Banca de DEFESA: TEOFANES DE ASSIS SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : TEOFANES DE ASSIS SANTOS
DATA : 27/02/2020
HORA: 16:30
LOCAL: Sala 01 do Instituto de Saúde Coletiva
TÍTULO:

Therapeutic itineraries of people with colorectal cancer in times of personalized medicine: A study on the access and treatment of the disease in Salvador- BA

PALAVRAS-CHAVES:

Colorectal cancer; therapeutic itineraries; personalized medicine; access.

PÁGINAS: 97
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Colorectal cancer (CRC) is the 3rd most common type of cancer in Brazil. The estimate of new cases of colorectal cancer for the year 2019 is 36,360, according to the Cancer Institute (INCA). This type of neoplasia is more prevalent in people over the age of 50, which is why the recommendation for clinical screening occurs after that age. The treatment of CRC, which until the 1990s was solely surgical, has changed due to the incorporation of new biotechnologies and clinical approaches, such as Personalized or Precision Medicine. In this sense, this study aimed to analyze the therapeutic itineraries of people with colorectal cancer whose treatments are being carried out in public and private oncology centers in the city of Salvador, seeking to identify the main difficulties / facilities to access the diagnosis and treatment including access to new genomic technologies. In this qualitative study, semi-structured interviews were conducted with ten participants, five users of the public service and five of those in a private service considered to be of excellence in Bahia. The Thematic Content Analysis, proposed by Bardin Bardin's was used. The results show that, although technologies for the diagnosis and treatment of colorectal cancer have evolved, users of the public service have basic difficulties that make them wander to access essential health resources, in contrast to the agility found by users of the private health care. The main difficulties encountered by users of the public health system for diagnosis and treatment are related to transportation, food, access to specialist doctors and complementary exams. The results indicate that the presence of well-established mediators and social networks, made up of family members, friends and neighbors are important for coping with adverse situations in the processes of seeking care and as a way to minimize and resist the difficulties and vulnerabilities among those belonging less favored social groups. The diagnosis of CRC was characterized as a disruptive moment in the biographies of the study participants, regardless of the type of insertion in health services, however, its immediate association with suffering was more present among users of the public service. The absence from work was the main break observed in the trajectories of the participants in this study. Body changes, dietary patterns and biological needs contributed to increased isolation, and the development of strategies that avoided situations of social stigma needed to be developed by them. The process of choosing treatment was marked by complex decisions related not only to the material dimension, but also to those related to values, beliefs and woven into individual-collective interaction.

MEMBROS DA BANCA:
Presidente - 1433789 - JORGE ALBERTO BERNSTEIN IRIART
Externo à Instituição - TATIANA ENGEL GERHARDT
Externo ao Programa - 1156259 - YEIMI ALEXANDRA ALZATE LOPEZ