Quality of Actions to Control Cervical Cancer in Bahia, Brazil
| Autor: | Poliana Cardoso Martins, Adriano Maia dos Santos, Vanessa Moraes Bezerra, Nília Maria Brito de Lima Prado, Eduarda Ferreira dos Anjos, Patty Fidelis de Almeida |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
papanicolaou test Health Knowledge Attitudes Practice cervical cancer media_common.quotation_subject education Papanicolaou stain Uterine Cervical Neoplasms Health Services Accessibility symbols.namesake Promotion (rank) quality of health care women’s health Medicine Humans Poisson regression Papillomaviridae Early Detection of Cancer media_common Primary health care Cervical cancer business.industry Medical record screening Professional development Papillomavirus Infections General Medicine Papanicolaou Test medicine.disease Prognosis Uterine Cervical Dysplasia Confidence interval Cross-Sectional Studies Family medicine symbols Female business Brazil Research Article Follow-Up Studies |
| Zdroj: | Asian Pacific Journal of Cancer Prevention : APJCP |
| ISSN: | 2476-762X 1513-7368 |
| Popis: | Objective: To assess the quality of the actions to control cervical cancer (CC) and its correlates. Methods: This is a cross-sectional study conducted from January to March 2019 in 19 municipalities in Bahia, Brazil, with a sample of 241 doctors and nurses from primary health care (PHC). Three dependent variables were chosen- “Performance of educational, promotion, prevention, and monitoring actions” (D1); “Access to diagnostic tests” (D2); “Non-occurrence of high grade cervical squamous intraepithelial lesions (HSIL)” (D3). Poisson regression with robust variance was used, adopting hierarchical input variables to estimate the prevalence ratios and confidence intervals of 95%. Results: The following prevalence rates were found: D1 39.8% (95% CI: 33.8-46.2); D2 73.9% (95% CI: 67.9-79.1); and D3 46.4% (95% CI: 39.9-53.0). These dimensions remained associated with the dependent variables: D1- having professional training courses on the topic; consideration to ensure that collection takes place appropriately by a professional; and women having access to medical transport; D2- nurses treating low-grade lesions; D3- recording the Papanicolaou in electronic medical records; D1 and D2- professionals joining the service through public tender; D1 and D3- working in the PHC (≥ 2 years); D2 and D3- recording Papanicolaou in physical records; and performance of Papanicolaou by residents. Conclusion: Better trained professionals and professionals working in stable work arrangements are associated with comprehensive actions to control CC. Such strategies indicate that investments in work management result in a more organized PHC and more solution-centered work processes. Therefore, working in the PHC for a longer time and nurses performing more clinical actions (collection and treatment) are favored by such organizational actions. Investments in diagnostic support contribute to perceptions of more comprehensive actions to control CC. |
| Databáze: | OpenAIRE |
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