Planejamento da oferta de exames de diagnóstico como elemento facilitador do acesso ao tratamento do câncer de mama na região do Alto Tietê-SP

Abstract

Breast cancer is a disease that affects thousands of people a year and is characterized as an important public health problem in Brazil. The present study aims to measure the quantity, location, productive potential and health care coverage of the equipment used to perform mammography exams (the main diagnostic method for the disease) in the public and private health care network, in addition to evaluating the expectation of demand and effectiveness of breast cancer prevention actions among municipalities in the Alto Tiete / SP region. The subjects of the present study were the population residing in the municipalities of the Alto Tietê region, based on the last population census conducted by the Brazilian Institute of Geography and Statistics (IBGE - 2010). To meet the specific objectives of the research, the first variable studied was the amount of equipment installed in the public network and in the supplementary health network, which were identified through research in the National Registry of Health Facilities (CNES). Then, to measure the amount of population benefiting from supplementary health, information was collected on the online tool TABNET ANS. To identify the number of breast cancer cases referred for treatment, the number of specialized consultations in Oncology was considered through the CROSS portal - São Paulo State Secretariat of Health (SES / SP). The measurement of production data from the Unified Health System (SUS) was used to quantify the number of mammograms performed in the years 2016, 2017 and 2018. Finally, the number of deaths caused by breast cancer was identified by the Information System Mortality Rate (SIM - MS). The method of analysis used to compare the results was descriptive statistics. We conclude that it is possible to increase the productivity of mammography installed in the region, as well, as proposing agreements with supplementary health can be an alternative for making the mammography exam available in a timely manner.