Ações públicas para o controle do câncer de mama no Brasil: revisão integrativa

Ohl, Isabella Cristina Barduchi; Ohl, Rosali Isabel Barduchi; Chavaglia, Suzel Regina Ribeiro; Goldman, Rosely Erlach

doi:10.1590/0034-7167.2016690424i

Cited by 67 publications

(81 citation statements)

References 8 publications

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“…In peripheral countries, deprived urban populations, remote populations or indigenous people often cannot receive cancer care in a timely manner due to lack of awareness, fragmented and complex health systems, low socioeconomic status, cultural barriers and limited financial and human resources in public health institutions 8 . This helps in the applicability of the strategies identified in the study in the Brazilian scenario, prone to low adherence to early detection recommendations due to socioeconomic and cultural factors 23 .…”

Section: Discussionmentioning

confidence: 93%

“…Actions to increase adherence by health professionals to early detection guidelines revolve around the following pillars: knowledge, competence, attitudes and motivation to change. Professionals performing the first care procedures on women are not always able to detect and manage cases of breast disease and/or to be aware of guidelines 23 .…”

Section: Health Professionalsmentioning

confidence: 99%

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Implementation strategies for the guidelines for the early detection of breast cancer in Brazil

Gioia¹,

Silva²

2019

Mastology

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Este projeto de pesquisa teve como objetivo geral identificar estratégias de implementação das diretrizes para a detecção precoce do câncer de mama no Brasil. Em relação aos objetivos específicos, propôs-se a identificar, na literatura especializada, estudos sobre as dificuldades e as estratégias de implementação das diretrizes para a detecção precoce do câncer de mama nos sistemas de saúde de diferentes países; a avaliar a aplicabilidade dos resultados encontrados no contexto brasileiro; e a recomendar ações prioritárias conforme as estratégias de implementação das diretrizes às organizações responsáveis por esses processos no âmbito da saúde pública. Foi realizada uma revisão de revisões sistemáticas utilizando as ferramentas supporting policy relevant reviews and trial (SUPPORT), para auxiliar na estruturação das buscas e na análise de dados. As bases de dados utilizadas foram PubMed/MEDLINE, Cochrane Library, Biblioteca Virtual em Saúde (BVS)/Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) e Embase de 1º de janeiro de 2008 a 1º de maio de 2018. O estudo de nove revisões sistemáticas selecionadas identificou ações exitosas em países desenvolvidos e em desenvolvimento. As estratégias identificadas foram: fomento de lideranças comprometidas com a implementação das diretrizes, melhor governança dos serviços de saúde próximos ao público-alvo, campanha nacional de divulgação em massa e programa de navegação de pacientes.PALAVRAS-CHAVE: detecção precoce de câncer; neoplasias da mama; políticas públicas de saúde. RESUMO ABSTRACTThis research project aimed to identify strategies for implementing guidelines for early detection of breast cancer in Brazil. Regarding the specific objectives, it aimed to identify studies in the specialized literature on the difficulties and strategies for implementing the guidelines for early detection of breast cancer in the health systems of different countries; to evaluate the applicability of the results found in the Brazilian context; and to recommend priority actions in accordance with the implementation strategies of the guidelines to the organizations responsible for these processes in the public health context. A review of systematic reviews was carried out using the supporting policy relevant reviews and trial (SUPPORT) tools to assist in structuring searches and analyzing data. The databases used were . The study of nine selected systematic reviews identified successful actions in developed and developing countries. The strategies identified were: promotion of leadership fronts committed to the implementation of the guidelines, better governance of health services close to the target audience, national mass dissemination campaign and patient navigation program.

