Brazilian Breast Cancer Care Network: the perspective of health managers

Abstract

Objective: To analyze the organization of the Brazilian Breast Cancer Care Network, according to the perspective of managers of the Coordenadoria Regional de Saúde Sudeste (Southeast Regional Coordination of Health) of the city of São Paulo. Method: A descriptive study, with a qualitative approach, carried out with seven managers of this Coordination. The interview data were analyzed based on the components of the operational structure of the Brazilian Health Care Network: Communication Center; Secondary and Tertiary Care Points; Support Systems; Logistic Systems; and Network Governance System. Results: There is heterogeneity in the operationalization of the Care Network and the obstacles to its integration and comprehensiveness were: fragility of the bond with the users; high turnover of professionals in Primary Health Care; lack of standardization of the reference system and counter-referral, and low cooperation between municipal and state health services. Final considerations: The organization of the Brazilian Breast Cancer Care Network is fragmented, thus compromising the comprehensiveness of care.

Uso do teatro como ferramenta de abordagem educativa: Relato de experiência

“…Complementa-se nessa mesma perspectiva por Goldman (2019), que a participação da comunidade nas ações de controle do câncer de mama realizadas por estes profissionais, é de grande importância, pois contribuem para as usuárias serem protagonistas em seu processo saúde-doença-cuidado, tornando imprescindível o fácil acesso as informações completas e claras.…”

Health Services, Socioeconomic Indicators, and Primary Care Coverage in Mortality by Lower Genital Tract and Breast Neoplasias in Brazilian Women during Reproductive and Non-Reproductive Periods

“…Assistance for women's health, in primary health care, focuses on the most common diseases [7] and employs specific diagnoses during the reproductive and non-reproductive periods, with different approaches for each period. Primary health care (PHC) mainly covers areas that are very distant from large urban centers, showing disparities between Brazilian regions, and this occurs in areas with low socioeconomic and educational levels [9,10]. It is known that the risk factors for breast and lower genital tract cancer are different in the reproductive and non-reproductive periods, but the prevention and screening strategies in primary care are the same in both periods of life according to our policies and public reforms [11], even for regions with a high mortality and low socioeconomic status.…”

Prevenção secundária do câncer de mama e colo uterino: pesquisa-ação

“…O controle/cura do câncer é desenvolvido na Rede de Atenção à Saúde (RAS), agregando, de acordo com as necessidades, a rede de atenção básica, secundária, terciária e a rede oncológica. Na busca pela integralidade do cuidado, o centro de comunicação e coordenação é a Atenção Primária Saúde (APS), capaz de envolver a participação dos indivíduos, suas famílias e da população ao longo do tempo, permitindo uma descentralização, Research, Society and Development, v. 9, n. 8, e177985630, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i8.5630 5 capilaridade e proximidade ao cotidiano, proporcionando o conhecimento sobre as doenças e sua prevenção (Romero et al, 2017;Goldman et al 2019).…”