RESUMO
Background: Globally, it has been reported that different social determinants of health affect health outcomes in lung cancer (LC). Research on the therapeutic trajectories of patients (TTP) is a novel field for identifying barriers and facilitators in health. The objective of this study was to reveal perceived differences in TTP with LC in Chile according to selected social determinants of health (SDH) and the experiences of patients, health professionals, and civil society leaders. Methods: This is a qualitative paradigm, one case-study design. Online semi-structured interviews were conducted with patients with LC, health professionals, and civil society leaders. The strategies for the recruitment process included social networks, civil society organizations, health professionals, and the snowball technique. A thematic analysis was carried out. Results: Selected SDH impact LC's TTP in Chile, particularly concerning health system access, health services, information, and patient navigation experiences. The analysis of the experiences of the participants allowed us to identify barriers related to the selected SDH in three stages of the TTP: initiation, examinations, and diagnosis and treatment. Individuals with limited education, those residing outside the capital, women, and those in the public health system encountered more barriers throughout their TTP. Discussion: Study findings suggest that being a woman with low education, from the public health system, and not from the capital might represent one of the most powerful intersections for experiencing barriers to effective healthcare in LC in Chile. It is necessary to monitor the TTP from an SDH perspective to guarantee the rights of access, opportunity, quality, and financial protection.
Assuntos
Neoplasias Pulmonares , Humanos , Adulto , Feminino , Chile , Neoplasias Pulmonares/terapia , Pesquisa Qualitativa , Escolaridade , Atenção à SaúdeRESUMO
O objetivo do presente trabalho foi realizar uma caracterização da população infantil pré-escolar que procurou a clínica-escola de psicologia de uma universidade pública no norte do Paraná no período de agosto de 2004 a maio de 2006. Utilizaram-se para coleta de dados uma ficha de identificação da criança e o CBCL (Child Behavior Checklist), versão de 1½ a 5 anos e 4 a 18 anos, que fornece um perfil comportamental por meio de uma análise computadorizada. Participaram da pesquisa 103 mães com filhos em idade pré-escolar (2 a 6 anos) que foram entrevistadas individualmente e solicitadas a responder a lista de verificação comportamentamental. O estudo corroborou dados de pesquisas anteriores, uma vez que a maior parte das crianças foram de fato avaliadas como clínicas pelo instrumento e mantiveram algumas características, como maior prevalência de crianças do sexo masculino e predomínio de comportamentos externalizantes sobre internalizantes. (AU)
The goal of this study was to characterize the population of preschoochildren who sought the psychological school-clinic at a public universityin the state of Paraná in the period from August 2004 to May 2006. The datawere collected through an identification record of the child and the CBCL (Child Behavior Checklist), versions of 1 ½ to 5 years and 4 to 18 years which provides a behavioral profile through a computerized analysis. The research projects participants were 103 mothers with children of preschooage (2 to 6 years), who were interviewed individually and asked to fill in the CBCL. The study corroborated data from previous research, since most of the children were in fact evaluated by the instrument as being clinical andmaintained some characteristics, such as higher prevalence of male childrenand predominance of externalizing over internalizing behavior. (AU)