Access of the patient to the cancer network under the “Sixty-Day Law”: Integrative Review

Acceso del paciente a la red oncológica en la vigencia de la “Ley de los Sesenta Días”: Revisión Integrativa

ABSTRACT

Objectives:

to analyze Brazilian scientific production on patient access to the oncology network under the “Sixty-Day Law”.

Methods:

integrative review of the literature in the databases Lilacs, PubMed and Scielo. The descriptors used were: neoplasms, health services accessibility, early detection of cancer. Articles published from 2015 to March 2019 were included.

Results:

17 articles were analyzed and four themes emerged: inequality in access; qualification of Primary Care professionals; time as a determinant factor; information system as limiting factor.

Conclusions:

the access to the oncology network is unequal and there are several barriers faced by the users. A continuing education of health professionals is necessary to implement preventive strategies. Treatment initiation is late, showing non-compliance with the law. The health care network is highly fragmented, there is lack of coordination between the services and, consequently, there is a lack of patient follow-up.

Descriptors:
Neoplasms; Health Services Accessibility; Early Detection of Cancer; Review; Cancer Institute