Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015

Detalhes bibliográficos
Ano de defesa: 2017
Autor(a) principal: Silva, Ana Maria Fantini
Orientador(a): Carvalho, Adriana Andrade
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Não Informado pela instituição
Programa de Pós-Graduação: Pós-Graduação em Ciências da Saúde
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://ri.ufs.br/handle/riufs/6696
Resumo: Cervical cancer is one of the leading causes of cancer death in the world. In Brazil, it is the 3rd cause of neoplasia in women. The situation in Sergipe is even worse, been responsible for the 2nd cause of death by malignant tumors in women. Since 1997 the cervical cancer prevention program, through the application of Papanicolaou test, is one of the priorities in the primary care policies in Brazil. Logistic and technical difficulties, especially in remote areas, impose important limitations for the universalization of the program. These difficulties are more clearly observed in North and Northeast regions, maintaining cervical cancer occurrence and mortality rates above national average even after 15 years of the beginning of the screening program. Studies evaluating the evolution of the cervical cancer prevention program through epidemiological markers are rare in Brazil and Sergipe. There is a worldwide tendency of using indicators from hospital activities for avoidable conditions as a way of evaluating the effectivity of primary care. The current study evaluated cervical cancer hospitalizations in Sergipe, in the time period between 2008 and 2015, from data available in DATASUS. Costs, sociodemographic characteristics and temporal modifications after the introduction of Papanicolaou test as a priority in primary care are evaluated. In the period of the study there were 873 hospitalizations. The median age was 46 years and the patients were hospitalized for a medium period of six days. The median hospitalization cost was R$1,766.00 and the cost for surgical hospitalization was three times greater than the one clinical hospitalizations. After the population adjust, there was a predominance of patients from cities other than the capital of Sergipe. In the temporal analysis there was a reduction of hospitalizations by approximately 10% per year, both for the population living in the capital and the population living in the other cities of the state. There was a statistically significant reduction in the number of clinical hospitalizations and a tendency to reduction for surgical hospitalizations. Therefore, it can be concluded that there was a significant decrease in the number of cervical cancer hospitalizations, and this decrease can be correlated to improvements in health care and the consolidation of the screening program in the study period.
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spelling Silva, Ana Maria FantiniCarvalho, Adriana AndradeNunes, Marco Antônio Prado2017-10-05T11:58:40Z2017-10-05T11:58:40Z2017-08-25SILVA, Ana Maria Fantini. Câncer de colo uterino no sistema único de saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015. 2017. 80 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Sergipe, Aracaju, SE, 2017.https://ri.ufs.br/handle/riufs/6696Cervical cancer is one of the leading causes of cancer death in the world. In Brazil, it is the 3rd cause of neoplasia in women. The situation in Sergipe is even worse, been responsible for the 2nd cause of death by malignant tumors in women. Since 1997 the cervical cancer prevention program, through the application of Papanicolaou test, is one of the priorities in the primary care policies in Brazil. Logistic and technical difficulties, especially in remote areas, impose important limitations for the universalization of the program. These difficulties are more clearly observed in North and Northeast regions, maintaining cervical cancer occurrence and mortality rates above national average even after 15 years of the beginning of the screening program. Studies evaluating the evolution of the cervical cancer prevention program through epidemiological markers are rare in Brazil and Sergipe. There is a worldwide tendency of using indicators from hospital activities for avoidable conditions as a way of evaluating the effectivity of primary care. The current study evaluated cervical cancer hospitalizations in Sergipe, in the time period between 2008 and 2015, from data available in DATASUS. Costs, sociodemographic characteristics and temporal modifications after the introduction of Papanicolaou test as a priority in primary care are evaluated. In the period of the study there were 873 hospitalizations. The median age was 46 years and the patients were hospitalized for a medium period of six days. The median hospitalization cost was R$1,766.00 and the cost for surgical hospitalization