Piñeros Marion, Sánchez Ricardo, Perry Fernando, García Oscar Armando, Ocampo Rocío, Cendales Ricardo
Grupo Área de Salud Pública, Instituto Nacional de Cancerología, Bogotá, Colombia.
Salud Publica Mex. 2011 Nov-Dec;53(6):478-85.
Establish provider delay for breast cancer and related factors.
1,106 women with breast cancer were approached in health care institutions of Bogota, Colombia. According to the history of first consultation, we established diagnostic and treatment incidence rates, which were compared for different variables. A Cox hazard model was established.
Median time from first consultation to diagnosis and start of treatment were 91 days (CI95%:82-97 days) and 137 days (CI95%:127-147 days) respectively. Diagnosis and treatment were faster in women with higher educational level, affiliated to the "special" social security, with better socioeconomic conditions and in screening-detected breast cancers.
Provider delay is excessive. There are clear inequities in access to services and a need of reducing the waiting times for women with a suspicion of breast cancer.
确定乳腺癌的医疗服务提供者延误情况及相关因素。
在哥伦比亚波哥大的医疗机构中对1106名乳腺癌女性进行了研究。根据首次就诊史，我们确定了诊断和治疗发病率，并对不同变量进行了比较。建立了Cox风险模型。
从首次就诊到诊断和开始治疗的中位时间分别为91天（95%置信区间：82 - 97天）和137天（95%置信区间：127 - 147天）。教育水平较高、隶属于“特殊”社会保障体系、社会经济状况较好的女性以及通过筛查发现的乳腺癌患者，其诊断和治疗速度更快。
医疗服务提供者延误时间过长。在获得服务方面存在明显的不公平现象，需要减少疑似乳腺癌女性的等待时间。
