Therapeutic itinerary and access to health services in cases of oral cancer deaths

Detalhes bibliográficos
Autor(a) principal: Aquino,Rodrigo Cesar Abreu de
Data de Publicação: 2018
Outros Autores: Lima,Maria Luiza Lopes Timóteo de, Silva,Vanessa de Lima, Alencar,Fábio Lima de, Rodrigues,Mirella
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista CEFAC (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-18462018000500595
Resumo: ABSTRACT Objective: to characterize the therapeutic itinerary followed by individuals who died from oral cancer in one area in the northeastern of Brazil, measuring the distances and average time spent in the searching for diagnosis and treatment service. Methods: this is an epidemiological, cross-sectional, retrospective study, where the key informants were interviewed and the points of residence and services were geo-referenced. The variables related to the location of diagnosis, the distance traveled and the time spent for the diagnostic sites, treatment and place of death, services used during the therapeutic course and the main access difficulties were studied. Percent differences were tested using Fisher's exact test, with α = 5%. To evaluate the behavior and the identification of hot areas for this mortality, the Kernel density estimator technique was used. Results: of the 18 cases of death due to oral cancer, 94.4 % were diagnosed in reference centers; 83.3% were diagnosed and treated for up to 60 days; 77.8% were diagnosed and died in less than one year, and in 72.2 %, financials reasons were identified as an obstacle to access to a health care provider. The average distance traveled to the diagnoses sites was 7,364.7 meters, with an average time spent of 32.67 min and for treatment, it was 6,987.5 meters and 33.68 min. Conclusion: the study showed that the diagnosis of the injury occurred predominantly outside the municipality of residence, although , people walked a fairly small distance to the health services, spending about half an hour for this displacement.
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spelling Therapeutic itinerary and access to health services in cases of oral cancer deathsHealth Services AcessibilityMouth NeoplasmsHealth Care (Public Health)ABSTRACT Objective: to characterize the therapeutic itinerary followed by individuals who died from oral cancer in one area in the northeastern of Brazil, measuring the distances and average time spent in the searching for diagnosis and treatment service. Methods: this is an epidemiological, cross-sectional, retrospective study, where the key informants were interviewed and the points of residence and services were geo-referenced. The variables related to the location of diagnosis, the distance traveled and the time spent for the diagnostic sites, treatment and place of death, services used during the therapeutic course and the main access difficulties were studied. Percent differences were tested using Fisher's exact test, with α = 5%. To evaluate the behavior and the identification of hot areas for this mortality, the Kernel density estimator technique was used. Results: of the 18 cases of death due to oral cancer, 94.4 % were diagnosed in reference centers; 83.3% were diagnosed and treated for up to 60 days; 77.8% were diagnosed and died in less than one year, and in 72.2 %, financials reasons were identified as an obstacle to access to a health care provider. The average distance traveled to the diagnoses sites was 7,364.7 meters, with an average time spent of 32.67 min and for treatment, it was 6,987.5 meters and 33.68 min. Conclusion: the study showed that the diagnosis of the injury occurred predominantly outside the municipality of residence, although , people walked a fairly small distance to the health services, spending about half an hour for this displacement.ABRAMO Associação Brasileira de Motricidade Orofacial2018-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-18462018000500595Revista CEFAC v.20 n.5 2018reponame:Revista CEFAC (Online)instname:Centro de Especialização em Fonoaudiologia Clínica (CEFAC)instacron:CEFAC10.1590/1982-0216201820515017info:eu-repo/semantics/openAccessAquino,Rodrigo Cesar Abreu deLima,Maria Luiza Lopes Timóteo deSilva,Vanessa de LimaAlencar,Fábio Lima deRodrigues,Mirellaeng2018-10-23T00:00:00Zoai:scielo:S1516-18462018000500595Revistahttp://www.revistacefac.com.br/https://old.scielo.br/oai/scielo-oai.php||revistacefac@cefac.br1982-02161516-1846opendoar:2018-10-23T00:00Revista CEFAC (Online) - Centro de Especialização em Fonoaudiologia Clínica (CEFAC)false
