Cancer care planning: a rough estimate study
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/2159 |
Resumo: | The purpose of this paper is to assess Oncology care in Brazil, based in general presumptions and on the number of necessary units estimated from populational data and new annual cases expected, state by state and per region. Presumptions are applied linearly, equally calculated for all the states of the country, and attemps to provide the basis for the development of more accurate methods to assess the parameters required by regional care. Results from comparing chemo- and radiation therapy data among the different states evidence that, except for some states, the number of existing units is either excessive, enough or slightly deficient, but the number of treatments paid is less than the estimated state or regional needs. However, it does not apply to the Southeastern Region, whose states lack units and treatment - which is worsened when one considers that presumptions and estimates were based on the existing population, in this region are the most populated states of the country, and a large number of cases are treated out of the city of residence. At the end, suggestions for conforming oncology care are presented: 1) Apply factors to correct identified state and regional differences; 2) review accreditation, and only accreditate based on populational needs and a basic operational capability; 3) ensure financing to increase treatment production; and 4) advance on treatment control and assessment mechnisms, so that a qualitative service assessment model can be designed. |
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Cancer care planning: a rough estimate studyPlanejamento da assistência oncológica: um exercício de estimativasEstimativas de PopulaçãoAssistência OncológicaSistema de SaúdeOrganizaçãoCobertura PopulacionalNeoplasiasEpidemiologiaBrasilPopulation EstimatesCancer CareHealth SystemOrganizationPopulation CoverageNeoplasmsEpidemiologyBrazilThe purpose of this paper is to assess Oncology care in Brazil, based in general presumptions and on the number of necessary units estimated from populational data and new annual cases expected, state by state and per region. Presumptions are applied linearly, equally calculated for all the states of the country, and attemps to provide the basis for the development of more accurate methods to assess the parameters required by regional care. Results from comparing chemo- and radiation therapy data among the different states evidence that, except for some states, the number of existing units is either excessive, enough or slightly deficient, but the number of treatments paid is less than the estimated state or regional needs. However, it does not apply to the Southeastern Region, whose states lack units and treatment - which is worsened when one considers that presumptions and estimates were based on the existing population, in this region are the most populated states of the country, and a large number of cases are treated out of the city of residence. At the end, suggestions for conforming oncology care are presented: 1) Apply factors to correct identified state and regional differences; 2) review accreditation, and only accreditate based on populational needs and a basic operational capability; 3) ensure financing to increase treatment production; and 4) advance on treatment control and assessment mechnisms, so that a qualitative service assessment model can be designed.Este trabalho é um exercício e objetiva analisar a assistência oncológica no Brasil, com base em pressupostos gerais e estimativas da necessidade de unidades, estimada a partir de dados populacionais e de casos novos anuais esperados, estado a estado e regionalmente. Ele aplica linearmente os pressupostos, calcula igualmente para todos os estados federativos e tenta oferecer subsídios para que se desenvolvam métodos mais apurados de se estabelecer os parâmetros que um atendimento regionalizado exige. Os resultados da comparação com os dados da produção de quimioterapia e de radioterapia demonstram que, exceto por alguns estados, a disponibilidade numérica de unidades cadastradas é excessiva, suficiente ou minimamente deficitária, mas a produção paga é menor do que a necessidade estadual ou regional estimada. Porém, isso não se aplica à Região Sudeste, cujos Estados são deficitários, em número de unidades e da produção - situação agravada, quando se considera que os pressupostos e as estimativas basearam-se na respectiva população residente, e que essa Região detém os estados mais populosos da Federação e concentra um grande número de casos de tratamento fora de domicílio. Ao final, apresentam-se sugestões para uma adequação da