Processo logístico: o caso da realização de exames de mamografias em mulheres na faixa etária de 50 a 69 anos, residentes da cidade de Aparecida - PB

Abstract

This paper deals with bilateral mammography screening for breast cancer screening in women aged between 50 and 69 years old, living in the municipality of Aparecida, located in the Sertão of Paraiba, using the logistic process tool. Given the high level of resistance on the part of these women to undergo the examination and the increasing number of cases of the disease in the country, we decided to carry out the study, given the importance of the subject. The research can be classified as quali-quantitative, descriptive and case study. Data collection was performed on the basis of observation, records of the Family Health Teams, as well as complementary information collected from official national sources. The research revealed that it is necessary for the Municipal Health Secretariat, together with the Family Health Teams and all its members, to develop organizational strategies that range from the schedule of the examinations to the logistics of the day it will be mammography, so that the women give credibility to the service and feel confident and confident to take the exam. It was also verified that it is necessary to review how the results will be delivered, since many arrive and stay in the Department of Health for a long period of time, without the patient being identified in order to receive their award. This is a negative point because there may be some change in the result and it does not reach the patient's hands. Another point that we highlight is that after receiving the result, the women go through a waiting period, up to more than 60 days, according to the Regulation Center (responsible for marking specialized consultations and examinations of medium and high complexity) of the municipality, for consult the specialist to evaluate the outcome of your examination. In the cases of diagnosis of the disease, there was also a delay in scheduling consultations to begin treatment in the reference hospital for cancer treatment, that is, the Napoleão Laureano Hospital, in the city of João Pessoa. When marking happens, women who depend on transportation from the Health Department are subject to the dates the car is scheduled to travel. Therefore, logistics is a determinant and relevant factor for health services to happen efficiently and reach the greatest number of women, in this case, possible.