Patient navigation to improve access to breast cancer care in brazil
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/57718 |
Resumo: | Noncommunicable diseases, such as cancer, are surpassing infectious diseases as the most pressing health care threat in low- and middle-income countries (LMICs).1 By 2025, 59% of new cancer cases and 68% of all cancer deaths will occur in LMICs,2 and health care systems in these countries are struggling to respond to this changing landscape.3 In Brazil, breast cancer is the most common cancer and the leading cause of cancer death among women, with 14,206 deaths in 20134 and 57,960 new cancerdiagnoses estimatedforthe year2016.5 Recognizing the need for cancer control strategies, the Brazilian government issued Ministry of Health Law No. 12.732/12, also called the Law of 60 Days, in 2012. This law states that treatment of any cancer for patients in the public health system must start within 60 days of definitive diagnosis.6 Shortly after the Law of 60 Days was enacted, the Cancer Information System (or SISCAN, the Brazilian acronym) was instituted to monitor the implementation of the law by tracking patient treatment times, appointments, diagnostic tests, and targets and indicators for future cancer control actions.7 However, even years after the institution of the law, a large proportion of patients still do not receive timely treatment, and SISCAN has not been effectively used. Innovative solutions are needed to ensure that the law is properly implemented. In this context, an intervention such as patient nav igation (PN) could potentially allow for appropriate implementation of the law.8 Although PN pro grams have shown demonstrable success among underserved populations in the United States, their global implementation has been limited. Here, we discuss the potential role of PN in alleviating health system barriers and supporting adherence to the Law of 60 Days in Brazil, which in turn could improvethe outcomes ofwomenwith breast cancer throughout the country. |
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2023-08-10T21:39:37Z2023-08-10T21:39:37Z2017-103543343710.1200/jgo.2016.0067262378-9506http://hdl.handle.net/1843/57718Noncommunicable diseases, such as cancer, are surpassing infectious diseases as the most pressing health care threat in low- and middle-income countries (LMICs).1 By 2025, 59% of new cancer cases and 68% of all cancer deaths will occur in LMICs,2 and health care systems in these countries are struggling to respond to this changing landscape.3 In Brazil, breast cancer is the most common cancer and the leading cause of cancer death among women, with 14,206 deaths in 20134 and 57,960 new cancerdiagnoses estimatedforthe year2016.5 Recognizing the need for cancer control strategies, the Brazilian government issued Ministry of Health Law No. 12.732/12, also called the Law of 60 Days, in 2012. This law states that treatment of any cancer for patients in the public health system must start within 60 days of definitive diagnosis.6 Shortly after the Law of 60 Days was enacted, the Cancer Information System (or SISCAN, the Brazilian acronym) was instituted to monitor the implementation of the law by tracking patient treatment times, appointments, diagnostic tests, and targets and indicators for future cancer control actions.7 However, even years after the institution of the law, a large proportion of patients still do not receive timely treatment, and SISCAN has not been effectively used. Innovative solutions are needed to ensure that the law is properly implemented. In this context, an intervention such as patient nav igation (PN) could potentially allow for appropriate implementation of the law.8 Although PN pro grams have shown demonstrable success among underserved populations in the United States, their global implementation has been limited. Here, we discuss the potential role of PN in alleviating health system barriers and supporting adherence to the Law of 60 Days in Brazil, which in turn could improvethe outcomes ofwomenwith breast cancer throughout the country.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE CLÍNICA MÉDICAJournal of Global OncologyCâncer de mamaTratamento do câncer no BrasilAntineoplásicosBreast cancerAntineoplastic AgentsPatient navigation to improve access to breast cancer care in brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://ascopubs.org/doi/full/10.1200/JGO.2016.006726Alexandra BukowskiSandra GioiaYanin Chavarri-GuerraEnrique Soto-Perez-de-CelisJessica St. LouisEduardo PaulinoAngélica Nogueira RodriguesPaul E. Gossapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/57718/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALPatient Navigation to Improve Access to Breast Cancer Care in Brazil pdfa.pdfPatient Navigation to Improve Access to Breast Cancer Care in Brazil pdfa.pdfapplication/pdf73602https://repositorio.ufmg.br/bitstream/1843/57718/2/Patient%20Navigation%20to%20Improve%20Access%20to%20Breast%20Cancer%20Care%20in%20Brazil%20pdfa.pdf966f974ac3b2ed4ef94b51af8a3ae09fMD521843/577182023-08-10 18:48:11.857oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-08-10T21:48:11Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Patient navigation to improve access to breast cancer care in brazil |