assistência oncológica: 1) Aplicar fatores para a correção das diferenças estaduais e regionais apontadas; 2) revisar os cadastramentos e somente recadastrar com base na necessidade populacional e em uma capacidade mínima operacional; 3) garantir o financiamento para o aumento da produção; e 4) avançar nos mecanismos de controle e avaliação dos procedimentos, para elaborar um modelo de avaliação qualitativa dos serviços prestados.INCA2002-12-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/215910.32635/2176-9745.RBC.2002v48n4.2159Revista Brasileira de Cancerologia; Vol. 48 No. 4 (2002): Oct./Nov./Dec.; 533-543Revista Brasileira de Cancerologia; Vol. 48 Núm. 4 (2002): oct./nov./dic.; 533-543Revista Brasileira de Cancerologia; v. 48 n. 4 (2002): out./nov./dez.; 533-5432176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2159/1332Gadelha, Maria Inez Pordeusinfo:eu-repo/semantics/openAccess2021-11-29T20:37:06Zoai:rbc.inca.gov.br:article/2159Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:37:06Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Cancer care planning: a rough estimate study Planejamento da assistência oncológica: um exercício de estimativas |
title |
Cancer care planning: a rough estimate study |
spellingShingle |
Cancer care planning: a rough estimate study Gadelha, Maria Inez Pordeus Estimativas de População Assistência Oncológica Sistema de Saúde Organização Cobertura Populacional Neoplasias Epidemiologia Brasil Population Estimates Cancer Care Health System Organization Population Coverage Neoplasms Epidemiology Brazil |
title_short |
Cancer care planning: a rough estimate study |
title_full |
Cancer care planning: a rough estimate study |
title_fullStr |
Cancer care planning: a rough estimate study |
title_full_unstemmed |
Cancer care planning: a rough estimate study |
title_sort |
Cancer care planning: a rough estimate study |
author |
Gadelha, Maria Inez Pordeus |
author_facet |
Gadelha, Maria Inez Pordeus |
author_role |
author |
dc.contributor.author.fl_str_mv |
Gadelha, Maria Inez Pordeus |
dc.subject.por.fl_str_mv |
Estimativas de População Assistência Oncológica Sistema de Saúde Organização Cobertura Populacional Neoplasias Epidemiologia Brasil Population Estimates Cancer Care Health System Organization Population Coverage Neoplasms Epidemiology Brazil |
topic |
Estimativas de População Assistência Oncológica Sistema de Saúde Organização Cobertura Populacional Neoplasias Epidemiologia Brasil Population Estimates Cancer Care Health System Organization Population Coverage Neoplasms Epidemiology Brazil |
description |
The purpose of this paper is to assess Oncology care in Brazil, based in general presumptions and on the number of necessary units estimated from populational data and new annual cases expected, state by state and per region. Presumptions are applied linearly, equally calculated for all the states of the country, and attemps to provide the basis for the development of more accurate methods to assess the parameters required by regional care. Results from comparing chemo- and radiation therapy data among the different states evidence that, except for some states, the number of existing units is either excessive, enough or slightly deficient, but the number of treatments paid is less than the estimated state or regional needs. However, it does not apply to the Southeastern Region, whose states lack units and treatment - which is worsened when one considers that presumptions and estimates were based on the existing population, in this region are the most populated states of the country, and a large number of cases are treated out of the city of residence. At the end, suggestions for conforming oncology care are presented: 1) Apply factors to correct identified state and regional differences; 2) review accreditation, and only accreditate based on populational needs and a basic operational capability; 3) ensure financing to increase treatment production; and 4) advance on treatment control and assessment mechnisms, so that a qualitative service assessment model can be designed. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-12-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2159 10.32635/2176-9745.RBC.2002v48n4.2159 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/2159 |
identifier_str_mv |
10.32635/2176-9745.RBC.2002v48n4.2159 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2159/1332 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 48 No. 4 (2002): Oct./Nov./Dec.; 533-543 Revista Brasileira de Cancerologia; Vol. 48 Núm. 4 (2002): oct./nov./dic.; 533-543 Revista Brasileira de Cancerologia; v. 48 n. 4 (2002): out./nov./dez.; 533-543 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042249563897856 |