Organizational Policy Dimension |
Sufficiency of Professionals |
Perception of the bHu coordination on the sufficiency of the workload of professionals working at the bHu (Physician and nurse) |
Satisfactory (10 pts)
Partial (5 pts)
Unsatisfactory (0 pts)
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Unit coordination |
Perception of bHu coordination on ubS opening hours*The schedule is appropriate to the health needs of the population of the territory |
Satisfactory (10 pts)
Partial (5 pts)
Unsatisfactory (0 pts)
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Percentage of the completeness of the teams working at the bHu in the city |
Transformation of the percentage of complete teams in the municipality into scores following the proportion (100%=10 pts) |
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Percentage of coverage of teams in the city |
Transformation of the percentage of coverage of the teams in the city into score following the proportion (100%=10 pts) |
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Professional Qualification |
Conducting training on the functioning of the municipal network on the entry of professionals |
Yes (10 pts) / No (0 pts).
Training is offered on the entry regarding the operation of the municipal network
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Unit coordination |
Obligation of training on entry of professionals |
Yes (10 pts) / No (0 pts)
Participation in the training is mandatory on the entry of professionals
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Qualification actions on early detection of breast cancer |
Yes (10 pts) / No (0 pts)
Qualification actions on the early detection of breast cancer are understood as: permanent education on the subject; team meetings, forum, and lectures within the health unit
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Physical Structure of the Health Center |
Perception of the bHu coordination on the adequacy of the physical structure of the Health Center to conduct health actions |
Adequate (10 pts:);
Partially (5 pts);
Inadequate (0 pts)
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Unit coordination |
Existence of:
1. Waiting room (1 pt)
2. Office with bed (2 pts)
3. Office with bathroom (2 pts)
4. Room for collective activities/ Meeting room (2 pts)
6. Computer with Internet access (1 pt)
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Adequate (10 pts): 6 to 8 points
Partially adequate (5 pts): 3 to 5 points
Inadequate (0 pts): less than 3 points.
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Regulation of access to specialized services |
Existence of a central regulator for specialized services and Therapeutic Diagnostic Support Services (TDSS) |
Yes (10 pts) / No (0 pt) |
Unit coordination |
Time elapsed between the request for the examination and the return of the woman to the Health Center |
Up to 30 days (Good)
From 31 to 60 days (Regular)
61 days or more (Poor)
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Adequacy of the offer of specialized services and Therapeutic Diagnostic Support Services (TDSS) |
Waiting time for imaging tests (mammog-raphy) |
Good (up to 30 days) (10 pts)
Regular (31 days to 60 days) (5 pts)
Poor (61 days or more) (0 pts)
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City Management |
Waiting time for consultation with mastolo-gist |
Good (up to 30 days) (10 pts)
Regular (31 days to 60 days) (5 pts)
Poor (61 days or more) (0 pts)
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Availability of mammography exam |
Satisfactory (10 pts) (Availability of mammography exam in the city) Partial (5 pts) (Availability of mammography exam in the network)Unsatisfactory (0 pts) (No availability of mammography exam in the city and the network) |
IBGE/CNES |
Reference and counter-reference |
Existence of counter-reference after referral to specialized service |
Always (10 pts)Most often (8 pts)Sometimes (5 pts)Rarely (1 pt)Never (0 pt) |
Unit coordination |
Availability of Information |
Requirement to complete the SISCAN Information System requisition |
Yes (10 pts) / No (0 pts) |
City Management |
Monitoring the completion of the SISCAN Information System request |
Yes (10 pts) / No (0 pts) |
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Monitoring of actions aimed at early detection of breast cancer |
Existence of indicators for monitoring actions aimed at the early detection of breast cancer |
Yes (10 pts) / No (0 pts) |
City Management |
Follow-up of monitoring indicators of actions aimed at early detection of breast cancer |
Yes (10 pts)
Partial (5 pts)
No (0 pts)
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Conducting planning and organization of actions aimed at early detection of breast cancer based on the evaluation of the selected indicators |
Very often (10 pts)
