Acesso ao diagnóstico de tuberculose pulmonar no cotidiano dos trabalhadores de saúde da atenção básica

Abstract

The present study aims at understanding access to diagnosis of pulmonarytuberculosis in the lives of health workers in a town in the countryside of MinasGerais. The General Representations Theory of Moscovici and the Central NucleusTheory of Jean-Cloude Abric under Social Psychology perspective were adopted astheoretical-methodological reference. First it was necessary to know the workersprofiles and to base on the free evoking technique to apprehend the socialrepresentations before the inductor terms, tuberculosis, diagnosis and access.The sample included 143 health workers from Ipatinga, Minas Gerais. Theseworkers profile description was analyzed by means of simple frequency and theobtained structures through free evoking were processed by the software Ensemblede Programmes Pemettant IAnalyses des Evocations (EVOC) and analyzed throughthe Four-Spot Frame created by Pierre Verger. In the professional profilecomposition there often appeared Community Health Agents averaging two years ofwork time and graduation. From all workers, 67% received training about tuberculosisin the previous two years. Structures construction from evoking of the workerspresented as central nucleus the terms symptoms, contagious, precocious, exam,Secondary Attention and health professions which represent precociousdiagnosis elements performed by health professionals through acknowledging thesymptoms and conducting exams with the complicating factor of being contagiousand referred to the scope of secondary attention. As peripheral elements, the termsprevention, centralized, death, isolation and bureaucracy were found, whichreinforces the sense of distance of the basic attention workers from the current realityof Tuberculosis and evokes a historical sense regarding the disease/sick personrather than technical.