Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico
This study aims to describe the medical itineraries followed by breast cancer women affiliated to the People's Health Insurance in San Luis Potosí, central Mexico. We used an ethnographic approach based on oral histories of 12 women diagnosed with breast cancer in the year prior to the first me...
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Format: | Article |
Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2015-01-01
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Series: | Cadernos de Saúde Pública |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000100060&lng=en&tlng=en |
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author | Luz María Tejada-Tayabas Liseth Amell Salcedo Joel Monárrez Espino |
author_facet | Luz María Tejada-Tayabas Liseth Amell Salcedo Joel Monárrez Espino |
author_sort | Luz María Tejada-Tayabas |
collection | DOAJ |
description | This study aims to describe the medical itineraries followed by breast cancer women affiliated to the People's Health Insurance in San Luis Potosí, central Mexico. We used an ethnographic approach based on oral histories of 12 women diagnosed with breast cancer in the year prior to the first meeting. Two face-to-face sessions per participant lasting 60 minutes each were conducted followed by a telephone interview. Content and diachronic analyses were used. Three main itineraries were identified: (1) diagnostic process, (2) final diagnosis to treatment, and (3) cancer control and relapse. Findings suggested that infrastructure and human resources to adequately screen and timely diagnose breast cancer were scant and insufficiently trained, respectively. Deferral of medical assessment was related with lack of information about breast cancer consequences, with women being afraid of a positive result, and with economic constraints. The current screening program needs to be redesigned to prevent diagnostic delays, as these seem to explain the high frequency of advanced stages reported at the time of diagnosis. |
first_indexed | 2024-04-12T19:05:59Z |
format | Article |
id | doaj.art-835aca36ab074b63b0dc7f50bada4ea6 |
institution | Directory Open Access Journal |
issn | 1678-4464 |
language | English |
last_indexed | 2024-04-12T19:05:59Z |
publishDate | 2015-01-01 |
publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
record_format | Article |
series | Cadernos de Saúde Pública |
spelling | doaj.art-835aca36ab074b63b0dc7f50bada4ea62022-12-22T03:20:01ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642015-01-01311607010.1590/0102-311X00009114S0102-311X2015000100060Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central MexicoLuz María Tejada-TayabasLiseth Amell SalcedoJoel Monárrez EspinoThis study aims to describe the medical itineraries followed by breast cancer women affiliated to the People's Health Insurance in San Luis Potosí, central Mexico. We used an ethnographic approach based on oral histories of 12 women diagnosed with breast cancer in the year prior to the first meeting. Two face-to-face sessions per participant lasting 60 minutes each were conducted followed by a telephone interview. Content and diachronic analyses were used. Three main itineraries were identified: (1) diagnostic process, (2) final diagnosis to treatment, and (3) cancer control and relapse. Findings suggested that infrastructure and human resources to adequately screen and timely diagnose breast cancer were scant and insufficiently trained, respectively. Deferral of medical assessment was related with lack of information about breast cancer consequences, with women being afraid of a positive result, and with economic constraints. The current screening program needs to be redesigned to prevent diagnostic delays, as these seem to explain the high frequency of advanced stages reported at the time of diagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000100060&lng=en&tlng=enNeoplasias de la MamaAccesibilidad a los Servicios de SaludInvestigación Cualitativa |
spellingShingle | Luz María Tejada-Tayabas Liseth Amell Salcedo Joel Monárrez Espino Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico Cadernos de Saúde Pública Neoplasias de la Mama Accesibilidad a los Servicios de Salud Investigación Cualitativa |
title | Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico |
title_full | Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico |
title_fullStr | Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico |
title_full_unstemmed | Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico |
title_short | Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico |
title_sort | medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the people s health insurance in san luis potosi central mexico |
topic | Neoplasias de la Mama Accesibilidad a los Servicios de Salud Investigación Cualitativa |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000100060&lng=en&tlng=en |
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