Often (7.5 pts)
Occasionally (5 pts)
Rarely (2.5 pts)
Never (0 pts)
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Care Delivery Dimension |
Knowledge of the Territory |
Percentage of microareas covered by PHC |
Good (75%) (10 pts)
Regular (50 to 75%) (10 pts)
Poor (<50%) (0 pts)
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Unit coordination |
Organization of the agenda |
Identification and registration of women of the target age who are not undergoing mammographic screening |
Yes (10 pts) / No (0 pts) |
Unit coordination |
Ensuring follow-up appointments for users diagnosed with breast cancer |
Yes (10 pts)
Partial (5 pts)
No (0 pts)
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Women’s healthcare work process |
Conducting active searches for women in the target population |
Yes (10 pts) / No (0 pts) |
Unit coordination |
Conducting follow-up consultations for women referred to specialized services |
Yes (10 pts)
Partial (5 pts)
No (0 pts)
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Conducting health education actions to raise awareness of the population on the subject Includes: Waiting rooms, educational lectures in the community, dissemination of the theme in local communications, pink October action. |
Yes (10 pts) / No (0 pts) |
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Use of protocol and guidelines aimed at early detection of breast cancer |
Always (10 pts)
Most often (7.5 pts)
Sometimes (5 pts)
Rarely (2.5 pts)
Never (0 pts)
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Women’s healthcare work process |
Registration of women who underwent mammography in electronic medical records and/or follow-up forms |
Yes (10 pts) / No (0 pts) |
Unit Coordinator |
Conducting the checklist in women’s health consultations
Medical and nursing care checklist:
- Anamnesis;
- Physical examination of the breasts;
- Search for risk factors (hereditary, behavioral/environmental, endocrine) for breast cancer development.
- Request for mammography examination for women between 50 and 69 years old every 2 years
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Always (10pts)
Most often (7.5pts)
Sometimes (5pts)
Rarely (2.5pts)
Never (0 pts)
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Unit Coordinator |
Home care for women in palliative care |
Yes (10 pts) / No (0 pts) |
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Interdisciplinary work |
Participation of different professionals in the organization of educational activities Includes: Waiting rooms, educational lectures in the community, pink October actions, team meetings |
Always (10pts)
Most often (7.5pts)
Sometimes (5pts)
Rarely (2.5pts)
Never (0 pts)
|
Unit Coordinator |
Multi-professional team support for users in breast cancer treatment
It is understood as multiprofessional support: psychologists, physiotherapists, nutritionist, pharmacist
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From 4 professionals (10 pts)
From 2 to 3 professionals (5 pts)
From 1 professional (1 pts)
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Early diagnosis of breast cancer |
Average time between performing diagnostic mammography and its result |
Satisfactory: 0-30 day (10 pts)
Partial: 31 to 60 days (5 pts)
Unsatisfactory: > 60 or cannot inform (0 pts)
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Unit Coordinator |
Percentage of mammographies classified as bI-RADS 4 or 5 of total diagnostic mammographies |
Satisfactory: < 5% (10 pts)
Unsatisfactory: >5% (0 pts)
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SisMama/ Siscan |
Screening |
Percentage of the target population that underwent mammography examination at the indicated frequencyCalculation: Number of women aged 50 to 69 years who underwent screening mammography in the last two years, in a given place and period x 100/ Number of women aged 50 to 69 years, in the respective place and period |
70% satisfactory
50 to 69% regular
< 49% unsatisfactory
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Siscan e IBGE |
Percentage of mammography screening according to indication for women aged 50 to 69 years |
Satisfactory: 53% or more (10 pts)
Partial: 25 to 53% (5 pts)
Unsatisfactory: < 25% (0 pts)
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Siscan/ SisMama/ SIA/ SuS |
Calculation: No. of screening mammographies in women aged 50 to 69 years, residing in a given location and period x 100 / Total No. of screening mammographies in the respective location and period |
*In 2013, the value presented for brazil was 53% |
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Average time between screening mammog-raphy and its result |
Satisfactory: 0-30 days (10 pts)
Partial: 31 to 60 days (5 pts)
Unsatisfactory: > 60 days (0 pts)
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SisMama/ Siscan |