{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:20:57Z","timestamp":1772166057157,"version":"3.50.1"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"crossref","award":["316426\/2021-0"],"award-info":[{"award-number":["316426\/2021-0"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"crossref","award":["316426\/2021-0"],"award-info":[{"award-number":["316426\/2021-0"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"crossref","award":["316426\/2021-0"],"award-info":[{"award-number":["316426\/2021-0"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES","award":["001"],"award-info":[{"award-number":["001"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES","award":["001"],"award-info":[{"award-number":["001"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES","award":["001"],"award-info":[{"award-number":["001"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES","award":["001"],"award-info":[{"award-number":["001"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES","award":["001"],"award-info":[{"award-number":["001"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES","award":["001"],"award-info":[{"award-number":["001"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES","award":["001"],"award-info":[{"award-number":["001"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES","award":["001"],"award-info":[{"award-number":["001"]}]},{"name":"Rio Grande do Sul Research Support Foundation","award":["21\/2551\u20130000608\u20130"],"award-info":[{"award-number":["21\/2551\u20130000608\u20130"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"DOI":"10.1186\/s12913-025-13373-6","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T10:58:01Z","timestamp":1759229881000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Structural barriers in the prevention and control of leptospirosis in a municipality in Southern Brazil: a qualitative study"],"prefix":"10.1186","volume":"25","author":[{"given":"Suellen Caroline M.","family":"Silva","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bianca Conrad","family":"Bohm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravena dos Santos","family":"Hage","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra Talaska","family":"Soares","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia Somavilla","family":"Lignon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackeline Vieira","family":"Lima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra Jacomelli","family":"Teles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana Graciela Vestena","family":"Zillmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e1bio Raphael Pascoti","family":"Bruhn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"13373_CR1","unstructured":"World Health Organization (WHO). Estimated leptospirosis incidence (per 100 000 population). The Global Health Observatory. Published 2022. Accessed June 1. 2023. https:\/\/www.who.int\/data\/gho\/indicator-metadata-registry\/imr-details\/4648"},{"issue":"1","key":"13373_CR2","doi-asserted-by":"publisher","first-page":"71","DOI":"10.5965\/223811712112022071","volume":"21","author":"PH Rodr\u00edguez","year":"2022","unstructured":"Rodr\u00edguez PH, Rojas BT. One health: a comprehensive approach to improve prevention and control strategies in leptospirosis. Rev Cienc Agroveterinarias. 2022;21(1):71\u20138. https:\/\/doi.org\/10.5965\/223811712112022071.","journal-title":"Rev Cienc Agroveterinarias"},{"issue":"4","key":"13373_CR3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0011239","volume":"17","author":"AJ Teles","year":"2023","unstructured":"Teles AJ, Bohm BC, Silva SCM, Bruhn NCP, Bruhn FRP. Spatial and temporal dynamics of leptospirosis in South Brazil: a forecasting and nonlinear regression analysis. PLoS Negl Trop Dis. 2023;17(4):e0011239. https:\/\/doi.org\/10.1371\/journal.pntd.0011239.","journal-title":"PLoS Negl Trop Dis"},{"key":"13373_CR4","doi-asserted-by":"publisher","unstructured":"Haake DA. Leptospirosis in Humans David. 