Especially because the precariousness of the living conditions of the patients in recent years, lack of work, poverty and housing conditions, among many other factors, made women stop their treatments or did not attend the control and consultation spaces in the required time. .
Vulnerable patients
Liliana Stoletniy is one of the team’s nursing graduates and affirms that these delays or abandonments respond to multiple causes that “go from fear and denial to the lack of accompaniment, the lack of understanding of what is happening to them.”
But he also adds that they are “patients with complexities” because beyond the pathology they suffer and must go through, they have living conditions that deepen the difficulties, such as lack of work, precarious housing, poverty or are victims of gender violence.
A) Yes, mastologists, sonographers, nurses, pathologist specialists, radiology technicians and oncologists, but also social workers and psychologists who work on adherence to treatmentsThey are part of the teams that try to articulate in a common work space and provide answers to the multiple complexities that arise.
They are currently 33 women for whom specific accompaniment is being carried out and, according to Stoletniy, it is the team’s nurses who work centrally in “making the tissue that goes from the first level, which is the place closest to the person, to the rest of the team.”
Arrive on time
The search to unify criteria, guidelines and procedures, and at the same time centralize them in Cemar, have a single objective, indicated by doctors and that is “gain time”.
“Whether the patient has to undergo the senography before an alarm signal, a puncture, must start an oncological treatment because she already has the result or has to undergo surgery, the idea is that there is an anchor in the team of specialists and avoid referrals from one side to the other, which are the situations that most of the time do nothing more than delay diagnoses, treatments or interventions, “said the deputy director of Cemar.
Although the referrals most of the time come from the more than 50 health centers of the primary care network, what is intended is that once the necessary studies as well as the treatments and approaches that the patients require are admitted to the unit are carried out at Cemar and with the same equipment.
“It is necessary to shorten the times of diagnosis to be able to guarantee the opportune treatments”Gómez indicated and added that this also includes “taking into account cultural, subjective and economic aspects of a vulnerable population that has difficulties in sustaining adherence to treatment,” which is worked with psychologists and social workers in the same unit.
And he gave as an example of the need for early diagnosis, the pandemic. “Last year the controls of women decreased many, however, in the period of one year, the system maintained the detection of the 80 new annual cases seen in the statistics, the problem is that many of those cases, we reached later, “he said.
Territorialize the diagnosis
Currently the municipal public health network has three sennographs for diagnosis, two located in Cemar and a third transferred in the last week precisely to the San Martín Polyclinic, bringing the diagnosis closer to the neighborhoods of the west and northwest.
The move of the diagnostic team is precisely trying to prevent many of the 300 women who demand a breast check every time, they must move to the center and can access the studies at a point closer to their homes.
The latest data indicated that as of September 30, 4,660 images had been taken throughout the city and so far this year, 1,144 women consulted for a diagnosis of breast cancer within the network, of which 31 of them were evaluated with this disease.
“Of course, the ideal would be to be able to territorialize the diagnosis and have more equipment to carry out the studies in health centers that are closer to the population,” said the deputy director of Cemar who anticipated that within the policies provided for in the Ministry of Health is that of adding a greater number of sennographers in the city.
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