The path from suspicion to diagnosis of people with Covid-19

Rev Gaucha Enferm. 2021 Sep 13;42(spe):e20200282. doi: 10.1590/1983-1447.2021.20200282. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objective: To know the therapeutic itinerary of people diagnosed with Covid-19 from suspicion to the diagnosis.

Method: Qualitative research. 65 people diagnosed with Covid-19 residing in Rio de Janeiro participated. Data collected using a semi-structured form sent via social media and processed in the software Interface de R pour Analyses Multidimensionnelles de Textes Et de Questionnaires by Descending Hierarchical Classification and Correspondence Factor Analysis.

Results: Three classes of text segments were obtained that revealed the therapeutic itinerary, with emphasis on the search for care; shortage of tests; need to return to the units for diagnosis and follow-up; and the path to confirmatory test.

Conclusion: The therapeutic itinerary of patients with Covid-19 showed weaknesses in the face of difficulties related to access to diagnostic tests and the organization of the system to meet the population's demand in the face of the pandemic.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brazil / epidemiology
  • COVID-19 / diagnosis*
  • COVID-19 / epidemiology
  • Cough / etiology
  • Dyspnea / etiology
  • Fever / etiology
  • Health Services Accessibility*
  • Humans
  • Middle Aged
  • Pandemics
  • Patient Acceptance of Health Care*
  • Qualitative Research
  • SARS-CoV-2
  • Young Adult