Análise dos atributos da atenção primária à saúde na atenção à tuberculose: uma revisão integrativa

Abstract

This is an integrative review aimed to examine whether essential attributes and derived from Primary Health Care are included in efforts to control tuberculosis. The following databases were used to select the articles: ISI, Pubmed and BVS, where 21 articles were selected according to the inclusion criteria elaborated. When performing the analysis of the attribute attention to the first contact, the main result was the diagnosis of TB mainly performed in emergency services and specialized service and not the APS. In longitudinality attribute, studies show that professionals talk to patients about other health problems and staff turnover affect bond formation. Regarding the integrality attribute was identified to conduct the treatments focused on the biological dimension of the disease process, incipient user autonomy and care for limited verification of medication intake. In coordinating the results showed that professionals warn of about scheduling consultations in specialized service, but the reference system is ineffective is ineffective. Regarding the attribute family focus, the studies showed that healthcare professionals seeking information on the conditions of life of patients and their families, but little talk about the disease and other health problems. In the orientation attribute to the community, it was identified that health services developed advertisements, campaigns, educational programs to inform the community about TB. Health services do not seek social partnerships nor community representatives to assist in efforts to control the disease. There is a clear need for the structuring of APS services that are configured as gateway to the SUS, to be able to effectively perform all actions to control the disease that are recommended . It is believed that the assistance guided by the attributes of the APS is of better quality and assists in patient adherence to treatment. it is necessary to move towards a more participatory management, collective, and processes more integrated work where the patient is the focus of attention.