Care Continuity to women with cervical cancer in health care networks: case study, Pernambuco

ABSTRACT The aim of the study was to analyze the continuity of care for women with cervical cancer. Qualitative study of case, in health networks. Interviews were performed with semi-structured script and technique of content's narrative analysis. Women perceived barriers in the diagnosis, treatment and accessibility between levels of care. They observed informal communication between specialists; limitations in the communication between levels of care; absence of counter-reference; and that the patient-service relationship was greater in the oncology sphere. The lack of counter-reference hindered the accumulation of knowledge and coordination of care for Primary Care.

摘要
本研究旨在分析宫颈癌女性患者的照护连续性状况。本研究属于卫生网络范畴内的质性个案研究，采用半结构化访谈提纲开展访谈，并运用叙事内容分析技术进行资料分析。受访女性指出，在诊断、治疗以及不同层级照护间的可及性方面均存在阻碍。她们发现存在以下问题：专科医师间沟通非正式且随意；不同层级照护机构间的沟通存在局限；反向转诊制度缺失；且患者与服务提供方的关系在肿瘤学领域更为紧密。反向转诊的缺失阻碍了基层医疗卫生机构的知识积累与照护协调工作。