"De peito aberto" : vulnerabilidade de consumidoras dos serviços de saúde relativos ao câncer de mama pelo Sistema Único de Saúde

• Ano de defesa: 2022
• Autor(a) principal: Monteiro, Rita de Cássia Santa Cruz
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Gestão Pública; Programa de Pós-Graduação em Gestão Pública e Cooperação Internacional; UFPB
• Palavras-chave em Português: Gestão pública - Serviço Único de Saúde; Câncer de mama; Serviços de saúde - Consumidor; Breast cancer; Vulnerability; CNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/29931

Breast cancer, or malignant neoplasm, has been assuming an increasingly worrying position among the diseases that affect the female population, portraying in Brazil and in the world as a significant cause of death, being the second most frequent type of cancer in the world and the first among women. In this context, as consumers of the health services of the Serviço Único de Saúde (SUS), women with breast cancer may experience vulnerable consumption, as this type of disease is configured as a trigger event in which they are unable to cope. to advocate for their best interest, especially as it is an exchange relationship based on highly complex medical knowledge. In addition, the consumption of SUS services, in general, is performed by patients who are unable to access other providers, according to their preference, which subjects them to a scenario of restricted choice. Therefore, the objective of this research is to analyze the experiences of the vulnerability of consumers of health services related to breast cancer by the Serviço Único de Saúde. Therefore, we carried out qualitative research, through a narrative interview, based on a semi-structured script applied to 12 women affected by breast cancer and consumers of SUS health services. As the main results, we found that women experience vulnerabilities even before being diagnosed with breast cancer, especially during the consumption of health center services, before being referred to cancer referral hospitals. In addition, situations of vulnerable consumption are very common in relation to structural resources, due to the lack of availability of services, such as performing tests and scheduling a return to the doctor in the postoperative period, but we observed that, as the treatment progresses, the patients improve their interpersonal resources, especially in terms of social capital and social support. As a result, they are also better able to deal with their resources, especially in terms of knowledge and emotions. In this way, the research signals the need for improvement in the health service, mainly in the Basic Units, with emphasis on the early detection of breast cancer cases and more welcoming care by the teams that work in this provider entity. In reference hospitals, the difficulty with equipment and medication is highlighted, which generates impotence in women to obtain from the health system what they need to guarantee their well-being. Finally, we analyzed that the perception of women concerning the reception received from professionals is something of paramount importance during their exchange relationships, but that, even understanding the deficiencies in the delivery of health services, such as delays in exams and lack of medication, responses to vulnerability experiences are mostly non-defensive, probably because they feel unable to bring about major changes in the system. This reveals the need to analyze health services related to breast cancer from a systemic perspective, so that there are improvements in delivery at all levels, micro, meso, and macro, for the well-being of these women.