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Access of the patient to the cancer network under the "Sixty-Day Law": Integrative Review
Mariela Santos Lombardo1, Regina Célia Popim1
1Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, São Paulo, Brazil.
Objectives:
to analyze Brazilian scientific production on patient access to the oncology network under the "Sixty-Day Law".
Methods:
integrative review of the literature in the databases Lilacs, PubMed and Scielo. The descriptors used were: neoplasms, health services accessibility, early detection of cancer. Articles published from 2015 to March 2019 were included.
Results:
17 articles were analyzed and four themes emerged: inequality in access; qualification of Primary Care professionals; time as a determinant factor; information system as limiting factor.
Conclusions:
the access to the oncology network is unequal and there are several barriers faced by the users. A continuing education of health professionals is necessary to implement preventive strategies. Treatment initiation is late, showing non-compliance with the law. The health care network is highly fragmented, there is lack of coordination between the services and, consequently, there is a lack of patient follow-up.
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