ArticleRevista latino-americana de enfermagem2025
Primary Health Care in context with the plurality in the care of people with tuberculosis.
Article in Revista latino-americana de enfermagem, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- [Social protection strategies for people with tuberculosis in Latin America: (re)thinking policies and practicesEstrategias de protección social para las personas con tuberculosis en América Latina: (re)pensar las políticas y las prácticas].Revista panamericana de salud publica = Pan American journal of public health · 2025Article
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Abstract
objectiveto analyze the plurality of care provided to individuals with tuberculosis in Primary Health Care services in Rio de Janeiro, RJ, Brazil.
methodthis qualitative study was conducted from 2017 to 2021. Discourse Analysis was adopted as the theoretical-methodological framework. Semi-structured interviews were conducted with service managers, healthcare professionals, and patients. The interviews were categorized using ATLAS.ti 8. The theoretical contributions of public space, plurality, and natality, as discussed by Hannah Arendt, were used to anchor the Discursive Formations on the health field.
resultsthe discourses revealed the complexity and challenges of organizing and implementing care practices among individuals with tuberculosis, highlighting the relevance of considering the historical, social, and individual contexts of managers, patients, and healthcare professionals. Difficulties were found in the operationalization of Health Care Networks and in searching for the patients' uniqueness.
conclusionan ongoing dispute was found in the interactions between Primary Health Care and the National Tuberculosis Control Program, between policies that value plurality, organize Health Care Networks, and consider democratic rights in public spaces.
background(1)Healthcare provided to individuals with tuberculosis should be considered from a plural perspective. (1)Changes in universal treatment favor patient-centered care. (2)The care provided for chronic diseases is complex and requires organization in thematic networks. (3)Universal systems organized in networks favor innovative care practices. (4)The participation and empowerment of individuals with illnesses improve health care delivery.
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