Evaluación de la calidad del programa del cáncer de mama Tabasco 2018

Juan Miguel  Hernández Vasconcelos; Hilda  Santos Padrón; Silvia Isabel Martínez Calvo

doi:10.19136/hs.a22n2.5099

Authors

Juan Miguel Hernández Vasconcelos Instituto Mexicano del Seguro Social (IMMS).
Hilda Santos Padrón Juárez Autonomous University of Tabasco https://orcid.org/0000-0002-4612-2965
Silvia Isabel Martínez Calvo National School of Public Health. Cuba https://orcid.org/0000-0003-0196-8550

DOI:

https://doi.org/10.19136/hs.a22n2.5099

Abstract

Objective: To evaluate the quality of activities for the detection of breast cancer in the Strengthening Program for Medical Care in Tabasco in 2016.

Materials and Method: A descriptive and retrospective research was carried out, through a documentary analysis using an ad hoc instrument, composed of (46 items) to evaluate the structure, processes and results, when executing the preventive activities of the Breast Cancer Program, included in the Strengthening Program to Medical Attention, operated by 13 Mobile Medical Units, in three municipalities of Tabasco during 2016.

Results: In the structure was relevant the reduction in financing to operate the 13 Units, which contributed to the deterioration of activities, and although the number of operational personnel reached 84.62%, it lacked certified training on breast cancer; in the processes, the situational diagnosis was insufficient in 53.8%; the clinical breast examinations reached 25.69% of compliance in the target population, 19% in the teaching of clinical breast self-examination and the preparation of official records in 30.8% and in the results, user satisfaction was low (30.77%) and the impact of the program was not evaluated because it was not carried out in the period studied.

Conclusions: The reduction in financing was considered as one of the main factors in the deterioration of the activities that for the detection of breast cancer, were carried out in the 13 Mobile Medical Units assigned to the Strengthening of Medical Care Program, which contributed to its low quality.

Keywords: Program evaluation; Breast neoplasms; Prevention & control; Quality of health care.

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Author Biographies

Hilda Santos Padrón, Juárez Autonomous University of Tabasco

Surgeon. Master in Public Health. Doctor in Health Sciences and Doctor in Public Management and Social Policy. SNI candidate. Adjunct Research Professor, Autonomous Juárez University of Tabasco. Guest Professor National Public Health School of Cuba. She is the author and co-author of 3 books and book chapters and 33 scientific articles in national and foreign magazines. Exhibition of 36 works in 43 scientific events. Coordinator of 8 postgraduate courses in national and foreign institutions. Member of the Mexican Society of Public Health and the Tabasco Public Health Society.

Silvia Isabel Martínez Calvo, National School of Public Health. Cuba

Medical epidemiologist. Doctor of Medical Sciences and Doctor of Science. Merit Investigator. Titular teacher. Professor of Merit and Consulting Professor of the National School of Public Health. PAHO / WHO temporary adviser since 1981. She is the author of 22 books and book chapters and more than 75 scientific articles in national and foreign magazines. Exhibition of 118 works in 281 national and international scientific events. Professor of 102 national and international postgraduate courses. Honorary Member of the Cuban Society of Public Health and the Cuban Society of Hygiene and Epidemiology.