Breast cancer: essential attributes of Primary Health Care in a border region
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Abstract
Introduction: Breast cancer in Brazil is considered a public health problem, as it represents one of the main causes of death in female population. Objective: To analyze the presence of essential attributes of Primary Health Care in border region in the context of care for women with breast cancer. Methods: This is a qualitative research based on
the Complexity Paradigm, held in Foz do Iguaçu, Paraná. In-depth interviews were conducted with 13 women diagnosed with breast cancer. Thematic analysis was chosen as a technique to analyze the material produced. Results: The following categories emerged: Barriers to access services for women with breast cancer; (De)constructing the bond: women, professionals and health services; Fragmented care, focused on the biological: interference for comprehensiveness; and (Dis)coordination of care for women with breast cancer within the public health system. Conclusion: The essential attributes of Primary Health Care were not present in their entirety for care for women with breast cancer, as difficulties in accessing primary care services, weaknesses in the construction and strengthening of bonds due to discontinuity of care were reported, attributed to the
incipient coordination within the public health system. It points to the need to implement care strategies, with behavioral, functional and structural changes in health services at the border.
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