La percepción de continuidad asistencial de una mujer diagnosticada con cáncer cérvico uterino en el sistema de salud de Santa Fe - nodo Rosario

Continuidad asistencial en cáncer cérvico uterino

Abstract

Abstract: Care integration is a central aspect of any health care process and a great challenge for a health system like the Argentine one: fragmented, heterogeneous, segmented and overlapping. It can be evaluated by achieving intermediate objectives such as coordination, continuity of care and access to health services. This communication describes, through the presentation of a case, the care process of a woman diagnosed with cervical cancer, a user of the health system of the province of Santa Fe - in the three subsectors that make it up: public, social security and private - in the Rosario node, from the perspective of the user herself. It is reconstructed from the information collected in the Santa Fe Cancer Registry (RECASFE), the Primary Care Center System (SISCAP) and a semi-structured interview carried out with the user. It takes as its axis the concept of continuity of care defined as the degree of coherence and union of experiences in the care that the patient perceives over time. From the analysis of the case it appears that continuity of care is deficient in its different dimensions: with regard to accessibility to care, in the perception of continuity of information and in the continuity of the relationship with the professionals involved in care.

Analyzing the perception of continuity of care is key; ultimately, it is the users who experience health services.

Key Words: Cervical cancer - care integration - care continuity - argentine health system- Rosario