2015;25. https:\/\/doi.org\/10.1080\/00219266.1991.9655201","DOI":"10.1080\/00219266.1991.9655201"},{"issue":"5","key":"13373_CR5","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1007\/s10096-019-03797-4","volume":"39","author":"KB Karpagam","year":"2020","unstructured":"Karpagam KB, Ganesh B. Leptospirosis: a neglected tropical zoonotic infection of public health importance\u2014an updated review. Eur J Clin Microbiol Infect Dis. 2020;39(5):835\u201346. https:\/\/doi.org\/10.1007\/s10096-019-03797-4.","journal-title":"Eur J Clin Microbiol Infect Dis"},{"issue":"9","key":"13373_CR6","doi-asserted-by":"publisher","first-page":"0","DOI":"10.1371\/journal.pntd.0003898","volume":"9","author":"F Costa","year":"2015","unstructured":"Costa F, Hagan JE, Calcagno J, et al. Global morbidity and mortality of leptospirosis: A systematic review. PLoS Negl Trop Dis. 2015;9(9):0\u20131. https:\/\/doi.org\/10.1371\/journal.pntd.0003898.","journal-title":"PLoS Negl Trop Dis"},{"issue":"3","key":"13373_CR7","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1590\/1413-81232020253.16442018","volume":"25","author":"MH Martins","year":"2020","unstructured":"Martins MH, da Spink M. Human leptospirosis as a doubly neglected disease in Brazil. Cienc E Saude Coletiva. 2020;25(3):919\u201328. https:\/\/doi.org\/10.1590\/1413-81232020253.16442018.","journal-title":"Cienc E Saude Coletiva"},{"issue":"4","key":"13373_CR8","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1590\/1414-462x202230040603","volume":"30","author":"ML Barbosa","year":"2022","unstructured":"Barbosa ML, Celino SD, de Oliveira M, Costa LV. Pol\u00edtica Nacional de Aten\u00e7\u00e3o integral \u00e0 Sa\u00fade Das Pessoas Privadas de liberdade: o Desafio Da integralidade. Cad Sa\u00fade Coletiva. 2022;30(4):517\u201324. https:\/\/doi.org\/10.1590\/1414-462x202230040603.","journal-title":"Cad Sa\u00fade Coletiva"},{"key":"13373_CR9","volume-title":"Departamento de articula\u00e7\u00e3o estrat\u00e9gica de vigil\u00e2ncia Em Sa\u00fade. \u2013 5. Ed. Rev. E atual","author":"Guia de Vigil\u00e2ncia em Sa\u00fade","year":"2022","unstructured":"Guia de Vigil\u00e2ncia em Sa\u00fade. [recurso eletr\u00f4nico] \/ Minist\u00e9rio Da sa\u00fade, secretaria de vigil\u00e2ncia Em Sa\u00fade. Departamento de articula\u00e7\u00e3o estrat\u00e9gica de vigil\u00e2ncia Em Sa\u00fade. \u2013 5. Ed. Rev. E atual. \u2013 Bras\u00edlia: Minist\u00e9rio da Sa\u00fade; 2022."},{"issue":"spe5","key":"13373_CR10","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1590\/0103-11042019s505","volume":"43","author":"APdo Menezes","year":"2019","unstructured":"Menezes APdo, Moretti R, Reis B. dos. O futuro do SUS: impactos Das Reformas neoliberais Na Sa\u00fade p\u00fablica \u2013 austeridade versus universalidade. Sa\u00fade Em Debate. 2019;43(spe5):58\u201370. https:\/\/doi.org\/10.1590\/0103-11042019s505.","journal-title":"Sa\u00fade Em Debate"},{"key":"13373_CR11","doi-asserted-by":"publisher","unstructured":"Ventura D, de FL, Ribeiro H, di Giulio GM, et al. Challenges of the COVID-19 pandemic: for a Brazilian research agenda in global health and sustainability. Cad Saude Publica. 2020;36(4). https:\/\/doi.org\/10.1590\/0102-311X00040620.","DOI":"10.1590\/0102-311X00040620"},{"issue":"3","key":"13373_CR12","doi-asserted-by":"publisher","first-page":"151","DOI":"10.3390\/tropicalmed8030151","volume":"8","author":"RLS Neris","year":"2023","unstructured":"Neris RLS, da Silva MC, da Silva Batista M, de Almeida Silva K, de CF, Balassiano IT, Avelar KES. Effect of demographics and time to sample processing on the qPCR detection of pathogenic leptospira spp. From human samples in the National reference laboratory for leptospirosis, Brazil. Trop Med Infect Dis. 2023;8(3):151. https:\/\/doi.org\/10.3390\/tropicalmed8030151.","journal-title":"Trop Med Infect Dis"},{"issue":"3 March","key":"13373_CR13","doi-asserted-by":"publisher","first-page":"2000","DOI":"10.1371\/journal.pone.0247763","volume":"16","author":"DI Galan","year":"2021","unstructured":"Galan DI, Roess AA, Pereira SVC, Schneider MC. Epidemiology of human leptospirosis in urban and rural areas of Brazil, 2000\u20132015. PLoS ONE. 2021;16(3 March):2000\u201315. https:\/\/doi.org\/10.1371\/journal.pone.0247763.","journal-title":"PLoS ONE"},{"key":"13373_CR14","unstructured":"Yin RK. Case study research: Design and methods (Vol. 5). Sage. 2009."