was three times greater than the one clinical hospitalizations. After the population adjust, there was a predominance of patients from cities other than the capital of Sergipe. In the temporal analysis there was a reduction of hospitalizations by approximately 10% per year, both for the population living in the capital and the population living in the other cities of the state. There was a statistically significant reduction in the number of clinical hospitalizations and a tendency to reduction for surgical hospitalizations. Therefore, it can be concluded that there was a significant decrease in the number of cervical cancer hospitalizations, and this decrease can be correlated to improvements in health care and the consolidation of the screening program in the study period.O câncer de colo uterino é um dos líderes de causa de morte por neoplasia no mundo. No Brasil, é a 3ª causa de neoplasia maligna em mulheres. Para Sergipe, a condição é ainda mais agravante, sendo responsável pela 2ª causa de morte por câncer em mulheres. Desde 1997 o programa de prevenção do câncer de colo uterino, através da realização periódica do exame de Papanicolaou, é uma das prioridades das políticas de saúde na atenção primária no Brasil. Dificuldades logísticas e técnicas, principalmente nas áreas de acesso mais difícil, são limitantes importantes para incorporação global do programa. Essas dificuldades podem ser claramente observadas nas regiões Norte e Nordeste, que mesmo após mais de 15 anos do início do programa nacional de rastreamento, mantêm taxas de incidência e de mortalidade por câncer de colo uterino acima da média nacional. Estudos que avaliem a evolução dos resultados do programa de prevenção do colo uterino através dos marcadores epidemiológicos são escassos no Brasil e em Sergipe. Há uma tendência mundial de se utilizar indicadores das atividades hospitalares por doenças evitáveis como forma de avaliar a efetividade das atividades da atenção primária à saúde. O presente estudo avaliou as internações hospitalares por câncer de colo uterino em Sergipe, no período de 2008 a 2015, a partir de dados do DATASUS. Foram analisados os custos, características sociodemográficas e modificações temporais após a introdução do Papanicolaou como uma das prioridades na atenção primária. No período do estudo houve 873 internações. A idade mediana foi de 46 anos e as pacientes permaneceram internadas em média por seis dias. O gasto mediano por internação foi de R$ 1766,00 e o custo das internações cirúrgicas foi três vezes maior em relação às internações clínicas. Após o ajuste populacional, observou-se um predomínio proporcional de pacientes provenientes de cidades do interior de Sergipe. Na análise temporal, houve redução das internações hospitalares de aproximadamente 10% ao ano, tanto para a população residente na capital, quanto do interior. Observou-se uma redução estatisticamente significativa no número de internações hospitalares clínicas e uma tendência a redução das internações cirúrgicas. Conclui-se, portanto, que ocorreu um decréscimo significativo no número das internações hospitalares por câncer de colo uterino, podendo ser correlacionado às melhorias assistenciais e a consolidação do programa de rastreamento no período estudado.Aracaju, SEporCâncerColo uterinoInternação hospitalarCancerCervix uteriHospitalizationCIENCIAS DA SAUDECâncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015Cervical cancer in the unified health system in Sergipe : costs and sociodemographic characteristics of hospitalizations in the time period between 2008 and 2015info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisPós-Graduação em Ciências da SaúdeUniversidade Federal de Sergipereponame:Repositório Institucional da UFSinstname:Universidade Federal de Sergipe (UFS)instacron:UFSinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81475https://ri.ufs.br/jspui/bitstream/riufs/6696/1/license.txt098cbbf65c2c15e1fb2e49c5d306a44cMD51ORIGINALANA_MARIA_FANTINI_SILVA.pdfANA_MARIA_FANTINI_SILVA.pdfapplication/pdf1270732https://ri.ufs.br/jspui/bitstream/riufs/6696/2/ANA_MARIA_FANTINI_SILVA.pdfe84e4a9c7600049a83ff89f4d234168cMD52TEXTANA_MARIA_FANTINI_SILVA.pdf.txtANA_MARIA_FANTINI_SILVA.pdf.txtExtracted texttext/plain144441https://ri.ufs.br/jspui/bitstream/riufs/6696/3/ANA_MARIA_FANTINI_SILVA.pdf.txt0f468199f796ee42fe7136644adedfc6MD53THUMBNAILANA_MARIA_FANTINI_SILVA.pdf.jpgANA_MARIA_FANTINI_SILVA.pdf.jpgGenerated Thumbnailimage/jpeg1256https://ri.ufs.br/jspui/bitstream/riufs/6696/4/ANA_MARIA_FANTINI_SILVA.pdf.jpgfdbc3493e579de7325ea9d10868a8442MD54riufs/66962017-11-01 20:46:09.116oai:ufs.br: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Repositório InstitucionalPUBhttps://ri.ufs.br/oai/requestrepositorio@academico.ufs.bropendoar:2017-11-01T23:46:09Repositório Institucional da UFS - Universidade Federal de Sergipe (UFS)false
