Cáncer de cérvix en Costa Rica, barreras según las dimensiones de la asistencia sanitaria: una revisión sistemática cualitativa
Fecha
2022-07
Tipo
artículo de revisión
Autores
Rivera Chavarría, Ana Leonor
Calderón Céspedes, Alejandro
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Resumen
Introducción: de las muertes de mujeres en el mundo por algún tipo de cáncer, el de cérvix es responsable del 7 % del total. En Costa Rica, cada año se diagnostican en promedio 320 casos y fallecen 140 mujeres por esta enfermedad.Objetivo: identificar barreras para el diagnóstico y el tratamientodel cáncer cérvico-uterino, según la disponibilidad de la asistencia sanitaria en Costa Rica. Metodología: se realizó una revisión sistemática cualitativa de literaturaentre mayo y setiembre de 2021. Se examinaron estudios publicados de enero de 2010 a junio de 2021 con diseño cuantitativo, cualitativo o ambos, de fuente primaria o secundaria, que identificaran limitaciones para acceder a la atención según población general, usuarios o personal de salud en Costa Rica. Resultados: se seleccionaron9 artículos científicos. Se identificaron5 dimensiones del modelo de Tanahashi y 26 barreras correspondientes a cada una: 12 de disponibilidad, 5 de accesibilidad, 3 de aceptabilidad, 2 de contacto con el servicio y 4 de cobertura efectiva.Conclusiones: las dificultades en torno al servicio médico son múltiples y están presentes en todas las dimensiones descritas en el modelo de Tanahashi. Los hallazgos deeste estudio destacan la importancia de abordarlas, lo cual, en algunas podría ser complejo. No obstante, otras variables son relativamente simples de solucionar a nivel de sistema, política o práctica.
Introduction: cervical cancer is responsible for 7% of deaths from some type of cancer in women in the world. In Costa Rica, an average of 320 cases is diagnosed and 140 women die from this disease each year. Objective: identify barriers to timely detection and treatme nt of cervical cancer according to healthcare access dimensions in Costa Rica. Methodology : a qualitative systematic review of literature was carried out between May and September 2021. Articles using quantitative, qualitative or both methods published bet ween January 2010 to June 2021 from a primary or secondary source that identified barriers to healthcare access from general population, users or health personnel in Costa Rica were analyzed. Results : 9 scientific articles were selected. The 5 dimensions a nd 26 barriers of the Tanahashi model were identified: 12 corresponded to the availability, 5 to accessibility, 3 to acceptability, 2 to contact coverage and 4 to effective coverage. Conclusions: the barriers to accessing medical care are multiple and are present in all the dimensions described in the Tanahashi model. The findings of this study highlight the importance of addressing barriers in all dimensions. Addressing some access barriers can be complex. However, other variables are relatively simple to address at the system, policy, or practice level.
Introduction: cervical cancer is responsible for 7% of deaths from some type of cancer in women in the world. In Costa Rica, an average of 320 cases is diagnosed and 140 women die from this disease each year. Objective: identify barriers to timely detection and treatme nt of cervical cancer according to healthcare access dimensions in Costa Rica. Methodology : a qualitative systematic review of literature was carried out between May and September 2021. Articles using quantitative, qualitative or both methods published bet ween January 2010 to June 2021 from a primary or secondary source that identified barriers to healthcare access from general population, users or health personnel in Costa Rica were analyzed. Results : 9 scientific articles were selected. The 5 dimensions a nd 26 barriers of the Tanahashi model were identified: 12 corresponded to the availability, 5 to accessibility, 3 to acceptability, 2 to contact coverage and 4 to effective coverage. Conclusions: the barriers to accessing medical care are multiple and are present in all the dimensions described in the Tanahashi model. The findings of this study highlight the importance of addressing barriers in all dimensions. Addressing some access barriers can be complex. However, other variables are relatively simple to address at the system, policy, or practice level.
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Palabras clave
neoplasias del cuello uterino, accesibilidad a los servicios de salud, países en desarrollo, TERAPIA, Uterine Cervical Neoplasms, HEALTH SERVICES, DEVELOPING COUNTRIES, THERAPY