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Brazilian National Registry of Healthcare Establishments as a tool for the analysis of decentralization of tuberculosis treatment to basic care services

Overview of attention for article published in Cadernos de Saúde Pública, January 2018
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Title
Brazilian National Registry of Healthcare Establishments as a tool for the analysis of decentralization of tuberculosis treatment to basic care services
Published in
Cadernos de Saúde Pública, January 2018
DOI 10.1590/0102-311x00173917
Pubmed ID
Authors

Daniele Maria Pelissari, Marina Gasino Jacobs, Patricia Bartholomay, Marli Souza Rocha, Draurio Barreira, Denise Arakaki-Sanchez, João Paulo Toledo, Fredi Alexander Diaz-Quijano

Abstract

This study aimed to validate a method for classification of healthcare services in Brazil (basic care vs. other levels) and describe the decentralization of tuberculosis (TB) care to basic services (2002 to 2016). The healthcare services that reported and followed TB cases were classified as either "basic care" or "other levels" based on the type of establishment registered in the Brazilian National Registry of Healthcare Establishments (CNES, in Portuguese). The study estimated the agreement between this classification with a previous classification performed in 2013 by Brazil's state and local tuberculosis programs. Using the CNES registry, the authors then calculated the percentage of TB patients treated in basic care from 2002 to 2016. Agreement was 94.4%, and overall kappa index was 0.86. There was a relative increment of 31.2% in TB care provided by basic services (from 50.9% in 2002 to 66.8% in 2016). All regions of Brazil showed an increase in this percentage, except the South. The classification based on the CNES registry allowed analyzing the trend in decentralization of TB treatment to basic healthcare services in Brazil.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 31 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 31 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 4 13%
Student > Bachelor 3 10%
Professor 3 10%
Student > Doctoral Student 2 6%
Researcher 2 6%
Other 2 6%
Unknown 15 48%
Readers by discipline Count As %
Medicine and Dentistry 4 13%
Nursing and Health Professions 4 13%
Pharmacology, Toxicology and Pharmaceutical Science 1 3%
Biochemistry, Genetics and Molecular Biology 1 3%
Business, Management and Accounting 1 3%
Other 2 6%
Unknown 18 58%