Efetividade de programa de controle de qualidade em mamografia para o Sistema Único de Saúde
Carregando...
Data
2012
Título da Revista
ISSN da Revista
Título de Volume
Editor
Resumo
OBJECTIVE: To assess the effectiveness of a quality control program in
mammography services of the Brazilian National Health System (SUS).
METHODS: A prospective study using temporal analysis of a health
surveillance action was conducted. A total of 35 service providers that had
mammography equipment in operation and regularly performed exams between
2007 and 2009 in the state of Goiás, Central-Western Brazil, participated in this
study. Services were assessed during three site visits by performance testing
of mammography equipment, fi lm processors, and other materials, and image
quality and entrance surface dose in a phantom were also assessed. Each service
was scored according to the percentage of tests that conformed to standards.
RESULTS: The mean percentage for compliance among the participating service
providers were 64.1% (13.3%) in the fi rst visit, 68.4% ( 15.9%) in the second,
and 77.1% (13.3%) in the third (p < 0.001). The main improvements resulted
from adjustments to the breast compression force, the automatic exposure
control system, and the alignment of the compression paddle. The doses
measured were within the conformity range in 80% of the services assessed.
CONCLUSIONS: The implementation of this program in the mammography
services was effective at improving the operational parameters of the
mammography machines, although 40% of the services did not reach the
acceptable level of 70%. This result indicates the need to continue this health
surveillance action.
Descrição
Palavras-chave
Mamografi a, normas, Efetividade, Avaliação de eficácia-efetividade de intervenções, Garantia da qualidade dos cuidados de saúde, Neoplasias da mama, diagnóstico, Mammography, standards, Effectiveness, Evaluation of the effi cacy-effectiveness of interventions, Quality assurance, health care, Brazilian Public Health System, Breast neoplasms, diagnosis, Neoplasias da mama, diagnóstico, Sistema Único de Saúde
Citação
CORRÊA, Rosangela da Silveira. Efetividade de programa de controle de qualidade em mamografia para o Sistema Único de Saúde. Revista de Saúde Pública, São Paulo, v. 46, n. 5, p. 769, 2012.