dc.title.pt_BR.fl_str_mv Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015
dc.title.alternative.eng.fl_str_mv Cervical cancer in the unified health system in Sergipe : costs and sociodemographic characteristics of hospitalizations in the time period between 2008 and 2015
title Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015
spellingShingle Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015
Silva, Ana Maria Fantini
Câncer
Colo uterino
Internação hospitalar
Cancer
Cervix uteri
Hospitalization
CIENCIAS DA SAUDE
title_short Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015
title_full Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015
title_fullStr Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015
title_full_unstemmed Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015
title_sort Câncer de colo uterino no Sistema Único de Saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015
author Silva, Ana Maria Fantini
author_facet Silva, Ana Maria Fantini
author_role author
dc.contributor.author.fl_str_mv Silva, Ana Maria Fantini
dc.contributor.advisor1.fl_str_mv Carvalho, Adriana Andrade
dc.contributor.advisor-co1.fl_str_mv Nunes, Marco Antônio Prado
contributor_str_mv Carvalho, Adriana Andrade
Nunes, Marco Antônio Prado
dc.subject.por.fl_str_mv Câncer
Colo uterino
Internação hospitalar
topic Câncer
Colo uterino
Internação hospitalar
Cancer
Cervix uteri
Hospitalization
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv Cancer
Cervix uteri
Hospitalization
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Cervical cancer is one of the leading causes of cancer death in the world. In Brazil, it is the 3rd cause of neoplasia in women. The situation in Sergipe is even worse, been responsible for the 2nd cause of death by malignant tumors in women. Since 1997 the cervical cancer prevention program, through the application of Papanicolaou test, is one of the priorities in the primary care policies in Brazil. Logistic and technical difficulties, especially in remote areas, impose important limitations for the universalization of the program. These difficulties are more clearly observed in North and Northeast regions, maintaining cervical cancer occurrence and mortality rates above national average even after 15 years of the beginning of the screening program. Studies evaluating the evolution of the cervical cancer prevention program through epidemiological markers are rare in Brazil and Sergipe. There is a worldwide tendency of using indicators from hospital activities for avoidable conditions as a way of evaluating the effectivity of primary care. The current study evaluated cervical cancer hospitalizations in Sergipe, in the time period between 2008 and 2015, from data available in DATASUS. Costs, sociodemographic characteristics and temporal modifications after the introduction of Papanicolaou test as a priority in primary care are evaluated. In the period of the study there were 873 hospitalizations. The median age was 46 years and the patients were hospitalized for a medium period of six days. The median hospitalization cost was R$1,766.00 and the cost for surgical hospitalization was three times greater than the one clinical hospitalizations. After the population adjust, there was a predominance of patients from cities other than the capital of Sergipe. In the temporal analysis there was a reduction of hospitalizations by approximately 10% per year, both for the population living in the capital and the population living in the other cities of the state. There was a statistically significant reduction in the number of clinical hospitalizations and a tendency to reduction for surgical hospitalizations. Therefore, it can be concluded that there was a significant decrease in the number of cervical cancer hospitalizations, and this decrease can be correlated to improvements in health care and the consolidation of the screening program in the study period.
publishDate 2017
dc.date.accessioned.fl_str_mv 2017-10-05T11:58:40Z
dc.date.available.fl_str_mv 2017-10-05T11:58:40Z
dc.date.issued.fl_str_mv 2017-08-25
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dc.identifier.citation.fl_str_mv SILVA, Ana Maria Fantini. Câncer de colo uterino no sistema único de saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015. 2017. 80 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Sergipe, Aracaju, SE, 2017.
dc.identifier.uri.fl_str_mv https://ri.ufs.br/handle/riufs/6696
identifier_str_mv SILVA, Ana Maria Fantini. Câncer de colo uterino no sistema único de saúde em Sergipe : avaliação dos custos e características sociodemográficas das internações hospitalares no período de 2008 a 2015. 2017. 80 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Sergipe, Aracaju, SE, 2017.
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