WOMEN WITH BREAST CANCER: DDIFFICULTIES IN ACCESS TO CARE IN PUBLIC HEALTH

Shirley Dosea dos Santos Naziazeno, Leila Luiza Conceicao Gonsalves,

Institution: Universidade Federal de Sergipe

“OBJECTIVE: To identify the demographic profile, diagnostic methods and sources by paying for the detection of brest cancer in women in chemotherapy treatment. METHOD: Observational, cross-sectional study, whose sample was composed of 100 women with breast cancer on chemotherapy met in the public clinic oncology in Aracaju/Sergipe. Date collection took place during the period from October 2011 to December 2012 through semi-structured interview. The data were entered in the 2010 EPI INFO, version 3.5.2, analyzed by IBM SPS 20 software and Excel 2010 and are part of the doctoral thesis from the author Leila Gonsalves. RESULTS: Among the participants, the average age was 51 years, most resided outside the Capital of Sergipe (68%), claimed to live with companion (56%), had the brown color skin (58%), low level of education (36%), belonged to the social classes C, D e E (70%) and only 23% had no gainful activity. According to the diagnostic methods, the accidental palpation was how change discovery tits more frequently (68%). Mammography has been the most accomplished image test (93%) and then the sonogram (83%). To obtain the diagnostic breast puncture prevailed (76%), being the most widely used method PAAE For the confirmation of the diagnosis, it was used the excisional biopsy (30%) and the evaluation of tumor markers (87%). The first query was for the most part (5 I %), performed by the Sistema Unico de Sat:1de (SUS), while the image tests were funded by women (65%). The breast puncture by SUS occurredin 43% of women, 17% funded the excisional biopsy and 23% of breast surgery. CONCLUSION: The results provide subsidies that point to the difficulties of access to public healthcare to the diagnosis of breast cancer. KEYWORDS: Breast Neoplasms; Oncology Nursing; Access to health services.”

Descriptors: Breast Neoplasms; Oncology Nursing; Delayed Diagnosis; Health Services Accessibility.”