GAPS IN ACCESS TO ONCOLOGICAL TREATMENT IN A REFERENCE HEALTH HOSPITAL IN THE SOUTH OF LIMA IN THE YEAR 2019

Abstract

Introduction: Cancer, is a chronic disease that has a high incidence with 14.1 million people and more than 8.1 million deaths, generating a large access gap according to the user perception. Objectives: To determine the gaps in access to cancer treatment in a Hospital in Peru in 2019, due to predisposing, enabling, and necessary factors. Methods: An observational, descriptive, cross-sectional study with 185 patients diagnosed with cancer who were treated at the oncology department of the María Auxiliadora Hospital between March and December 2019, applying a random survey. Results: The predisposing factors for the gap in access to cancer care were: primary education or none (p=0.000), female sex (p=0.043), being afraid of a cancer diagnosis (p=0.000), being afraid of interventions ( p=0.043), and being over 65 years old (p=0.000), having feelings of helplessness (p=0.000). The enabling factors as a gap: not having a job (p=0.011), payment for health exams in a private way (p= 0.035), stopping working (p= 0.039), payment for medicines in a private way (p=0.000), resort to the loan (p=0.009), health expenditure between 501-1000 soles in health (p=0.048). Of the necessary factors: having moderate to severe anemia (p=0.002), have required more than one treatment in combination) (p=0.003). Conclusions: there is a gap in cancer care such as those concerning the predisposing factor (fear of cancer diagnosis and treatment); enabling (infrastructure and equipment, payment for medicines), and necessary (severe anemia).