Tuberculosis: limitations and strengths of Directly Observed Treatment Short-Course
Tuberculosis: limitations and strengths of Directly Observed Treatment Short-Course
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DOI：
10.1590/s0104-11692012000200021
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发表时间：
2012-04-01
影响因子：
1.8
通讯作者：
Bertolozzi, Maria Rita
中科院分区：
文献类型：
--
作者：
Queiroz, Elisangela Martins de;De-La-Torre-Ugarte-Guanilo, Mónica Cecilia;Bertolozzi, Maria Rita
本研究从巴西南卡罗来纳州圣保罗市技术卫生监督部门的患者和医疗保健提供者的角度分析了结核病短期直接观察治疗（DOTS）的局限性和优势。2006年4月至6月，在签署免费知情同意书后，对来自9个初级保健单位的4名患者和17名保健提供者进行了访谈。这些报告是根据语音分析技术解码的。健康-疾病过程的社会决定理论被采纳为理论框架。优势在于：在医疗保健提供者和患者之间建立联系，并采取激励措施，以促进坚持治疗。局限性包括：DOTS的医疗保健提供者的参与受到限制，以及患者的工作时间与监督相协调。治疗依从性超出了生物学范围，医疗保健提供者应该承认患者的需求超出了对所服用药物的监督。
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 Sao 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.