Abstract
New policies on oncology care implemented in the Brazilian Unified Health System (SUS) in November 1999 established substantial changes to cancer treatment in affiliate units. The objective was to describe the profile of these cancer services and their users after the implementation of new policies. A descriptive study was carried out on breast cancer care in health services covered by SUS in the state of Rio de Janeiro, from 1999 to 2002. Data was collected in the healthcare units from outpatient registries and from the patients' high-complexity cancer procedure authorizations and their medical records. A random sample of 310 medical records of breast cancer women treated in 15 cancer health units was analyzed. Data analysis was performed using the percentile distribution of data according to categories of interest and the Chi-square test to assess the association between variables. The study results show the predominance of breast cancer care in highly complex units (81.3%); public units (73.5%); and in the capital of the state (78.1%). There was also seen an imbalance among health units regarding patient attendance, where only one of them served 70% of women sampled. The use of interventions varied between patients with and without health insurance in lower complexity health services; non-insured patients were associated to lower use of interventions. It was also found underutilization of recommended interventions as well as utilization of contraindicated interventions. The characterization of population studied showed that 43.9% of the women were given a cancer diagnosis with no perspective of cure and 68.4% lived in cities having SUS-affiliated services. These results indicate relevant differences among health units and point out to the need of practical recommendations to the Brazilian national policy for cancer control.
Highlights
A atual pesquisa teve por objetivo contribuir com informações sobre o perfil clínico e demográfico das pacientes tratadas por esse tipo de câncer nas unidades credenciadas no SUS, bem como sobre a assistência oncológica prestada, investigando características de estrutura dos serviços e os procedimentos adotados
0,0328 0,4284 0,0006 0,0629 as pacientes sem plano de saúde atendidas em Unidades Isoladas (UI), 82,4% e 87,8% foram submetidas à cirurgia de mama, respectivamente
Em relação ao estadiamento das mulheres no momento do diagnóstico, a maior proporção do estadiamento II e III também foi encontrada em outros estudos brasileiros,*,** sendo, entretanto, bastante superior ao encontrado nos países desenvolvidos.9,***
Summary
The study results show the predominance of breast cancer care in highly complex units (81.3%); public units (73.5%); and in the capital of the state (78.1%). The use of interventions varied between patients with and without health insurance in lower complexity health services; noninsured patients were associated to lower use of interventions. It was found underutilization of recommended interventions as well as utilization of contraindicated interventions. The characterization of population studied showed that 43.9% of the women were given a cancer diagnosis with no perspective of cure and 68.4% lived in cities having SUS-affiliated services
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
