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Offer of primary care services and detection of tuberculosis incidence in Brazil

Overview of attention for article published in Revista de Saúde Pública, May 2018
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Title
Offer of primary care services and detection of tuberculosis incidence in Brazil
Published in
Revista de Saúde Pública, May 2018
DOI 10.11606/s1518-8787.2018052000131
Pubmed ID
Authors

Daniele Maria Pelissari, Patricia Bartholomay, Marina Gasino Jacobs, Denise Arakaki-Sanchez, Davllyn Santos Oliveira dos Anjos, Mara Lucia dos Santos Costa, Pauline Cristine da Silva Cavalcanti, Fredi Alexander Diaz-Quijano

Abstract

OBJECTIVE To evaluate the association between the health services offered by primary care teams and the detection of new tuberculosis cases in Brazil. METHODS This was an ecological study covering all Brazilian municipalities that registered at least one new tuberculosis case (diagnosed between 2012 to 2014 and notified in the Information System of Notifiable Diseases) and with at least one primary care team evaluated by the second cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB). The variables of the PMAQ-AB were classified as proximal or distal, according to their relation with the tuberculosis diagnosis. Then, they were tested hierarchically in multiple models (adjusted by States) using negative binomial regression. RESULTS An increase of 10% in the primary health care coverage was associated with a decrease of 2.24% in the tuberculosis detection rate (95%CI -3.35- -1.11). Regarding the proximal variables in relation to diagnosis, in the multiple model, the detection of tuberculosis was associated with the proportion of teams that conduct contact investigation (increase in Incidence Rate Ratio [IRR] = 2.97%, 95%CI 2.41-3.53), carry out tuberculosis active case finding (increase in IRR = 2.17%, 95%CI 1.48-2.87), and request culture for mycobacteria (increase in IRR = 1.87%, 95%CI 0.98-2.76). CONCLUSIONS The variables related to the search actions were positively associated with the detection of new tuberculosis cases, which suggests a significant contribution to the strengthening of the sensitivity of the surveillance system. On the other hand, primary care coverage was inversely associated with the tuberculosis detection rate, which could represent the overall effect of the primary care on transmission control, probably from the identification and early treatment of cases.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 66 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 66 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 26%
Researcher 6 9%
Student > Ph. D. Student 4 6%
Student > Doctoral Student 4 6%
Student > Bachelor 4 6%
Other 8 12%
Unknown 23 35%
Readers by discipline Count As %
Medicine and Dentistry 17 26%
Nursing and Health Professions 8 12%
Biochemistry, Genetics and Molecular Biology 3 5%
Pharmacology, Toxicology and Pharmaceutical Science 3 5%
Economics, Econometrics and Finance 3 5%
Other 4 6%
Unknown 28 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 July 2018.
All research outputs
#19,951,180
of 25,382,440 outputs
Outputs from Revista de Saúde Pública
#868
of 1,138 outputs
Outputs of similar age
#249,378
of 338,967 outputs
Outputs of similar age from Revista de Saúde Pública
#14
of 16 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,138 research outputs from this source. They receive a mean Attention Score of 4.7. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 338,967 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 16 others from the same source and published within six weeks on either side of this one. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.