title |
Patient navigation to improve access to breast cancer care in brazil |
spellingShingle |
Patient navigation to improve access to breast cancer care in brazil Alexandra Bukowski Breast cancer Antineoplastic Agents Câncer de mama Tratamento do câncer no Brasil Antineoplásicos |
title_short |
Patient navigation to improve access to breast cancer care in brazil |
title_full |
Patient navigation to improve access to breast cancer care in brazil |
title_fullStr |
Patient navigation to improve access to breast cancer care in brazil |
title_full_unstemmed |
Patient navigation to improve access to breast cancer care in brazil |
title_sort |
Patient navigation to improve access to breast cancer care in brazil |
author |
Alexandra Bukowski |
author_facet |
Alexandra Bukowski Sandra Gioia Yanin Chavarri-Guerra Enrique Soto-Perez-de-Celis Jessica St. Louis Eduardo Paulino Angélica Nogueira Rodrigues Paul E. Goss |
author_role |
author |
author2 |
Sandra Gioia Yanin Chavarri-Guerra Enrique Soto-Perez-de-Celis Jessica St. Louis Eduardo Paulino Angélica Nogueira Rodrigues Paul E. Goss |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Alexandra Bukowski Sandra Gioia Yanin Chavarri-Guerra Enrique Soto-Perez-de-Celis Jessica St. Louis Eduardo Paulino Angélica Nogueira Rodrigues Paul E. Goss |
dc.subject.por.fl_str_mv |
Breast cancer Antineoplastic Agents |
topic |
Breast cancer Antineoplastic Agents Câncer de mama Tratamento do câncer no Brasil Antineoplásicos |
dc.subject.other.pt_BR.fl_str_mv |
Câncer de mama Tratamento do câncer no Brasil Antineoplásicos |
description |
Noncommunicable diseases, such as cancer, are surpassing infectious diseases as the most pressing health care threat in low- and middle-income countries (LMICs).1 By 2025, 59% of new cancer cases and 68% of all cancer deaths will occur in LMICs,2 and health care systems in these countries are struggling to respond to this changing landscape.3 In Brazil, breast cancer is the most common cancer and the leading cause of cancer death among women, with 14,206 deaths in 20134 and 57,960 new cancerdiagnoses estimatedforthe year2016.5 Recognizing the need for cancer control strategies, the Brazilian government issued Ministry of Health Law No. 12.732/12, also called the Law of 60 Days, in 2012. This law states that treatment of any cancer for patients in the public health system must start within 60 days of definitive diagnosis.6 Shortly after the Law of 60 Days was enacted, the Cancer Information System (or SISCAN, the Brazilian acronym) was instituted to monitor the implementation of the law by tracking patient treatment times, appointments, diagnostic tests, and targets and indicators for future cancer control actions.7 However, even years after the institution of the law, a large proportion of patients still do not receive timely treatment, and SISCAN has not been effectively used. Innovative solutions are needed to ensure that the law is properly implemented. In this context, an intervention such as patient nav igation (PN) could potentially allow for appropriate implementation of the law.8 Although PN pro grams have shown demonstrable success among underserved populations in the United States, their global implementation has been limited. Here, we discuss the potential role of PN in alleviating health system barriers and supporting adherence to the Law of 60 Days in Brazil, which in turn could improvethe outcomes ofwomenwith breast cancer throughout the country. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-10 |
dc.date.accessioned.fl_str_mv |
2023-08-10T21:39:37Z |
dc.date.available.fl_str_mv |
2023-08-10T21:39:37Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/57718 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1200/jgo.2016.006726 |
dc.identifier.issn.pt_BR.fl_str_mv |
2378-9506 |
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10.1200/jgo.2016.006726 2378-9506 |
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http://hdl.handle.net/1843/57718 |
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eng |
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eng |
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Journal of Global Oncology |
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openAccess |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
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MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
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Universidade Federal de Minas Gerais |
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