Therapeutic itinerary and access to health services in cases of oral cancer deaths
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
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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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 |
_version_ |
1754122581791735808 |