},{"key":"13373_CR15","doi-asserted-by":"crossref","unstructured":"Sukeri S, Idris Z, Zahiruddin WM, Shafei MN, Idris N, Hamat RA, and Daud A. A qualitative exploration of the misconceptions, knowledge gaps and constructs of leptospirosis among rural and urban communities in Malaysia. PLoS One. 2018;13(7):e0200871.","DOI":"10.1371\/journal.pone.0200871"},{"key":"13373_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.37689\/acta-ape\/2021ao02631","volume":"34","author":"VR Souza","year":"2021","unstructured":"Souza VR, dos Marziale S, Silva MHP, Nascimento GTR. Translation and validation into Portuguese and evaluation of the COREQ guide. Acta Paul Enferm. 2021;34:1\u20139. https:\/\/doi.org\/10.37689\/acta-ape\/2021ao02631.","journal-title":"Acta Paul Enferm"},{"key":"13373_CR17","unstructured":"Brazil. Ministry of Agriculture, Livestock, Sustainable Production, and Irrigation. SEAPDR \u2013 Secretariat of Agriculture, Livestock, and Rural Development. Published 2021. Accessed July 1, 2022. https:\/\/www.agricultura.rs.gov.br\/inicial"},{"key":"13373_CR18","unstructured":"Brazil. Brazilian Institute of Geography and Statistics. gov.br. Published. 2021. Accessed July 1, 2022. https:\/\/www.ibge.gov.br\/cidades-e-estados\/rs\/santa-vitoria-do-palmar.html."},{"key":"13373_CR19","unstructured":"Brazil. National Registry of Health Establishments. gov.br. Accessed July 1, 2022. https:\/\/cnes.datasus.gov.br\/"},{"key":"13373_CR20","unstructured":"Minayo MCDS. The challenge of knowledge. Qualitative Health Research. 2008;13."},{"key":"13373_CR21","doi-asserted-by":"publisher","unstructured":"Bernardes DC. Content analysis. Dialogia. 2016;32338\u201342. https:\/\/doi.org\/10.5585\/dialogia.","DOI":"10.5585\/dialogia"},{"key":"13373_CR22","volume-title":"An\u00e1lise de Conte\u00fado","author":"L Bardin","year":"2016","unstructured":"Bardin L. An\u00e1lise de Conte\u00fado. S\u00e3o Paulo: Edi\u00e7\u00f5es 70; 2016."},{"issue":"137","key":"13373_CR23","first-page":"13","volume":"47","author":"FDF Mendon\u00e7a","year":"2023","unstructured":"Mendon\u00e7a FDF, Lima LDD, Pereira AMM, Martins CP. As Mudan\u00e7as Na pol\u00edtica de Aten\u00e7\u00e3o prim\u00e1ria e a (in) sustentabilidade Da estrat\u00e9gia Sa\u00fade Da Fam\u00edlia. Saude Debate. 2023;47(137):13\u201330.","journal-title":"Saude Debate"},{"key":"13373_CR24","doi-asserted-by":"publisher","unstructured":"Lima JG, Giovanella L, Bousquat A, Fausto M, Medina MG. Access barriers to primary health care in remote rural municipalities in Western Par\u00e1. Trab Educ E Sa\u00fade. 2022;20. https:\/\/doi.org\/10.1590\/1981-7746-ojs616.","DOI":"10.1590\/1981-7746-ojs616"},{"issue":"5","key":"13373_CR25","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1016\/j.jiph.2019.03.019","volume":"12","author":"J Jittimanee","year":"2019","unstructured":"Jittimanee J, Wongbutdee J. Prevention and control of leptospirosis in people and surveillance of the pathogenic leptospira in rats and in surface water found at villages. J Infect Public Health. 2019;12(5):705\u201311 Epub 2019 Apr 12 PMID: 30987901.","journal-title":"J Infect Public Health."},{"key":"13373_CR26","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1186\/s12913-015-1114-7","volume":"15","author":"CF Anticona Huaynate","year":"2015","unstructured":"Anticona Huaynate CF, Pajuelo Traveza\u00f1o MJ, Correa M, et al. Barreiras e Inova\u00e7\u00f5es diagn\u00f3sticas Em \u00e1reas rurais: insights de m\u00e9dicos juniores Na Linha de Frente do atendimento rural no Peru. BMC Health Serv Res. 2015;15:454. https:\/\/doi.org\/10.1186\/s12913-015-1114-7.","journal-title":"BMC Health Serv Res"},{"key":"13373_CR27","doi-asserted-by":"publisher","unstructured":"Soo ZMP, Khan NA, Siddiqui R, Leptospirosis. Increasing importance in developing countries. Acta Trop. 2020;201(September 2019). https:\/\/doi.org\/10.1016\/j.actatropica.2019.105183","DOI":"10.1016\/j.actatropica.2019.105183"},{"key":"13373_CR28","unstructured":"Castro DMCL, Fracolli LA, Gallo FOL, The Challenge of First Contact Access to Primary, Health Care. In: Oliveira LGF, ed. Access to Health in Brazil: Paths to Universalization. 