Evaluation of care coordination of users with multi-drug tuberculosis in the city of Recife, Pernambuco State, Brazil

Abstract

This is a cross-sectional evaluative study aimed at evaluating the coordination of care between levels of attention to patients with multidrug-resistant tuberculosisin Recife, Pernambuco. It was carried out in three stages: intervention design, elaboration of the judgment matrix and normative analysis. Physicians and nurses from the three levels of care were interviewed as well as managers of the Tuberculosis Control Program. Punctuation was assigned to each indicator of the judgment matrix, which were classified as excellent (≥ 75%), good (50% -74%), poor (49% -25%) and critical (<25%). Coordination of care between care levels was considered as poor (32.5%), as were administrative coordination (41.2%), information (32.0%) and clinical management (31.0%). It was noticed that the levels of attention are organized separately, with failures in the interconnection of the service network, which results in uncoordinated and fragmented assistance.