Assistência à mulher com câncer de mama na rede de atenção da Região de Saúde do Médio Norte Mato-Grossense no contexto da atenção primária

Abstract

Introduction: Breast cancer is the most frequent type of cancer that affects women, and Primary Health Care, considered the gateway to the Care Network, can, through health promotion, prevention and screening actions, qualify care, refer to treatment and accompany women when diagnosed with breast cancer. Objective: To know the assistance of women with breast cancer in the Health Care Network of the Middle North of Mato Grosso in the context of Primary Care. Methods: This is a descriptive-exploratory case study of a quali-quantitative approach from the Middle North Mato Grosso Health Region. This case study is part of the project "Regional Management: PHC and Health Care Network (HCN) in the regions of the State of Mato Grosso". The quantitative data were based on the indicators: Estimated population (inhabitant); General PIB and Municipal PIB per capita; Municipal Human Development Index; Availability of medical and nursing professionals; Own resources invested and health expenses; Coverage of Medical Care; Installed Capacity of Public and Private Establishments; Number of Medical Consultations; Medium Complexity Outpatient Procedures by Reference were extracted from the official databases of the federal government and organized into tables in Excel. In the qualitative approach, primary health care coordinators, physicians and nurses of family health strategies were interviewed. The analysis of the theme was organized into prestipulated categories of relevance of the study. Results: The Health Region of the Middle North of Mato Grosso is the fourth largest region in the State of Mato Grosso, the economic source comes from agribusiness, the services that make up the Health Care Network are mostly primary care and the Network has a strong relationship with the private sector, through agreements and contractualizations of services, especially with the private network of the headquarters municipality (Tangará da Serra), and other health regions to offer access to diagnostic support services and or treatment of breast cancer. Medical professionals and nurses face difficulties in providing care to women with breast cancer, and the lack of: training; information from the reference service and intersectoral partnerships and women undergoing treatment with breast cancer. Conclusion: The findings presented in this study reveal gaps that should be considered in the implementation of women's health care, including prioritizing PHC with investments that can expand its performance to enable care considering the expanded concept of health. The study presents limitations, because the analysis was restricted to the studied region, which may not have the representation of other regions of the state, but allowed the survey of network problems and pointed out the needs of interventions of the federative entities involved to improve the care of women with reduction of new cases and mortality from breast cancer. It is expected that this study will contribute to the strengthening of the network of care and control of breast cancer in this, and in the other health regions of Mato Grosso.