1st ed. Bagai Publisher; 2023:35\u201346. https:\/\/repositorio.usp.br\/item\/003130548"},{"issue":"spe1","key":"13373_CR29","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1590\/0103-11042018s103","volume":"42","author":"EA Melo","year":"2018","unstructured":"Melo EA, de Mendon\u00e7a MHM, de Oliveira JR, de Andrade GCL. Changes in the National primary care policy: between setbacks and challenges. Health Debate. 2018;42(spe1):38\u201351. https:\/\/doi.org\/10.1590\/0103-11042018s103.","journal-title":"Health Debate"},{"key":"13373_CR30","doi-asserted-by":"publisher","unstructured":"Batista SR, de Souza ASS, Nogueira J, et al. Protective behaviors for COVID-19 among Brazilian adults and elderly living with multimorbidity: the ELSI-COVID-19 initiative. Cad Saude Publica. 2020;36. https:\/\/doi.org\/10.1590\/0102-311X00196120.","DOI":"10.1590\/0102-311X00196120"},{"key":"13373_CR31","first-page":"1","volume":"218","author":"L Morosini","year":"2020","unstructured":"Morosini L. Neglected diseases. Radis Comun E Sa\u00fade. 2020;218:1\u20135.","journal-title":"Radis Comun E Sa\u00fade"},{"key":"13373_CR32","doi-asserted-by":"publisher","first-page":"84","DOI":"10.29327\/538479.1-11","volume":"9352\u20137864","author":"M da S","year":"2021","unstructured":"da S. M, Brazil. Epidemiological bulletin. Health Surveillance Secr | Ministry Health Number. 2021;9352\u20137864:84\u201392. https:\/\/doi.org\/10.29327\/538479.1-11.","journal-title":"Health Surveillance Secr | Ministry Health Number"},{"key":"13373_CR33","doi-asserted-by":"publisher","unstructured":"Morosini MVGC, Fonseca AF, de Lima LD. National primary care policy 2017: setbacks and risks to the unified health system. Health Debate. 2018;42(116):11\u201324. https:\/\/doi.org\/10.1590\/0103-1104201811601.","DOI":"10.1590\/0103-1104201811601"},{"key":"13373_CR34","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09238-5","volume":"23","author":"R Wenke","year":"2023","unstructured":"Wenke R, Roberts S, Angus R, et al. How do i keep this live in my mind? Allied health professionals\u2019 perspectives of barriers and enablers to implementing good clinical practice principles in research: a qualitative exploration. BMC Health Serv Res. 2023;23:309. https:\/\/doi.org\/10.1186\/s12913-023-09238-5.","journal-title":"BMC Health Serv Res"},{"issue":"3","key":"13373_CR35","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed6030168","volume":"6","author":"J Viroj","year":"2021","unstructured":"Viroj J, Lajaunie C, Morand S. Evolution of public health prevention of leptospirosis in a one health perspective: the example of Mahasarakham Province (Thailand). Trop Med Infect Dis. 2021;6(3):168. https:\/\/doi.org\/10.3390\/tropicalmed6030168.","journal-title":"Trop Med Infect Dis"},{"issue":"1570","key":"13373_CR36","first-page":"30","volume":"136","author":"J Benschop","year":"2023","unstructured":"Benschop J, Mocke S, Collins-Emerson JM, Lennan J, Weston JF. An exploratory qualitative enquiry into workers\u2019 experiences of leptospirosis and post-leptospirosis in Aotearoa new Zealand. New Z Med J (Online). 2023;136(1570):30\u201341.","journal-title":"New Z Med J (Online)"},{"issue":"2","key":"13373_CR37","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1590\/1982-0194201900031","volume":"32","author":"M Hortelan","year":"2019","unstructured":"Hortelan M, dos Almeida S, de Fumincelli M. Role of public health manager in a border region: a scoping review. Acta Paul Enferm. 