dc.title.none.fl_str_mv Therapeutic itinerary and access to health services in cases of oral cancer deaths
title Therapeutic itinerary and access to health services in cases of oral cancer deaths
spellingShingle Therapeutic itinerary and access to health services in cases of oral cancer deaths
Aquino,Rodrigo Cesar Abreu de
Health Services Acessibility
Mouth Neoplasms
Health Care (Public Health)
title_short Therapeutic itinerary and access to health services in cases of oral cancer deaths
title_full Therapeutic itinerary and access to health services in cases of oral cancer deaths
title_fullStr Therapeutic itinerary and access to health services in cases of oral cancer deaths
title_full_unstemmed Therapeutic itinerary and access to health services in cases of oral cancer deaths
title_sort Therapeutic itinerary and access to health services in cases of oral cancer deaths
author Aquino,Rodrigo Cesar Abreu de
author_facet Aquino,Rodrigo Cesar Abreu de
Lima,Maria Luiza Lopes Timóteo de
Silva,Vanessa de Lima
Alencar,Fábio Lima de
Rodrigues,Mirella
author_role author
author2 Lima,Maria Luiza Lopes Timóteo de
Silva,Vanessa de Lima
Alencar,Fábio Lima de
Rodrigues,Mirella
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Aquino,Rodrigo Cesar Abreu de
Lima,Maria Luiza Lopes Timóteo de
Silva,Vanessa de Lima
Alencar,Fábio Lima de
Rodrigues,Mirella
dc.subject.por.fl_str_mv Health Services Acessibility
Mouth Neoplasms
Health Care (Public Health)
topic Health Services Acessibility
Mouth Neoplasms
Health Care (Public Health)
description ABSTRACT Objective: to characterize the therapeutic itinerary followed by individuals who died from oral cancer in one area in the northeastern of Brazil, measuring the distances and average time spent in the searching for diagnosis and treatment service. Methods: this is an epidemiological, cross-sectional, retrospective study, where the key informants were interviewed and the points of residence and services were geo-referenced. The variables related to the location of diagnosis, the distance traveled and the time spent for the diagnostic sites, treatment and place of death, services used during the therapeutic course and the main access difficulties were studied. Percent differences were tested using Fisher's exact test, with α = 5%. To evaluate the behavior and the identification of hot areas for this mortality, the Kernel density estimator technique was used. Results: of the 18 cases of death due to oral cancer, 94.4 % were diagnosed in reference centers; 83.3% were diagnosed and treated for up to 60 days; 77.8% were diagnosed and died in less than one year, and in 72.2 %, financials reasons were identified as an obstacle to access to a health care provider. The average distance traveled to the diagnoses sites was 7,364.7 meters, with an average time spent of 32.67 min and for treatment, it was 6,987.5 meters and 33.68 min. Conclusion: the study showed that the diagnosis of the injury occurred predominantly outside the municipality of residence, although , people walked a fairly small distance to the health services, spending about half an hour for this displacement.
publishDate 2018
dc.date.none.fl_str_mv 2018-10-01
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=S1516-18462018000500595
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-18462018000500595
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1982-0216201820515017
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 ABRAMO Associação Brasileira de Motricidade Orofacial
publisher.none.fl_str_mv ABRAMO Associação Brasileira de Motricidade Orofacial
dc.source.none.fl_str_mv Revista CEFAC v.20 n.5 2018
reponame:Revista CEFAC (Online)
instname:Centro de Especialização em Fonoaudiologia Clínica (CEFAC)
instacron:CEFAC
instname_str Centro de Especialização em Fonoaudiologia Clínica (CEFAC)
instacron_str CEFAC
institution CEFAC
reponame_str Revista CEFAC (Online)
collection Revista CEFAC (Online)
repository.name.fl_str_mv Revista CEFAC (Online) - Centro de Especialização em Fonoaudiologia Clínica (CEFAC)
repository.mail.fl_str_mv ||revistacefac@cefac.br
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