Itinerário terapêutico de usuários com neoplasia de cabeça e pescoço na rede municipal de atenção em saúde de Santa Maria - RS

Abstract

This article discusses the therapeutic itinerary of patients with head and neck cancer, as reported by users and experiences made by the regulatory sector in municipal health department of the city under study. Aims to analyze the therapeutic itinerary and utilization of health services, as well as to characterize the network of health care users with head and neck cancer in Santa Maria. This is a qualitative, exploratory and descriptive. 22 users participated in the study, data collection occurred through the application of an instrument aimed at identifying the therapeutic itinerary. And for that field observations were conducted by the City Health Department in order to understand how to care regulation occurs. As a result, it can be observed that only half of respondents sought the services of primary health care as a gateway. Most users come to the tertiary service calls by invisible doors, not by formal flows, as advocated by SUS. The waiting time for specialized diagnosis and treatment consultation varied significantly according to the therapeutic route taken. Being necessary to establish flows and routines in order to create care line that articulates the different services of different technological densities.