دورية أكاديمية
Epidemiological profile of Brazilian oncological patients seen by a reference oncology center of the public health system and who migrate in search of adequate health care.
| العنوان: | Epidemiological profile of Brazilian oncological patients seen by a reference oncology center of the public health system and who migrate in search of adequate health care. |
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| المؤلفون: | Cubero DIG; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Sette CVM; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Piscopo BCP; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Monteiro CRA; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Schoueri JHM; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Tavares HDA; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Argani IL; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Garcia MA; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Passarela K; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil., Del Giglio A; ABC School of Medicine (Faculdade de Medicina do ABC - FMABC), Santo André, São Paulo, Brasil. |
| المصدر: | Revista da Associacao Medica Brasileira (1992) [Rev Assoc Med Bras (1992)] 2018 Sep; Vol. 64 (9), pp. 814-818. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Associação Médica Brasileira Country of Publication: Brazil NLM ID: 9308586 Publication Model: Print Cited Medium: Internet ISSN: 1806-9282 (Electronic) Linking ISSN: 01044230 NLM ISO Abbreviation: Rev Assoc Med Bras (1992) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: São Paulo : Associação Médica Brasileira |
| مواضيع طبية MeSH: | Cancer Care Facilities/*statistics & numerical data , Health Services Accessibility/*statistics & numerical data , National Health Programs/*statistics & numerical data , Neoplasms/*epidemiology , Oncology Service, Hospital/*statistics & numerical data , Referral and Consultation/*statistics & numerical data, Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Brazil/epidemiology ; Cross-Sectional Studies ; Female ; Human Migration ; Humans ; Male ; Middle Aged ; Residence Characteristics ; Sex Distribution ; Socioeconomic Factors ; Young Adult |
| مستخلص: | Introduction: Structural disparities between different Brazilian regions in public health system cause patients to migrate in search of better conditions to treat their diseases. Besides patient's discomfort, there is a concentration of care in large centres, causing overload to current capacity. Objective: To evaluate migratory flow and associated factors in a reference service in oncology. Methods: Cross-sectional study conducted at a referral oncology service in Great ABC region of São Paulo. Patients were interviewed, and clinical and demographic data collected. Results: Between March-July 2016, 217 patients were included. Analysis showed a divergence between the postal code registered in the medical record and that recorded during the interview in approximately 10% of cases. Of these, 42.9% were residents of other states. Search for treatment motivated most patients to seek service outside their city. Conclusion: Results reflect the informal search for medical care outside the home area. Besides the direct impact on patients' quality of life, migratory flow has an economic-social impact because these patients place a burden and impose costs on services of cities where they do not perform their responsibilities as citizens. Confirmation of the existence of a significant migratory flow demonstrates the need to discuss restructuring public health policies. |
| تواريخ الأحداث: | Date Created: 20190124 Date Completed: 20190219 Latest Revision: 20190320 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1590/1806-9282.64.09.814 |
| PMID: | 30673002 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1806-9282 |
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| DOI: | 10.1590/1806-9282.64.09.814 |