Acesso aos serviços de saúde de crianças com neoplasias : uma revisão integrativa

Abstract

Access to health services is characterized by the various ways in which the patient travels the services to specialized care. Including therefore the distance and geographical displacement, means of transport and financial conditions. Thus, the objective of this study is to identify the health services that are present in this service, as well as to verify how is the access and reception of these children with neoplasms, characterizing the entire trajectory/itinerary. It is an integrative literature review. The structuring of the article has the strategy patient, intervention, comparison, outcomes, study type, to define the guiding question and during electronic searches we chose the model Preferred Reporting Items for Systematic Reviews and Meta ‑ Analyse, characterized by the flowchart of the selection. of the articles found in the searches performed. The selected database being the Virtual Health Library. DESC: access to health services, access to health care, neoplasia, child. MESH: Health services accessibility, neoplasms, child. Using the boolean operator AND. The selected period was from January 2009 to January 2019. The constitution of the results, with 09 selected articles, were excluded articles that did not answer the research question. Therefore, it is concluded the geographical difficulty and barriers to access to health services, highlighting the delay for intervention, diagnosis, and specialized treatment, as well as subjective questions of parents' reports about feelings of distress. It recognizes the need for actions aimed at reducing costs, reducing the distance to specialized centers and time from the onset of signs and symptoms to the diagnosis of the pathology.