Line of care as a device for completeness of attention for users
                        affected by neoplastic injuries on head and neck

Dubow, Camila; Olivo, Vânia Maria Fighera; Ceron, Marizete Ilha; Vedootto, Denise de Oliveira; Moro, Janaína da Silva Dal; Oliveira, Catlen Padilha de; Barbieri, Ângela

doi:10.5935/0103-104.20140015

Cited by 2 publications

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“…Private health services were the second most frequent place of the first appointment. Other studies that analyzed the pathway until cancer therapy also observed that many patients sought care in private health services 6 , 22 .…”

Section: Discussionmentioning

confidence: 99%

“…However, the access to tests and to referral services for definitive diagnosis (secondary care) and for therapy (tertiary care) persist as critical parts. This demonstrates the difficulty of coordinating the different levels of care 5 in a country where mechanisms to organize the flow of care are still lacking 6 and the access to specialists is unavailable/limited 7 . These frailties may have contributed to most of the delay for diagnosis confirmation 8 and early treatment 9 of breast cancer being attributed to the health service, since this delay occurred after the women had their first appointment due to the identification of signs and symptoms suggestive of cancer or changes in tests 8 , 9 .…”

Section: Introductionmentioning

confidence: 99%

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Clinical pathways of breast cancer patients treated in the Federal District, Brazil

et al. 2019

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OBJECTIVE: To identify the clinical pathways of women with breast cancer treated in public hospitals, and to analyze the factors that influence the time interval between the first appointment and the start of therapy. METHODS: A cross-sectional study was conducted with 600 women with breast cancer treated in nine public hospitals in the Brazilian Federal District. Patients were interviewed between September 2012 and September 2014. Simple and multiple logistic regression models were adjusted to evaluate the variables associated with the time interval studied. The most frequent pathway was the one that started in primary care with following care in the therapy service (28.9%). In the multiple adjustment, factors associated to a longer time interval between the first appointment and therapy were: lower family income (OR = 1.89; 95%CI 1.32–2.68), the first appointment in public services (OR = 1.78; 95%CI 1.20–2.64), care in more than two health services in the clinical pathway (OR = 1.71; 95%CI 1.19–2.44); and obtaining the anatomopathological analysis of the biopsy in public services instead of private health services (OR = 1.87; 95%CI 1.29–2.71). Independently, the implementation of specialist appointment scheduling, with care regulation, was associated with a shorter time interval between first appointment and therapy (OR = 0.33; 95%CI 0.16–0.65). CONCLUSIONS: We observed that multiple pathways were covered by women with breast cancer treated in public services of the Federal District. Socioeconomic iniquities and several aspectos of the pathways covered were associated with a longer time interval between the first appointment and the start of breast cancer therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical pathways of breast cancer patients treated in the Federal District, Brazil

et al. 2019

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O processo de hospitalização sob a ótica do paciente

Pereira

Rezende

Santos

et al. 2020

RBPS

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Objetivo: Analisar o processo de internação na perspectiva do paciente internado, o conhecimento dele sobre o (s) diagnóstico (s) que resultou (ram) na internação, sobre o plano terapêutico aplicado e sua percepção sobre o processo de internação. Métodos: Pesquisa qualitativa realizada em 2016 em uma unidade de internação do Hospital das Clínicas da Faculdade de Medicina do interior paulista com um total de 13 pacientes entrevistados. A coleta de dados foi realizada por meio de entrevista semiestruturada e empregada análise de conteúdo na modalidade temática. Resultados: Identificaram-se três categorias: conhecem o diagnóstico e o plano terapêutico, satisfação com o processo de internação; conhecem o diagnóstico e parcialmente o plano terapêutico, insatisfação com o processo de internação; conhece o diagnóstico e desconhece o plano terapêutico, consciência da necessidade de internação. Conclusão: Constatou-se que os pacientes internados têm conhecimento sobre o diagnóstico que motivou sua internação e o plano terapêutico submetido, e que essas orientações foram transmitidas pelo médico de maneira mecanizada, não sendo possível identificar uma relação dialógica entre o profissional e o paciente.

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Line of care as a device for completeness of attention for users affected by neoplastic injuries on head and neck

Cited by 2 publications

References 0 publications

Clinical pathways of breast cancer patients treated in the Federal District, Brazil

Clinical pathways of breast cancer patients treated in the Federal District, Brazil

O processo de hospitalização sob a ótica do paciente

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