Tuberculosis: limitations and strengths of Directly Observed Treatment Short-Course

Authors

  • Elisangela Martins de Queiroz Universidade de São Paulo; Escola de Enfermagem
  • Mónica Cecilia De-La-Torre-Ugarte-Guanilo Universidade de São Paulo; Escola de Enfermagem
  • Kuitéria Ribeiro Ferreira Universidade de São Paulo; Escola de Enfermagem
  • Maria Rita Bertolozzi Universidade de São Paulo; Escola de Enfermagem

DOI:

https://doi.org/10.1590/S0104-11692012000200021

Keywords:

Tuberculosis, Directly Observed Therapy, Patient Compliance, Nursing

Abstract

This study analyzed the limitations and strengths of the Directly Observed Treatment Short-Course (DOTS) for tuberculosis from the perspective of patients and healthcare providers in a Technical Health Supervision unit in the city of São Paulo, SP, Brazil. Four patients and 17 healthcare providers from nine Primary Care Units were interviewed from April to June 2006, after signing free and informed consent forms. The reports were decoded according to the speech analysis technique. The Theory of the Social Determination of the Health-Disease Process was adopted as the theoretical framework. The strengths were: establishment of bonds between healthcare providers and patients and the introduction of incentives, which promotes treatment adherence. Limitations included: restricted involvement of DOTS' healthcare providers and reconciling patients' working hours with supervision. Treatment adherence goes beyond the biological sphere and healthcare providers should acknowledge patients' needs that go beyond the supervision of medication taken.

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Published

2012-04-01

Issue

Vol. 20 No. 2 (2012)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Tuberculosis: limitations and strengths of Directly Observed Treatment Short-Course. (2012). Revista Latino-Americana De Enfermagem, 20(2), 369-377. https://doi.org/10.1590/S0104-11692012000200021