2019;32(2):229\u201336. https:\/\/doi.org\/10.1590\/1982-0194201900031.","journal-title":"Acta Paul Enferm"},{"issue":"1","key":"13373_CR38","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1590\/S0104-12902015000100005","volume":"24","author":"KWS de Lima","year":"2015","unstructured":"de Lima KWS, Antunes JLF, da Silva ZP. Managers\u2019 perception of the use of indicators in health services. Saude E Soc. 2015;24(1):61\u201371. https:\/\/doi.org\/10.1590\/S0104-12902015000100005.","journal-title":"Saude E Soc"},{"issue":"1","key":"13373_CR39","doi-asserted-by":"publisher","first-page":"e00163722","DOI":"10.1590\/0102-311XPT163722","volume":"39","author":"AM da Silva","year":"2023","unstructured":"da Silva AM, Fausto MCR, Gon\u00e7alves MJF. Accessibility and availability of care for hypertensive patients in primary health care in a remote rural municipality, amazonas, Brazil, 2019. Cad Saude Publica. 2023;39(1):e00163722. https:\/\/doi.org\/10.1590\/0102-311XPT163722.","journal-title":"Cad Saude Publica"},{"key":"13373_CR40","doi-asserted-by":"publisher","unstructured":"Silva QTA da, Cec\u00edlio LC de O. Brazilian scientific production on the Mais m\u00e9dicos Para o Brasil (More Doctors for Brazil) project. Health Debate. 2019;43(121):559\u201375. https:\/\/doi.org\/10.1590\/0103-1104201912121.","DOI":"10.1590\/0103-1104201912121"},{"key":"13373_CR41","unstructured":"Rodrigues CM. O c\u00edrculo vicioso da neglig\u00eancia da leptospirose no Brasil. Rev Inst Adolfo Lutz. 2017;76:e1729."},{"key":"13373_CR42","doi-asserted-by":"publisher","first-page":"1","DOI":"10.26633\/rpsp.2018.180","volume":"42","author":"ER Almeida","year":"2018","unstructured":"Almeida ER, de Sousa ANA, Brand\u00e3o CC, de Carvalho FFB, Tavares G, Silva KC. National primary care policy in Brazil: an analysis of the review process (2015\u20132017). Rev Panam Salud Publica. 2018;42:1\u20138. https:\/\/doi.org\/10.26633\/rpsp.2018.180.","journal-title":"Rev Panam Salud Publica"},{"key":"13373_CR43","doi-asserted-by":"publisher","unstructured":"Chioro A, Costa AM. The reconstruction of the SUS and the struggle for rights and democracy. Published Online 2023:5\u201310. https:\/\/doi.org\/10.1590\/0103-1104202313600","DOI":"10.1590\/0103-1104202313600"},{"key":"13373_CR44","unstructured":"Brazil MdaS. Technical Note-138-2022-Strategies-for-Facing-Leptospirosis-During-Floods. Department of Health Surveillance Department of Immunization and Transmissible Diseases. Published 2022. Accessed June 6, 2023. https:\/\/www.gov.br\/saude\/pt-br\/centrais-de-conteudo\/publicacoes\/notas-tecnicas\/2022\/nota-tecnica-138-2022-estrategias-para-enfrentamento-da-leptospirose-durante-inundacoes.pdf"},{"key":"13373_CR45","doi-asserted-by":"crossref","unstructured":"Fr\u00f3es BCS, Mendes KCN, Souza MVCDA, Oliveira AHM, De M. The ethical responsibility of the health professional regarding the underreporting of compulsorily notifiable diseases: HIV \/. AIDS Tuberculosis. Revista Brasileira de Educa\u00e7\u00e3o, Sa\u00fade e Bem-estar. 2022;1(2).","DOI":"10.29327\/2335218.1.2-22"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13373-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-025-13373-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13373-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T10:58:09Z","timestamp":1759229889000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-025-13373-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":45,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["13373"],"URL":"https:\/\/doi.org\/10.1186\/s12913-025-13373-6","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-4288919\/v1","asserted-by":"object"}]},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,30]]},"assertion":[{"value":"18 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The research was conducted in accordance with Resolution No. 466\/2012 and 510\/2016 of the National Health Council and was approved by a Research Ethics Committee of the Faculty of Medicine of the Federal University of Pelotas, under CAAE number 59761622.8.0000.5317. The Informed Consent Form was signed by the participants, and to ensure confidentiality and anonymity, codes were used, identified by letters representing them, followed by the order of participation in the study: \u201cE\u201d for the interviewee (E1, E2, E3, etc.)","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1234"}}