0526/2018 - Políticas de Prevenção e Controle do Câncer Bucal à luz da Teoria da Estruturação de Giddens. Policies for Prevention and Control of Oral Cancer in the light of Giddens Structuring Theory.
Passados mais de dez anos de continuidade das políticas de prevenção e controle do câncer e de saúde bucal, persistem desafios para garantia do acesso ao diagnóstico e tratamento. O objetivo do estudo é analisar as políticas de oncologia e de saúde bucal em vigor, no que se refere ao processo de implantação dos componentes assistenciais relacionados ao câncer bucal. Foram analisadas dez normativas que estruturam essas políticas, sob a ótica da Teoria da Estruturação, além de dados de oferta de serviços entre 2002 e 2017. Nas atenções básica e secundária, destacou-se a baixa cobertura assistencial e a distribuição regional inadequada, apesar do aumento do financiamento e do número de serviços. Na atenção terciária foi identificada a distribuição desigual da realização de cirurgias. Por sua vez, a limitação de serviços da atenção domiciliar tem dificultado o acesso dos usuários aos cuidados paliativos. Houve convergência entre as políticas analisadas e uma preocupação com a regulação dos recursos autoritativos e com o aumento de recursos alocativos, o que estimulou a expansão dos serviços. Deve-se investir na ampliação, regionalização e universalização dos serviços. Um possível retrocesso nessas políticas poderá agravar a situação e contribuir para o aumento das desigualdades em saúde.
Palavras-chave:
Neoplasias Bucais; Política de Saúde; Saúde Bucal.
Abstract:
After more than ten years of continuity in cancer prevention and control and oral health policies, challenges remain to guarantee access to diagnosis and treatment. The objective of the study is to analyze the oncology and oral health policies, regarding the process of implanting the care components related to oral cancer. Ten policies were analyzed,the point of view of Structuration Theory, in addition to data on the supply of services between 2002 and 2017. In primary and secondary health care level, low coverage and regional inadequate distribution were highlighted, despite increased funding and the number of services. In tertiary care, the unequal distribution of surgery performed was identified. The limitation of home care services has made it difficult for users to access palliative care. There was convergence between the analyzed policies and a concern with the regulation of authoritative resources and with the increase of allocative resources, which stimulated the expansion of services. Should be invest in the expansion, regionalization and universalization of services. A possible setback in these policies could aggravate the situation and contribute to the increase of health inequalities.
Policies for Prevention and Control of Oral Cancer in the light of Giddens Structuring Theory.
Resumo (abstract):
After more than ten years of continuity in cancer prevention and control and oral health policies, challenges remain to guarantee access to diagnosis and treatment. The objective of the study is to analyze the oncology and oral health policies, regarding the process of implanting the care components related to oral cancer. Ten policies were analyzed,the point of view of Structuration Theory, in addition to data on the supply of services between 2002 and 2017. In primary and secondary health care level, low coverage and regional inadequate distribution were highlighted, despite increased funding and the number of services. In tertiary care, the unequal distribution of surgery performed was identified. The limitation of home care services has made it difficult for users to access palliative care. There was convergence between the analyzed policies and a concern with the regulation of authoritative resources and with the increase of allocative resources, which stimulated the expansion of services. Should be invest in the expansion, regionalization and universalization of services. A possible setback in these policies could aggravate the situation and contribute to the increase of health inequalities.
Lima, F.L.T, O’Dwyer, G. Políticas de Prevenção e Controle do Câncer Bucal à luz da Teoria da Estruturação de Giddens.. Cien Saude Colet [periódico na internet] (2018/dez). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/politicas-de-prevencao-e-controle-do-cancer-bucal-a-luz-da-teoria-da-estruturacao-de-giddens/17059?id=17059
