Access of the patient to the cancer network under the "Sixty-Day Law": Integrative Review

• Published in: Revista Brasileira de Enfermagem Vol. 73; no. 5; pp. e20190406 - 9
• Main Authors: Lombardo, Mariela Santos, Popim, Regina Célia
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Associação Brasileira de Enfermagem 01.01.2020
• Subjects: Cancer; Cancer Institute; Chemotherapy; Community Networks - standards; Community Networks - trends; Early Detection of Cancer; Health care access; Health care networks; Health services; Health Services Accessibility; Health Services Accessibility - standards; Health Services Accessibility - statistics & numerical data; Humans; Information systems; Neoplasms; Neoplasms - therapy; Oncology; Patients; Primary care; Public health; Radiation therapy; Review; Tumors; Brazil; Canada
• ISSN: 0034-7167; 1984-0446
• DOI: 10.1590/0034-7167-2019-0406

to analyze Brazilian scientific production on patient access to the oncology network under the "Sixty-Day Law". integrative review of the literature in the databases Lilacs, PubMed and Scielo. The descriptors used were: neoplasms, health services accessibility, early detection of cancer. Articles published from 2015 to March 2019 were included. 17 articles were analyzed and four themes emerged: inequality in access; qualification of Primary Care professionals; time as a determinant factor; information system as limiting factor. the access to the oncology network is unequal and there are several barriers faced by the users. A continuing education of health professionals is necessary to implement preventive strategies. Treatment initiation is late, showing non-compliance with the law. The health care network is highly fragmented, there is lack of coordination between the services and, consequently, there is a lack of patient follow-up.