Barriers according to health care access dimensions and cervical cancer in Costa Rica: a qualitative systematic review

 

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Detalles Bibliográficos
Autores: Rivera Chavarría, Ana Leonor, Calderón- Céspedes, Alejandro
Formato: texto
Estado:Versión publicada
Fecha de Publicación:2022
Descripción:Introduction: cervical cancer is responsible for 7% of deaths from some type of cancer in women in the world. In Costa Rica, an average of 320 cases is diagnosed and 140 women die from this disease each year.  Objective: identify barriers to timely detection and treatment of cervical cancer according to healthcare access dimensions in Costa Rica. Methodology: a qualitative systematic review of literature was carried out between May and September 2021. Articles using quantitative, qualitative or both methods published between January 2010 to June 2021 from a primary or secondary source that identified barriers to healthcare access from general population, users or health personnel in Costa Rica were analyzed. Results: 9 scientific articles were selected. The 5 dimensions and 26 barriers of the Tanahashi model were identified: 12 corresponded to the availability, 5 to accessibility, 3 to acceptability, 2 to contact coverage and 4 to effective coverage. Conclusions: the barriers to accessing medical care are multiple and are present in all the dimensions described in the Tanahashi model. The findings of this study highlight the importance of addressing barriers in all dimensions. Addressing some access barriers can be complex. However, other variables are relatively simple to address at the system, policy, or practice level.
País:Portal de Revistas UCR
Institución:Universidad de Costa Rica
Repositorio:Portal de Revistas UCR
Lenguaje:Español
OAI Identifier:oai:portal.ucr.ac.cr:article/48983
Acceso en línea:https://revistas.ucr.ac.cr/index.php/psm/article/view/48983
Access Level:acceso abierto
Palabra clave:Uterine Cervical Neoplasms
Health Services Accessibility
Developing Countries
Therapeutic
neoplasias del cuello uterino
accesibilidad a los servicios de salud
países en desarrollo
terapéutica