Integrated health service delivery networks and tuberculosis avoidable hospitalizations: Is there a relation between them in Brazil?

Marcela Paschoal Popolin, Michelle Mosna Touso, Mellina Yamamura, Ludmila Barbosa Bandeira Rodrigues, Maria Concebida Da Cunha Garcia, Luiz Henrique Arroyo, Antônio Carlos Vieira Ramos, Thais Zamboni Berra, Marcelino Santos Neto, Juliane De Almeida Crispim, Francisco Chiaravalotti Neto, Ione Carvalho Pinto, Pedro Fredemir Palha, Severina Alice Da Costa Uchoa, Luís Velez Lapão, Inês Fronteira, Ricardo Alexandre Arcêncio

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Background: The early identification of the Breathing Symptoms within the scope of Primary Health Care is recommended, and is also one of the strategies of national sanitary authorities for reaching the elimination of tuberculosis. The purpose of this study is to consider which attributes and which territories have shown the most significant progress in Primary Health Care, in terms of coordination of Health Care Networks, and also check if those areas of Primary Health Care that are most critical regarding coordination, there were more or less cases of avoidable hospitalizations for tuberculosis. Methods: This is an ecological study that uses primary and secondary data. For analysis, coropletic maps were developed through the ArcGIS software, version 10.2. There was also the calculation of gross annual and Bayesian rates for hospitalizations for tuberculosis, for each Primary Health Care territory. Results: There were satisfactory results for attributes such as Population (n = 37; 80.4 %), Primary Health Care (n = 43; 93.5 %), Support System (n = 45; 97.8 %); the exceptions were Logistics System (n = 32; 76.0 %) and Governance System, with fewer units in good condition (n = 31; 67.3 %). There is no evidence of any connection between networks' coordination by Primary Health Care and tuberculosis avoidable admissions. Conclusion: The results show that progress has been made regarding the coordination of the Health Care Networks, and a positive trend has been shown, even though the levels are not excellent. It was found no relationship between the critical areas of Primary Health Care and tuberculosis avoidable hospitalizations, possibly because other variables necessary to comprehend the phenomena.

Original languageEnglish
Article number1320
JournalBMC Health Services Research
Issue number1
Publication statusPublished - 1 Mar 2016


  • Health Care Network coordination
  • Hospitalization
  • Primary Health Care
  • Spatial analysis
  • Tuberculosis

UN Sustainable Development Goals (SDGs)

  • SDG 3 - Good Health and Well-Being


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