SciELO - Scientific Electronic Library Online

vol.27 issue2Complementary feeding and nutritional status of 6-24-month-old children in Acrelândia, Acre State, Western Brazilian AmazonStroke mortality by residence and place of death: Paraná State, Brazil, 2007 author indexsubject indexarticles search
Home Page  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Cadernos de Saúde Pública

On-line version ISSN 1678-4464Print version ISSN 0102-311X


OLIVEIRA, Evangelina Xavier Gouveia de et al. Access to cancer care: mapping hospital admissions and high-complexity outpatient care flows. The case of breast cancer. Cad. Saúde Pública [online]. 2011, vol.27, n.2, pp.317-326. ISSN 1678-4464.

This study analyzes the flow of patients with breast cancer treated in Brazil's Unified National Health System (SUS) by type of treatment (surgery, radiotherapy, and chemotherapy). Hospital and outpatient services networks were identified based on data from the National Information System for Inpatient Care (SIH), and the National Information System for Outpatient Cancer Care, for 2005-2006, using TabWin and TerraView. Health services networks reach most of the country, and few municipalities are not connected to a network. However, treatment is highly concentrated in the largest cities, and even the latter show evidence of service shortages. Furthermore, a large proportion of patients live more than 150km from the respective service. Network identification is important for planning and improving services distribution, since geographic access is a relevant issue for treatment outcome. Reduction of morbidity and mortality requires early identification, and appropriate and prompt treatment can reduce the impacts of the disease.

Keywords : Breast Neoplasms; Spatial Analysis; Health Services Accessibility; Informations Systems.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )