Background and Context:
The “Estimate of Cancer Incidence in Brazil 2014-2015”1 points out to approximately 576,000 new cancer cases, including non-melanoma skin ones. In women the estimate for cervix cancer is 15,590 new cases. The great majority of diagnosed patients have difficult to access treatment. As time is an essential variable to the success of treatment, this access difficulty leads to treatment in advanced disease stages and thus reduces the cure chances.
Aim:
We intend to present the challenges to implement the Regulatory System (SISREG) at the Cancer Hospital II (HCII), headquartered in Rio de Janeiro and specialized in gynecologic cancer. The SISREG is the online national information system for management and operation of the Regulatory Center and currently attends 1,600 Brazilian cities (29%)2. In theory, the Regulatory System aims to integrate the Brazilian public health system by controlling the flows and providing agility and credibility to the regulatory process.
Strategy/Tactics:
The Software is provided by the Ministry of Health to manage regulation, ranging from the basic assistance care to hospitalization.
Programme/Policy Process:
In this paper we have evaluated the impact of regulation in HCII, from August 2013 to March 2014, identifying that the process has been reducing the number of new registrations and moreover, patients probably will come in more advanced disease stages. Patients complain of the delay in the arrival at the hospital through primary health care regulation, decreasing on average 40% of registrations/month.
Outcomes/What was learned:
In order to the regulation to succeed it is necessary to improve the organizational structure, focusing on awareness, training and appropriate remuneration to the professionals of primary care centers, thus committing them to the system’s effective operation.