Search

Background: This article presents the qualitative component linked to a larger study of implementation of the Xpert™ MTB/Rif technology in two Brazilian cities. Despite intrinsic advantages of new health technologies, its introduction can be disruptive to existing routines, and it is thus important to understand how these innovations are perceived by the different groups involved in its regular use. Methods: This study was based on semi-structured interviews with patients, lab technicians, health care workers and managers involved with diagnosis and care of Tuberculosis (TB). The interviews had their content analyzed in order to abstract the different perspectives for the various actors. Results: For patients the changes were not perceived as significant, since their greatest concerns were related to treatment and the stigma associated with TB. The professionals in general welcomed the new technique, which dramatically decreases the workload, time and reliability of diagnosis, in their view. However, we noted difficulties with the concomitant implementation of new IT technology for recording and reporting test results, which negatively impacted the time necessary to get lab diagnosis to physicians. Conclusions: Through this analysis we detected some bottlenecks in the surrounding environment, not necessarily linked to the technology itself but which could hamper considerably its advantages. [ABSTRACT FROM AUTHOR]

This paper introduces education as sign of reality representation of modeling systems starting from a socio-philosophical reflection developed by Kuhn, Fleck and Wittgenstein. Through a qualitative research, we discussed biomedical graduation and residence graduation specificities in a Family Medicine Program and the Community, as a process to change this view. During the interview with medicine residents, in their discourse, two conclusions emerged: the inadequation of the biomedical formation to solve population health care issues involving basic attention and the need to a reorientation to the "sick subject" and their subjectivities to become a "person's doctor". [ABSTRACT FROM AUTHOR]