Brazilian Breast Cancer Care Network: the perspective of health managers

ABSTRACT Objective: To analyze the organization of the Brazilian Breast Cancer Care Network, according to the perspective of managers of the Coordenadoria Regional de Saúde Sudeste (Southeast Regional Coordination of Health) of the city of São Paulo. Method: A descriptive study, with a qualitative...

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Main Authors: Rosely Erlach Goldman, Elisabeth Niglio Figueiredo, Suzete Maria Fustinoni, Káren Mendes Jorge de Souza, Ana Maria de Almeida, Maria Gaby Rivero de Gutiérrez
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000700274&lng=en&tlng=en
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author Rosely Erlach Goldman
Elisabeth Niglio Figueiredo
Suzete Maria Fustinoni
Káren Mendes Jorge de Souza
Ana Maria de Almeida
Maria Gaby Rivero de Gutiérrez
author_facet Rosely Erlach Goldman
Elisabeth Niglio Figueiredo
Suzete Maria Fustinoni
Káren Mendes Jorge de Souza
Ana Maria de Almeida
Maria Gaby Rivero de Gutiérrez
author_sort Rosely Erlach Goldman
collection DOAJ
description ABSTRACT Objective: To analyze the organization of the Brazilian Breast Cancer Care Network, according to the perspective of managers of the Coordenadoria Regional de Saúde Sudeste (Southeast Regional Coordination of Health) of the city of São Paulo. Method: A descriptive study, with a qualitative approach, carried out with seven managers of this Coordination. The interview data were analyzed based on the components of the operational structure of the Brazilian Health Care Network: Communication Center; Secondary and Tertiary Care Points; Support Systems; Logistic Systems; and Network Governance System. Results: There is heterogeneity in the operationalization of the Care Network and the obstacles to its integration and comprehensiveness were: fragility of the bond with the users; high turnover of professionals in Primary Health Care; lack of standardization of the reference system and counter-referral, and low cooperation between municipal and state health services. Final considerations: The organization of the Brazilian Breast Cancer Care Network is fragmented, thus compromising the comprehensiveness of care.
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spelling doaj.art-b7b3d339d5a64ecfa19a6b2fd1d7de592022-12-21T17:32:55ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-044672suppl 127428110.1590/0034-7167-2017-0479S0034-71672019000700274Brazilian Breast Cancer Care Network: the perspective of health managersRosely Erlach GoldmanElisabeth Niglio FigueiredoSuzete Maria FustinoniKáren Mendes Jorge de SouzaAna Maria de AlmeidaMaria Gaby Rivero de GutiérrezABSTRACT Objective: To analyze the organization of the Brazilian Breast Cancer Care Network, according to the perspective of managers of the Coordenadoria Regional de Saúde Sudeste (Southeast Regional Coordination of Health) of the city of São Paulo. Method: A descriptive study, with a qualitative approach, carried out with seven managers of this Coordination. The interview data were analyzed based on the components of the operational structure of the Brazilian Health Care Network: Communication Center; Secondary and Tertiary Care Points; Support Systems; Logistic Systems; and Network Governance System. Results: There is heterogeneity in the operationalization of the Care Network and the obstacles to its integration and comprehensiveness were: fragility of the bond with the users; high turnover of professionals in Primary Health Care; lack of standardization of the reference system and counter-referral, and low cooperation between municipal and state health services. Final considerations: The organization of the Brazilian Breast Cancer Care Network is fragmented, thus compromising the comprehensiveness of care.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000700274&lng=en&tlng=enNeoplasias da MamaAtenção Primária à SaúdeGestão em SaúdeSaúde da MulherAvaliação em Saúde
spellingShingle Rosely Erlach Goldman
Elisabeth Niglio Figueiredo
Suzete Maria Fustinoni
Káren Mendes Jorge de Souza
Ana Maria de Almeida
Maria Gaby Rivero de Gutiérrez
Brazilian Breast Cancer Care Network: the perspective of health managers
Revista Brasileira de Enfermagem
Neoplasias da Mama
Atenção Primária à Saúde
Gestão em Saúde
Saúde da Mulher
Avaliação em Saúde
title Brazilian Breast Cancer Care Network: the perspective of health managers
title_full Brazilian Breast Cancer Care Network: the perspective of health managers
title_fullStr Brazilian Breast Cancer Care Network: the perspective of health managers
title_full_unstemmed Brazilian Breast Cancer Care Network: the perspective of health managers
title_short Brazilian Breast Cancer Care Network: the perspective of health managers
title_sort brazilian breast cancer care network the perspective of health managers
topic Neoplasias da Mama
Atenção Primária à Saúde
Gestão em Saúde
Saúde da Mulher
Avaliação em Saúde
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000700274&lng=en&tlng=en
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