Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services

Detalhes bibliográficos
Autor(a) principal: Silva,Mário Jorge Sobreira da
Data de Publicação: 2019
Outros Autores: Melo,Enirtes Caetano Prates, Osorio-de-Castro,Claudia Garcia Serpa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Ciência & Saúde Coletiva (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232019000301153
Resumo: Abstract This study maps and analyzes patient flows for breast cancer chemotherapy in order to identify the potential implications for organization of pharmaceutical services in the cancer care network. An ecological study design sought to correlate the place of residence with place of care for breast cancer patients. All chemotherapy procedures financed by Brazil’s Unified Health System (SUS) and performed from January to December 2013 were included. Flows were mapped using TerraView® software. A total of 1 347 803 outpatient chemotherapy procedures were delivered by 243 cancer care units located in 156 municipalities. Seventeen cities concentrated approximately 50.0 % of the procedures. A total of 8 538 origin-destination flows were generated and 49.2% of procedures were performed in services located outside the municipality in which the patient resided. Context challenges, related to inequality of access to chemotherapy and hindrances in planning and management of pharmaceutical services, were discussed.
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spelling Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical servicesPharmaceutical servicesHealthcare deliveryBreast cancerSpatial analysisHealth services accessibilityAbstract This study maps and analyzes patient flows for breast cancer chemotherapy in order to identify the potential implications for organization of pharmaceutical services in the cancer care network. An ecological study design sought to correlate the place of residence with place of care for breast cancer patients. All chemotherapy procedures financed by Brazil’s Unified Health System (SUS) and performed from January to December 2013 were included. Flows were mapped using TerraView® software. A total of 1 347 803 outpatient chemotherapy procedures were delivered by 243 cancer care units located in 156 municipalities. Seventeen cities concentrated approximately 50.0 % of the procedures. A total of 8 538 origin-destination flows were generated and 49.2% of procedures were performed in services located outside the municipality in which the patient resided. Context challenges, related to inequality of access to chemotherapy and hindrances in planning and management of pharmaceutical services, were discussed.ABRASCO - Associação Brasileira de Saúde Coletiva2019-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232019000301153Ciência & Saúde Coletiva v.24 n.3 2019reponame:Ciência & Saúde Coletiva (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1413-81232018243.10272017info:eu-repo/semantics/openAccessSilva,Mário Jorge Sobreira daMelo,Enirtes Caetano PratesOsorio-de-Castro,Claudia Garcia Serpaeng2019-07-15T00:00:00Zoai:scielo:S1413-81232019000301153Revistahttp://www.cienciaesaudecoletiva.com.brhttps://old.scielo.br/oai/scielo-oai.php||cienciasaudecoletiva@fiocruz.br1678-45611413-8123opendoar:2019-07-15T00:00Ciência & Saúde Coletiva (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false
dc.title.none.fl_str_mv Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services
title Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services
spellingShingle Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services
Silva,Mário Jorge Sobreira da
Pharmaceutical services
Healthcare delivery
Breast cancer
Spatial analysis
Health services accessibility
title_short Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services
title_full Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services
title_fullStr Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services
title_full_unstemmed Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services
title_sort Origin-destination flows in chemotherapy for breast cancer in Brazil: implications for pharmaceutical services
author Silva,Mário Jorge Sobreira da
author_facet Silva,Mário Jorge Sobreira da
Melo,Enirtes Caetano Prates
Osorio-de-Castro,Claudia Garcia Serpa
author_role author
author2 Melo,Enirtes Caetano Prates
Osorio-de-Castro,Claudia Garcia Serpa
author2_role author
author
dc.contributor.author.fl_str_mv Silva,Mário Jorge Sobreira da
Melo,Enirtes Caetano Prates
Osorio-de-Castro,Claudia Garcia Serpa
dc.subject.por.fl_str_mv Pharmaceutical services
Healthcare delivery
Breast cancer
Spatial analysis
Health services accessibility
topic Pharmaceutical services
Healthcare delivery
Breast cancer
Spatial analysis
Health services accessibility
description Abstract This study maps and analyzes patient flows for breast cancer chemotherapy in order to identify the potential implications for organization of pharmaceutical services in the cancer care network. An ecological study design sought to correlate the place of residence with place of care for breast cancer patients. All chemotherapy procedures financed by Brazil’s Unified Health System (SUS) and performed from January to December 2013 were included. Flows were mapped using TerraView® software. A total of 1 347 803 outpatient chemotherapy procedures were delivered by 243 cancer care units located in 156 municipalities. Seventeen cities concentrated approximately 50.0 % of the procedures. A total of 8 538 origin-destination flows were generated and 49.2% of procedures were performed in services located outside the municipality in which the patient resided. Context challenges, related to inequality of access to chemotherapy and hindrances in planning and management of pharmaceutical services, were discussed.
publishDate 2019
dc.date.none.fl_str_mv 2019-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232019000301153
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232019000301153
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1413-81232018243.10272017
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv ABRASCO - Associação Brasileira de Saúde Coletiva
publisher.none.fl_str_mv ABRASCO - Associação Brasileira de Saúde Coletiva
dc.source.none.fl_str_mv Ciência & Saúde Coletiva v.24 n.3 2019
reponame:Ciência & Saúde Coletiva (Online)
instname:Associação Brasileira de Saúde Coletiva (ABRASCO)
instacron:ABRASCO
instname_str Associação Brasileira de Saúde Coletiva (ABRASCO)
instacron_str ABRASCO
institution ABRASCO
reponame_str Ciência & Saúde Coletiva (Online)
collection Ciência & Saúde Coletiva (Online)
repository.name.fl_str_mv Ciência & Saúde Coletiva (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)
repository.mail.fl_str_mv ||cienciasaudecoletiva@fiocruz.br
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