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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Main Authors: Luz María Tejada-Tayabas, Liseth Amell Salcedo, Joel Monárrez Espino
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2015-01-01
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.
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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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