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Integrality in cervical cancer care: evaluation of access.

Brito-Silva K, Bezerra AF, Chaves LD, Tanaka OY - Rev Saude Publica (2014)

Bottom Line: NVivo 9.0 software was used for the content analysis of the primary data.Pap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care.There was higher coverage among younger women.

View Article: PubMed Central - PubMed

Affiliation: Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, Brasil.

ABSTRACT

Objective: To evaluate integrity of access to uterine cervical cancer prevention, diagnosis and treatment services.

Methods: The tracer condition was analyzed using a mixed quantitative and qualitative approach. The quantitative approach was based on secondary data from the analysis of cytology and biopsy exams performed between 2008 and 2010 on 25 to 59 year-old women in a municipality with a large population and with the necessary technological resources. Data were obtained from the Health Information System and the Regional Cervical Cancer Information System. Statistical analysis was performed using PASW statistic 17.0 software. The qualitative approach involved semi-structured interviews with service managers, health care professionals and users. NVivo 9.0 software was used for the content analysis of the primary data.

Results: Pap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care. The numbers of biopsies conducted are similar to those of abnormal cytologies, reflecting easy access to the specialized services. There was higher coverage among younger women. More serious diagnoses, for both cytologies and biopsies, were more prevalent in older women.

Conclusions: Insufficient coverage of cytologies, reported by the interviewees allows us to understand access difficulties in primary care, as well as the fragility of screening strategies.

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Related in: MedlinePlus

Coverage of biopsy by cytology with changes. Key municipality, SP,Southeastern Brazil, 2008-2010.
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f04: Coverage of biopsy by cytology with changes. Key municipality, SP,Southeastern Brazil, 2008-2010.

Mentions: In Figure 4, it can be seen that the numberof biopsies is equivalent to the number of cytological tests showing changes. In2008, however, this was not the case, with the rate being around 80.0%. Theyears 2009 and 2010 had rates of 116.7% and 119.3%, respectively. This findingcan be explained both by inappropriate referral in cases that did not require abiopsy, as reported by health care professionals from the specialist service,and by women having the smear test done in the private sector and then referredto have the biopsy done in the public sector.


Integrality in cervical cancer care: evaluation of access.

Brito-Silva K, Bezerra AF, Chaves LD, Tanaka OY - Rev Saude Publica (2014)

Coverage of biopsy by cytology with changes. Key municipality, SP,Southeastern Brazil, 2008-2010.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4206144&req=5

f04: Coverage of biopsy by cytology with changes. Key municipality, SP,Southeastern Brazil, 2008-2010.
Mentions: In Figure 4, it can be seen that the numberof biopsies is equivalent to the number of cytological tests showing changes. In2008, however, this was not the case, with the rate being around 80.0%. Theyears 2009 and 2010 had rates of 116.7% and 119.3%, respectively. This findingcan be explained both by inappropriate referral in cases that did not require abiopsy, as reported by health care professionals from the specialist service,and by women having the smear test done in the private sector and then referredto have the biopsy done in the public sector.

Bottom Line: NVivo 9.0 software was used for the content analysis of the primary data.Pap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care.There was higher coverage among younger women.

View Article: PubMed Central - PubMed

Affiliation: Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, Brasil.

ABSTRACT

Objective: To evaluate integrity of access to uterine cervical cancer prevention, diagnosis and treatment services.

Methods: The tracer condition was analyzed using a mixed quantitative and qualitative approach. The quantitative approach was based on secondary data from the analysis of cytology and biopsy exams performed between 2008 and 2010 on 25 to 59 year-old women in a municipality with a large population and with the necessary technological resources. Data were obtained from the Health Information System and the Regional Cervical Cancer Information System. Statistical analysis was performed using PASW statistic 17.0 software. The qualitative approach involved semi-structured interviews with service managers, health care professionals and users. NVivo 9.0 software was used for the content analysis of the primary data.

Results: Pap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care. The numbers of biopsies conducted are similar to those of abnormal cytologies, reflecting easy access to the specialized services. There was higher coverage among younger women. More serious diagnoses, for both cytologies and biopsies, were more prevalent in older women.

Conclusions: Insufficient coverage of cytologies, reported by the interviewees allows us to understand access difficulties in primary care, as well as the fragility of screening strategies.

Show MeSH
Related in: MedlinePlus