Lopes Viviane Aparecida Siqueira, Ribeiro José Mendes
Departamento de Serviço Social de Campos, Universidade Federal Fluminense. R. José do Patrocínio 71, Centro. 28010-385 Campos dos Goytacazes RJ Brasil.
Escola Nacional de Saúde Pública Sergio Arouca, Fiocruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2019 Sep 9;24(9):3431-3442. doi: 10.1590/1413-81232018249.32592017.
This paper reviews the limiting factors and facilitators of access to Brazilian cervical cancer care public health services. This review employed bibliographic database Medline (interface with the Virtual Health Library/BVS and PubMed) and Lilacs / SciELO portals. We sought publications for the period 2011-2016 based on the use of specific terms from the sources consulted, regarding "cervical neoplasms" and "access to health services". We found 704 papers initially, which were shortlisted to 31 following adopted criteria, which were further reduced to 19 papers to make up the final selection. Access facilitating aspects such as wide coverage of the Pap smear test and coverage of biopsies equivalent to the number of altered prevention tests were mentioned. However, access limiting aspects such as inadequate Pap smear's periodicity, difficulties in scheduling appointments and exams, high rate of advanced staging and delays in diagnosis and treatment onset were also reported.
本文回顾了巴西宫颈癌公共卫生服务可及性的限制因素和促进因素。本综述使用了文献数据库Medline（与虚拟健康图书馆/BVS和PubMed的接口）以及Lilacs/SciELO门户。我们根据所查阅资料中关于“宫颈肿瘤”和“卫生服务可及性”的特定术语，查找了2011 - 2016年期间的出版物。我们最初找到704篇论文，根据采用的标准筛选至31篇，进一步缩减至19篇以构成最终选集。文中提到了促进可及性的方面，如巴氏涂片检查的广泛覆盖以及活检覆盖率与异常预防检查数量相当。然而，也报告了限制可及性的方面，如巴氏涂片检查周期不足、预约和检查安排困难、晚期分期率高以及诊断和治疗开始延迟。
