Redes de atenção à saúde: atenção básica no cuidado à saúde da mulher
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Data
2016-03-31
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Universidade Federal de Goiás
Resumo
Breast cancers and the cervix are the most incidents among women brazilian and why public
policy has been implemented with a view to reducing morbidity and mortality from these
neoplasms, with policies assists in health of women. There are global and Brazilian evidence
that the best way to win comprehensiveness is through the Health Care Networks in the
Primary Care coordinates and organizes the care and thus should have its rated performance.
Objective: To analyze the structure and process of primary care to health in care network to
cancers of the cervix and breast in the State of Goiás. Method: This is a descriptive, analytical
study, cross-sectional. At information was obtained from the evaluation of the national basic
database External Access Improvement Programme and Quality of Primary Care (PMAQ-AB),
second cycle, for the state of Goiás. The study included 975 Basic Health Units of the 246
municipalities in the state of Goiás that answered the module and 1179 professionals who
answered the interviews module II of the third phase of the research, which makes up the
linked external evaluation the PMAQ-AB. For data analysis, the Health Regions of the State of
Goiás were divided into five categories. Results: In the table layout gynecological and focus
light for examination all categories results satisfactory. In the women's record component
requirements for undertaking the Pap smear of the cervix, 80.3% of Primary Care Teams
State of Goias said perform this action, 51.4% of the teams use risk stratification protocols for
cervical cancer presenting a very high variation of category 1 (28.4%) for category 4
(71.1%). All categories showed good results for the collection of examination Papanicolaou.
Category 1 had the lowest indicator with 24.6% of the teams performing registration of
eligible women for a mammogram and use risk stratification protocols. The category 5, more
results satisfactory in components, mammography examination request (97.7%), record of
users referred to other points of care (49.1%) and conducting an active search for women
with breast cancer (80.8%) when compared to other categories. The Primary Care shown in
fragile coordination of care for cervical cancer of the uterus and breast and, consequently, the
ordination of assistance in other points of attention is impaired. Investment is required of
managers in the implementation and implement more effective health policies to strengthen
Primary Care and the change of behavior of primary care teams for better performance of its
assistance to women's health.
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Citação
MELO, E. N. N. Redes de atenção à saúde: atenção básica no cuidado à saúde da mulher. 2016. 92 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2016.