Taiju Miyagami, Takashi Watari, Yuji Nishizaki, Taro Shimizu, Yasuharu Tokuda
Association of diagnostic error education and recognition frequency among Japanese medical students: a nationwide cross-sectional study
Diagnosis (Berlin, Germany)
cervical cancer cc one brazils prevalent neoplasms organizing health care flows guarantee adequate timely referral challenge paper analyzes effect municipal state regulation access outcomes cc patients treated rio de janeiro retrospective quasiexperimental study applying interrupted time series using data cancer registry january2012 december2017 analyzed implementation municipal august2013 state june2015 regulation systems treatment cc primary outcomes 1 time diagnosis first specialist visit tsv 2 time specialist visit treatment initiation tsvtti 3 time diagnosis treatment initiation dtti 4 percentage patients adequate time treatment initiation patti 5 percentage patients positive outcome ppo included 4119 women 7104 30 59 years old 5557 black brown 5052 completed elementary school monthly average tsv 43 days 2012 first intervention tsv increased seven days decreasing trend 1 day per month december2017 similarly june2015 dtti increased 63 days decreasing one day per month december2017 interventions increase 1198 patti increasing monthly trend 018 ppo remained stable throughout analyzed period results suggest regulation organized access flow specialized care however relevant issues must addressed internal backlog institutions compromises timely start treatment improve access diagnosis treatment cc early stages necessary invest health policies adjust supply required demand thus reduce mortality pathology