Produção Nacional
Revisado por pares
Epidemiological profile of Brazilian oncological patients seen by a reference oncology center of the public health system and who migrate in search of adequate health care
2018; Brazilian Medical Association; Volume: 64; Issue: 9 Linguagem: Inglês
10.1590/1806-9282.64.09.814
ISSN1806-9282
AutoresDaniel de Iracema Gomes Cubero, Cláudia Vaz de Melo Sette, Beatriz de Camargo Preto Piscopo, Camila Ribeiro de Arruda Monteiro, Jean M. Hébert, Heloísa Duarte de Andrade Tavares, Igor Luiz Argani, Marília Arrais Garcia, Karoline Passarela, Auro del Giglio,
Tópico(s)Women's cancer prevention and management
ResumoStructural disparities between different Brazilian regions in public health system cause patients to migrate in search of better conditions to treat their diseases. Besides patient's discomfort, there is a concentration of care in large centres, causing overload to current capacity.To evaluate migratory flow and associated factors in a reference service in oncology.Cross-sectional study conducted at a referral oncology service in Great ABC region of São Paulo. Patients were interviewed, and clinical and demographic data collected.Between March-July 2016, 217 patients were included. Analysis showed a divergence between the postal code registered in the medical record and that recorded during the interview in approximately 10% of cases. Of these, 42.9% were residents of other states. Search for treatment motivated most patients to seek service outside their city.Results reflect the informal search for medical care outside the home area. Besides the direct impact on patients' quality of life, migratory flow has an economic-social impact because these patients place a burden and impose costs on services of cities where they do not perform their responsibilities as citizens. Confirmation of the existence of a significant migratory flow demonstrates the need to discuss restructuring public health policies.
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