Integralidade do cuidado no Programa de Controle do Câncer de Colo Uterino: visão das usuárias com alteração na citologia oncótica

Abstract

Objetivou-se avaliar a integralidade no cuidado de mulheres atendidas pelo Programa de Controle do Câncer de Colo Uterino. Estudo avaliativo, qualitativo, que analisou o acompanhamento e o tratamento de mulheres com alteração na citologia oncótica nos serviços que compõem a rede de atenção, segundo a percepção das mulheres entrevistadas no segundo semestre de 2013. Realizada a análise temática de conteúdo, verificou-se que o acesso ao exame não garantiu a continuidade do cuidado, devido à falta de acolhimento/vínculo e à dificuldade de acesso ao tratamento. Constata-se a necessidade de outras medidas de avaliação do programa que mensurem a integralidade do cuidado, para além da cobertura de exames.

Fatores limitadores e facilitadores para o controle do câncer de colo de útero: uma revisão de literatura

“…CC screening is influenced by social and subjective-cultural factors experienced by women, the organizational context and the characteristics of health professionals' actions (Chart 2). Thus, organizational barriers and social, economic, cultural and racial inequalities hinder such action 19,23,[25][26][27][28][29][30][31][32][33][34] .…”

“…With regard to advanced-stage diagnosis, Nascimento and Silva 36 detected 78.9% of the women studied in the intermediate stages and 5% in the advanced stages of the disease, corroborating with the perspective that more advan-ced ages and social and racial inequalities are correlated with a higher CC risk and prevalence. The limited access to cervical cancer (CC) diagnosis services was related to organizational barriers and limited action by health professionals 33,37,38 . The biopsy examination that was cru-Chart 2.…”

“…Facilitators or positive aspects for access cial to the diagnostic conclusion was compatible with the number of altered Pap smears, which were more frequent in younger women. However, the most severe diagnoses of both cytology and biopsy have prevailed in women of a later age 32,38 . The adequate coverage of biopsies, however, did not ensure continuity of treatment, due to weaknesses in the reception and bond and difficult access to treatment 38 .…”

“…However, the most severe diagnoses of both cytology and biopsy have prevailed in women of a later age 32,38 . The adequate coverage of biopsies, however, did not ensure continuity of treatment, due to weaknesses in the reception and bond and difficult access to treatment 38 . In addition, delaying tumor staging often prolongs the onset of disease treatment 36 (Chart 2).…”

A radiação ionizante como forma de tratamento nas mulheres com cancer de colo de útero em Araguaína-TO, nos anos de 2000 a 2015

“…É fato que, a implantação do programa de rastreamento, além de diagnosticar o câncer precocemente, em estágios iniciais, remove lesões, prevenindo assim a progressão para carcinoma [5].…”