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Fatores associados ao acesso geográfico aos serviços de saúde por pessoas com tuberculose em três capitais do Nordeste brasileiro

2015; Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz; Volume: 31; Issue: 1 Linguagem: Inglês

10.1590/0102-311x00000414

1678-4464

Márcia São Pedro Leal Souza, Rosana Aquino, Susan Martins Pereira, Maria da Conceição Nascimento Costa, Maurício L. Barreto, Márcio Santos da Natividade, Ricardo Arraes de Alencar Ximenes, Wayner Vieira de Souza, Odimariles Maria Souza Dantas, José Ueleres Braga,

Primary Care and Health Outcomes

The aim of this study was to identify factors associated with geographic access to health services by tuberculosis patients in three State capitals in Northeast Brazil. The sample consisted of new tuberculosis cases reported in 2007. The study used data from the Information System on Notifiable Diseases and the National Registry of Healthcare Organizations. Addresses of households and health services were geocoded, and difficult access was defined as a distance greater than 800 meters from the household to the health service. Crude prevalence ratios were estimated, as well as adjusted prevalence ratios using Poisson regression. After adjusting the study variables, the only variable that remained associated with difficult access was primary healthcare units in Salvador, Bahia State (PR = 0.75; 95%CI: 0.720-0.794) and in Recife, Pernambuco State (PR = 0.402; 95%CI: 0.318-0.508). The study concluded that decentralization of primary care can help improve access to health services.