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Strategies adopted to ensure the rights of people with cancer in the Brazilian Unified Health System (SUS)

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CIENCIA & SAUDE COLETIVA
卷 27, 期 1, 页码 399-408

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ABRASCO-ASSOC BRASILEIRA POS-GRADUACAO & SAUDE COLETIVA
DOI: 10.1590/1413-81232022271.39502020

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Patient rights; Neoplasms; Case reports; Health care; Unified Health System

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This study, based on Giddens' Structuration Theory, aimed to analyze the strategies used to ensure the rights of people with cancer in five Brazilian municipalities. The study found that the current measures are insufficient to guarantee the rights of patients.
This study was based on Giddens' Structuration Theory and aimed to analyze strategies adopted to ensure the rights of people with cancer in five Brazilian municipalities, anchored on the experience of managers and health professionals within the Brazilian Unified Health System (SUS). A multiple-case study design was conducted. The municipality was the unit of analysis and oncology care-certified facilities were established as analytical sub-units. We analyzed the strategic behavior of ten managers and 15 health professionals from interviews. The results were systematized according to care, legal and social dimensions. The relevant elements expressed were the need to expand and organize the diagnostic and therapeutic cancer care network; the concern with the large number of lawsuits, both in light of economic sustainability of the health system and because of the promotion of inequalities; and the low resoluteness of social benefits, as they do not meet all people's needs. The adopted measures are considered insufficient to ensure the rights of people with cancer in the Brazilian Unified Health System.

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