Abstract
to analyze care strategies for breast cancer screening in Primary Health Care in Brazil. this is a systematic review following the Cochrane Collaboration recommendations. among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women's health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%. Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.
Highlights
Breast cancer incidence and mortality rates are increasing in low and middle income countries, in contrast to high income countries[1]
To analyze care strategies for breast cancer screening in Primary Health Care in Brazil. This is a systematic review according to the Cochrane Collaboration guidelines[18], with the guiding questions: what are the processes related to breast cancer screening developed and implemented as a care strategy in PHC in Brazil? What evidence that the identified strategies were effective for screening?
Assess the actions of a program entitled Um Beijo Pela Vida, developed in a municipality in northeastern Brazil, aiming to expand the treatment of breast cancer screening in women registered by Family Health Strategy (FHS)
Summary
Breast cancer incidence and mortality rates are increasing in low and middle income countries, in contrast to high income countries[1]. Studies have shown the effectiveness of mammographic screening for breast cancer in reducing mortality and morbidity among women within a specific age range[2,3]. Screening programs aim to perform an exam or test that identifies, among a population group, people with the disease, but who still do not show signs or symptoms. From the registration of the entire eligible population, at regular intervals, the people who will benefit from the screening interventions are summoned[4]. Authors point out that the program management guarantees quality and better performance when screening[4,5], favoring equal access, with a possible reflection in the reduction of social inequalities, compared to the opportunistic one[6]
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