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Item Atendimento pelo SUS na percepção de mulheres com lesões de câncer cervicouterino em Goiânia-GO(Marcelo Medeiros, 2011-06) Albuquerque, Zair Benedita Pinheiro de; Tavares, Suelene Brito do Nascimento; Manrique, Edna Joana Claudio; Souza, Adenícia Custodio Silva e; Neves, Heliny Carneiro Cunha; Valadares, Janaina Guimarães; Amaral, Rita GoretiO câncer de colo do útero é prioridade nas políticas de saúde no Brasil. Apesar da existência do fluxo de atendimento estabelecido pelo Sistema Único de Saúde (SUS), fragilidades são observadas na sua operacionalização. Objetivou-se analisar a percepção de mulheres com lesões de colo do útero acerca do atendimento pelo SUS em Goiânia-GO. Estudo descritivo, exploratório de abordagem qualitativa. Os dados foram obtidos por meio de entrevistas, utilizando-se a técnica de incidente crítico e análise de conteúdo. Na percepção das mulheres, o atendimento é permeado por falhas no acolhimento, comunicação, assistência do profissional de saúde, falta de efetividade e pelo desconhecimento do próprio fluxo de atendimento. Evidenciou-se a necessidade de reorientação do atual modelo assistencial de atendimento, com abordagens conscientizadoras, que permitam aos profissionais e aos gestores desenvolverem habilidades de ouvir, acolher e de se responsabilizar pelo cuidado, a fim de promover a transformação dessa realidade. _______________________________________________________________________________________________________________________ ABSTRACT _______________________________________________________________________________________________________________________ Cancer of the uterine cervix is priority of health policies in Brazil. Despite of the flow of care established by the Brazilian Health System(SUS), there is weakness in its operations. This study aimed to analyze the perception of women with uterine cervix lesions on the care by the SUS in Goiania-GO. It is a descriptive study, with exploratory qualitative approach. The data were obtained through interviews using the critical incident technique, and the content analysis. In the perception of women, the care is permeated by failures in reception, communication, assistance of health professionals, and also the failure of effectiveness and ignorance of flow. It was evidenced the need for reorientation of care model offered to population through awareness of the approaches, to enable the professional and managers develop listening skills, reception and responsibility for the care, so that this reality may be changed. _______________________________________________________________________________________________________________________ ABSTRACT _______________________________________________________________________________________________________________________ El cáncer de cuello de útero es una prioridade en las políticas de salud en el Brasil. A pesar de que el flujo de atendimientos está establecido por el Sistema Único de Salud (SUS), se observa algunas debilidades en su funcionamiento. Estudio descriptivo, exploratorio de abordaje cualitativo, con el objetivo de analizar el parecer que tienen las mujeres con lesiones em el cuello del útero referente a la atención brindada por el SUS en Goiânia – GO. Los datos fueron obtenidos a través de entrevista com la utilización de la técnica de incidente crítico y análisis del contenido. Al parecer de las mujeres, la atención está rodeada de fallas en la acogida, comunicación y asistencia del profesional de la salud y falta de efectividad y desconocimiento del flujo de personas. Las evidencias apuntan la necesidad de una reorientación del modelo asistencial ofrecido en la atención a través de abordajes concientizadores, que permitan al profesional y a los gestores, desarrollar habilidade de oir, de acogimiento y de responsabilidad por el cuidado, para promover la transformación de esa realidad.Item Mulheres com atipias, lesões precursoras e invasivas do colo do útero: condutas segundo as recomendações do Ministério da Saúde(2012) Albuquerque, Zair Benedita Pinheiro de; Manrique, Edna Joana Cláudio; Tavares, Suelene Brito do Nascimento; Souza, Adenícia Custódio Silva e; Guimarães, Janaína Valadares; Amaral, Rita GoretiPURPOSE: To verify whether women with atypias of undetermined significance and precursor lesions or invasive cervical outcomes were referred to Medium Complexity Units (MCU) following the guidelines recommended by the Brazilian Ministry of Health. METHODS: Retrospective study based on the cytopathological outcomes of users of the Unified Health System, seen at Basic Health Assistance Units (BHAU) and referred to MCUs in the municipality of Goiânia, state of Goiás, from 2005 to 2006. We assessed 832 records according to the recommendations of the Brazilian Ministry of Health, as established by the Brazilian Nomenclature for Cervical Cytopathologic Outcomes and Recommended Clinical Practice. To check the distribution of variables such as reasons for referral, results of colposcopy and histopathology and clinical procedures we calculated absolute and relative frequencies, mean, minimum and maximum values. RESULTS: We understood 72.7% of the referrals were not in accordance with the recommendations of the Ministry of Health. There were 605 women with test results classified as atypical squamous cells of undetermined significance, possibly non-neoplasms, and squamous intraepithelial lesion of low level which were sent to MCU, and of these 71.8% were submitted to colposcopy, and 64.7% had histopathological examination which results were classified as 31.0% with non-neoplasms and 44.6% as NIC I. Out of 211 women with results classified as more severe squamous lesions, 86.3% were submitted to colposcopy and 68.7% of these had histopathological examinations. CONCLUSIONS: The results of this study revealed high rates of inappropriate referrals to MCU, which required a high percentage of unnecessary procedures. The recommendations of the Ministry of Health were followed by BHAU and the majority of women received counseling/treatment as recommended.