0167/2019 - Barriers to access to palliative care services perceived by gastric cancer patients, their caregivers and physicians in Santander, Colombia. Barreiras ao acesso aos cuidados paliativos percebidos por pacientes com câncer gástrico, seus cuidadores e médicos em Santander, Colômbia.
O câncer gástrico (CG) é um problema de saúde pública com alta incidência e mortalidade na Colômbia, devido ao seu diagnóstico tardio e às barreiras ao tratamento curativo, o que deixa os cuidados paliativos (CP) como única opção terapêutica. O objetivo é descrever as barreiras aos cuidados de CP percebidos pelo adulto com CG, cuidador e médico assistente em Santander, Colômbia. Um estudo qualitativo foi realizado com a análise da teoria fundamentada (Strauss e Corbin), por meio de entrevistas semiestruturadas, após amostragem por conveniência, constatou-se que as barreiras de acesso foram; administrativo, econômico, cultural, conhecimento, comunicação, institucional e geográfico; as estratégias para superá-los: programas de triagem, vigilância governamental e investimento em saúde. Em conclusão, o acesso à PC deve ser melhorado, eliminando barreiras ao acesso oportuno e abrangente e fortalecendo as políticas de saúde e educação, com a participação ativa do Estado e da comunidade para garantir a assistência à saúde.
Palavras-chave:
Câncer gástrico; Cuidados paliativos; Acessibilidade aos Serviços de Saúde; Serviços de saúde.
Abstract:
Gastric cancer (GC) is a public health issue with high incidence and mortality in Colombia due to tardy diagnosis and barriers to access to curative treatment; this leaves palliative care (PC) as the only option. Our aim is to describe the access barriers to PC perceived by adults with GC, caregivers and physician in Santander, Colombia. A qualitative study was carried out with the analysis of the grounded theory (Strauss and Corbin), through semi-structured interviews, after sampling for convenience we found that the access barriers were: administrative, economic, cultural, knowledge, communication, institutional and geographical; strategies to overcome barriers: screening programs, governmental surveillance, and investment in health. In conclusion, access to PC requires remove barriers to timely and integral access and strengthen health and education policies to facilitate procedures and services that ensure the attention required by the adult with GC.
Keywords:
Stomach Neoplasms; Palliative care; Accessibility of Health Services; Delivery of Health Care.
Barreiras ao acesso aos cuidados paliativos percebidos por pacientes com câncer gástrico, seus cuidadores e médicos em Santander, Colômbia.
Resumo (abstract):
Gastric cancer (GC) is a public health issue with high incidence and mortality in Colombia due to tardy diagnosis and barriers to access to curative treatment; this leaves palliative care (PC) as the only option. Our aim is to describe the access barriers to PC perceived by adults with GC, caregivers and physician in Santander, Colombia. A qualitative study was carried out with the analysis of the grounded theory (Strauss and Corbin), through semi-structured interviews, after sampling for convenience we found that the access barriers were: administrative, economic, cultural, knowledge, communication, institutional and geographical; strategies to overcome barriers: screening programs, governmental surveillance, and investment in health. In conclusion, access to PC requires remove barriers to timely and integral access and strengthen health and education policies to facilitate procedures and services that ensure the attention required by the adult with GC.
Palavras-chave (keywords):
Stomach Neoplasms; Palliative care; Accessibility of Health Services; Delivery of Health Care.
Uribe, C, Amado, A, Rueda, A.M, Mantilla, L. Barriers to access to palliative care services perceived by gastric cancer patients, their caregivers and physicians in Santander, Colombia.. Cien Saude Colet [periódico na internet] (2019/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/barriers-to-access-to-palliative-care-services-perceived-by-gastric-cancer-patients-their-caregivers-and-physicians-in-santander-colombia/17241?id=17241&id=17241
