<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642018000100103</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v20n1.64177</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Acesso ao diagnóstico da tuberculose em município brasileiro de médio porte]]></article-title>
<article-title xml:lang="en"><![CDATA[Access to diagnosis of tuberculosis in Brazilian medium-sized municipality]]></article-title>
<article-title xml:lang="es"><![CDATA[Acceso al diagnóstico de la tuberculosis en un municipio brasileño de mediano porte]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Freitas Quintero]]></surname>
<given-names><![CDATA[Maria Celeste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueiredo Vendramini]]></surname>
<given-names><![CDATA[Silvia Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sperli Geraldes Santos]]></surname>
<given-names><![CDATA[Maria de Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha dos Santos]]></surname>
<given-names><![CDATA[Marilene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gazetta]]></surname>
<given-names><![CDATA[Claudia Eli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcia Lourenção]]></surname>
<given-names><![CDATA[Luciano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sperli Geraldes Soler]]></surname>
<given-names><![CDATA[Zaida Aurora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[da Cruz Oliveira]]></surname>
<given-names><![CDATA[Sonia Aparecida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Geraldes Marin dos Santos Sasaki]]></surname>
<given-names><![CDATA[Natalia Sperli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zanon Ponce]]></surname>
<given-names><![CDATA[Maria Amélia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domingues Wysocki]]></surname>
<given-names><![CDATA[Anneliese]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Scatena]]></surname>
<given-names><![CDATA[Lucia Marina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Scatena Villa]]></surname>
<given-names><![CDATA[Tereza Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaria Municipal de Saúde de São José do Rio Preto  ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Faculdade de Medicina de São José do Rio Preto  ]]></institution>
<addr-line><![CDATA[SP ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Faculdade de Medicina de São José do Rio Preto  ]]></institution>
<addr-line><![CDATA[SP ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Faculdade de Medicina de São José do Rio Preto  ]]></institution>
<addr-line><![CDATA[SP ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Faculdade de Medicina de São José do Rio Preto  ]]></institution>
<addr-line><![CDATA[SP ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade Federal do Rio Grande  ]]></institution>
<addr-line><![CDATA[Rio Grande Rio Grande do Sul]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Faculdade de Medicina de São José do Rio Preto  ]]></institution>
<addr-line><![CDATA[SP ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Faculdade de Medicina de São José do Rio Preto  ]]></institution>
<addr-line><![CDATA[SP ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,União das Faculdades dos Grandes Lagos  ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Secretaria Municipal de Saúde de São José do Rio Preto  ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="A11">
<institution><![CDATA[,Universidade Federal do Mato Grosso do Sul  ]]></institution>
<addr-line><![CDATA[Mato Grosso do Sul ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="A12">
<institution><![CDATA[,Universidade Federal do Triângulo Mineiro  ]]></institution>
<addr-line><![CDATA[Minas Gerais ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="A13">
<institution><![CDATA[,Universidade de São Paulo  ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<numero>1</numero>
<fpage>103</fpage>
<lpage>109</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642018000100103&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642018000100103&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642018000100103&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Objetivo Avaliar o acesso ao diagnóstico de tuberculose, na perspectiva dos doentes.  Métodos Estudo transversal, com 108 doentes de tuberculose. Os dados foram coletados utilizando-se o instrumento Primary Care Assessment Tool (PCAT), validado para o Brasil, adaptado para atenção a tuberculose, incluiu indicadores socioeconómicos e demográficos, local do diagnóstico e de acesso ao diagnóstico de tuberculose. A análise dos dados foi de frequência, média, desvio-padrão, intervalo de confiança e teste Qui-quadrado.  Resultados A maioria dos casos foi diagnosticada em hospitais (52,8%). O doente procurou a Unidade de Saúde em média três vezes, para conseguir atendimento. Os indicadores dificuldade de deslocamento, gasto com transporte motorizado e consulta no prazo de 24 horas para descoberta da doença foram não satisfatórios e regulares. Conseguir consulta para descobrir a tuberculose em 24 horas, foi não satisfatório. O teste qui-quadrado mostrou associação estatística entre locais de diagnóstico e procura pela unidade de saúde mais próxima da casa.  Conclusão O diagnóstico precoce da Tuberculose na Atenção Primária apresenta fragilidades. São muitos desafios a serem enfrentados para o fortalecimento deste nível de atenção a saúde, com capacidade organizacional para a superação das deficiências relacionadas ao doente e ao serviço que dificultam o acesso ao diagnóstico da doença.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objetivo Evaluating access to tuberculosis diagnosis, from the perspective of patients.  Methods Cross-sectional study with 108 tuberculosis patients. Data were collected using the brazilian instrument Primary Care Assessment Tool - PCAT-Brazil, adapted for attention to tuberculosis, including socio-economic and demographic indicators, location of diagnosis and diagnostic access tuberculosis. The analysis of the data was of frequency, average, standard deviation, confidence interval and Chi-square test.  Results Most cases were diagnosed in hospitals (52.8%). The patient sought the Health Unit on average three times until receiving medical care. The indicators of difficulty of displacement, expenditure on motorized transport and consultation within 24 hours to discover the disease were not satisfactory and regular. The chi-square test showed a statistical association between diagnosis location and seeking the nearest health unit from home.  Conclusions There are weaknesses in the early diagnosis of tuberculosis in primary care. There are many challenges to be faced to strengthen this level of health care, with organizational capacity to overcome the shortcomings related to the patient and the service that make it difficult to access the diagnosis of the disease.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo Evaluar el acceso al diagnóstico de tuberculosis, desde la perspectiva de los enfermos.  Métodos Estudio transversal con 108 pacientes de tuberculosis. Los datos fueron recolectados utilizando el instrumento Primary Care Assessment Tool -PCAT-Brasil- . El análisis de los datos incluyeron frecuencia, media, desviación estándar, intervalo de confianza y prueba Chi-cuadrado.  Resultados La mayoría de los casos fueron diagnosticados en hospitales (52,8%). El paciente buscó la Unidad de Salud en promedio tres veces, para conseguir atención. Los indicadores dificultad de desplazamiento, gasto con transporte motorizado y consulta en el plazo de 24 horas para el descubrimiento de la enfermedad, no fueron satisfactorios o regulares. La prueba de Chi-cuadrado mostró una asociación estadística entre el lugar de diagnóstico y la búsqueda de la unidad de salud más cercana al hogar.  Conclusión El diagnóstico precoz de la tuberculosis en la Atención Primaria presenta fallas. Son muchos los desafíos a enfrentar para mejorar la atención, la capacidad organizacional para superar las deficiencias relacionadas con el enfermo y el servicio, que dificultan el acceso al diagnóstico de la enfermedad.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Atenção primária à saúde]]></kwd>
<kwd lng="pt"><![CDATA[acesso aos serviços de saúde]]></kwd>
<kwd lng="pt"><![CDATA[diagnóstico (fonte: DeCS, BIREME)]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
<kwd lng="en"><![CDATA[health services accessibility]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis (source: MeSH, NLM)]]></kwd>
<kwd lng="es"><![CDATA[Atención primaria de salud]]></kwd>
<kwd lng="es"><![CDATA[accesibilidad a los servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis (fuente: DeCS, BIREME)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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