberculosis treatment in Ribeirão Preto - São Paulo

Authors

  • Ricardo Alexandre Arcêncio Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto; Departamento Materno Infantil e Saúde Pública
  • Tiemi Arakawa Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Mayra Fernanda Oliveira Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Roxana Isabel Cardozo-Gonzales Universidade Federal de Pelotas
  • Lucia Marina Scatena Universidade Federal do Triângulo Mineiro
  • Antônio Ruffino-Netto Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Departamento de Medicina Social
  • Tereza Cristina Scatena Villa Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto

DOI:

https://doi.org/10.1590/S0080-62342011000500013

Keywords:

Tuberculosis, Health Services Accessibility, Primary Health Care, Social conditions, Public health nursing

Abstract

The objective of this study was to analyze the financial challenges that patients have to deal with to access the Tuberculosis (TB) Care Reference Centers in Ribeirão Preto. Adjustments were made to the Primary Care Assessment (PCAT) and an opinion poll was made with one-hundred patients following treatment and 16 health care professionals working at TB Reference Centers in Ribeirão Preto. Anova, Kruskall Wallis and chi-square tests were used. Most patients were males and most health care professionals were female. Differences were found between Centers C and A, in that Center C (p=0.028) offers a bus pass, and in A (p=0.010) patients paid for their own transportation. The indicator medical appointment in 24 hours showed a satisfactory level. There were disagreements between the reports from patients and health professionals as to the center offering the bus pass. Patients face challenges in their treatment, such as costs with transportation or being late for work, which result in losses in the family income.

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Published

2011-10-01

Issue

Section

Original Article

How to Cite

Arcêncio, R. A., Arakawa, T., Oliveira, M. F., Cardozo-Gonzales, R. I., Scatena, L. M., Ruffino-Netto, A., & Villa, T. C. S. (2011). Financial challenges to access tuberculosis treatment in Ribeirão Preto - São Paulo. Revista Da Escola De Enfermagem Da USP, 45(5), 1121-1127. https://doi.org/10.1590/S0080-62342011000500013