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Section: Discussionmentioning

confidence: 93%

Section: Health Professionalsmentioning

confidence: 99%

Implementation strategies for the guidelines for the early detection of breast cancer in Brazil

Gioia¹,

Silva²

2019

Mastology

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“…For the early detection program and the treatment of breast cancer to be efficient and effective in the near future, political will, cooperation of the medical entities and civil society involved in the discussion, and consistent and regular allocation of financial resources are fundamental. However, there will only be progress with modern management, with well-defined goals and indicators, which are constantly audited and evaluated, otherwise it is possible to be lost in good intentions 24 .…”

Section: Discussionmentioning

confidence: 99%

“…PNs are the link between patients and the health services, promoting individualized care and assistance in overcoming potential barriers (economic, social, cultural, religious, logistical, and those related to the health system) to breast health 16 . The health teams were observed to have low autonomy with regard to addressing the barriers that women face 24 . The need for local leadership, who specialize in breast diseases and believe in the importance of PNs for improving care for women becomes critical for the continuity of a PNP in primary care 24 .…”

Section: Discussionmentioning

confidence: 99%

“…The health teams were observed to have low autonomy with regard to addressing the barriers that women face 24 . The need for local leadership, who specialize in breast diseases and believe in the importance of PNs for improving care for women becomes critical for the continuity of a PNP in primary care 24 . Six women with early stage breast cancer were identified in this group, and they were properly referred for treatment.…”

Section: Discussionmentioning

confidence: 99%

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The implementation of patient navigation to improve mammography coverage and access to breast cancer care in Rio de Janeiro

Gioia¹,

Brigagão²,

Torres³

et al. 2019

Mastology

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Este estudo avalia a introdução do Programa de Navegação do Paciente (PNP) em uma comunidade do município do Rio de Janeiro. Os objetivos são: estabelecer a viabilidade do PNP nesse contexto; identificar as barreiras ao rastreamento mamográfico; e assegurar cobertura mamográfica de 70% das mulheres recrutadas entre 50 e 69 anos. De março a setembro de 2018, foram recrutadas 678 mulheres com idade média de 58 anos da comunidade do Andaraí. O acompanhamento foi realizado pelo navegador de pacientes (NP) por telefone, e-mail e mensagens de texto. Doze por cento das mulheres recusaram-se a participar do PNP por razões culturais. As principais barreiras relatadas pelas mulheres foram: problemas do sistema com programação de cuidados de saúde (100%), problemas financeiros (64%), preocupações relacionadas à comunicação com a equipe médica (58%), medo (44%) e apoio social (14%). Foram obtidos 100% de satisfação com o PNP, e a meta de taxa de cobertura mamográfica foi superada, atingindo o percentual de 88%. O NP promoveu aumento na taxa de cobertura mamográfica, auxiliou na transmissão de informações de qualidade, reduziu o medo da mamografia e facilitou o acesso aos cuidados de saúde da mama. ABSTRACTThis study evaluates the Patient Navigation Program (Programa de Navegação do Paciente -PNP), which was introduced to a community in the municipality of Rio de Janeiro. The objectives were: to establish the viability of the PNP in this context; identify barriers to mammogram screening; and ensure mammogram coverage for 70% of women recruited between 50 and 69 years old. From March to September 2018, 678 women with an average age of 58 years old were recruited from the Andaraí community. Follow-up was performed through the patient browser (PB), by telephone, email and text messages. Twelve percent of women refused to participate in the PNP for cultural reasons. The main barriers reported by women were: systematic problems with health care programming (100%), financial problems (64%), concerns about communicating with medical staff (58%), fear (44%), and social support (14%). The PNP obtained 100% satisfaction, and the mammogram coverage rate goal was exceeded, reaching 88%. The PN promoted an increase in the rate for mammogram coverage, aided in the transmission of quality information, reduced individuals' fear of mammography, and facilitated access to breast health care.

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Socioeconomic changes in Brazil impacted breast cancer indexes at the beginning of the 21st century?

Figueiredo

Cardial

Almeida

et al. 2018

Journal of Cancer Policy

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Ações públicas para o controle do câncer de mama no Brasil: revisão integrativa

Abstract: health professionals have deficits of knowledge on the area, indicating the need for other studies on the subject addressed and greater investment in continuing education of professionals.

Cited by 67 publications

References 8 publications

Implementation strategies for the guidelines for the early detection of breast cancer in Brazil

Implementation strategies for the guidelines for the early detection of breast cancer in Brazil

The implementation of patient navigation to improve mammography coverage and access to breast cancer care in Rio de Janeiro

Socioeconomic changes in Brazil impacted breast cancer indexes at the beginning of the 21st century?

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