An assessment of legislative responses to cancer in Brazil’s House of Representatives

IF 2 Q3 HEALTH POLICY & SERVICES
Lucas Hernandes Corrêa , Marina Martins Siqueira , Fernando Cotait Maluf
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引用次数: 0

Abstract

Background

Cancer is a public health issue in Brazil. To mitigate exposure to risk factors, change habits and ensure access to cancer care, an increasing number of bills are presented every year. This article analyzes the changes proposed in these bills, portraying how the representatives perceive and respond to the challenges imposed by cancer on the healthcare system and society.

Methods

Through a systematic search on the Brazilian House of Representatives website, this exploratory study examines cancer-related bills presented up to 2022.

Results

Of 1311 bills identified, 310 met the inclusion criteria and were categorized based on their content. The increasing annual number of cancer bills reflects the interest of representatives on the topic. The cancer types addressed correspond to the most prevalent ones, except for the colorectal. The most common strategy is primary prevention (n: 129), proposing the reduction of risk factors exposure or the promotion of protective ones, followed by tertiary (n: 106) and secondary (n: 36) strategies, targeting, respectively, cancer treatment/management and its early diagnosis/detection. On the nature of proposed changes, most seek to implement increased healthcare access (n: 125), production/sale (dis)incentives for goods containing carcinogens (n: 60), and fiscal/financial (dis)incentives (n: 53).

Conclusion

The identified gaps - such as the limited use of data and evidence to support what is proposed, overlapping but fragmented efforts with previous bills, scarce efforts directly addressing the determinants of health, and the low rate of conversion to law - entails opportunities to advance the Legislative propositions.

Policy summary

To effectively respond to cancer-related challenges, is essential that the Legislative branch takes into account what is already being proposed or being left out, inputs from society, real-world data, and the results produced by the multisectoral policies in place.

巴西众议院对癌症立法对策的评估
背景癌症是巴西的一个公共卫生问题。为了减少风险因素的暴露,改变习惯,确保获得癌症治疗,每年都会提交越来越多的账单。本文分析了这些法案中提出的修改,描述了代表们如何看待和应对癌症给医疗系统和社会带来的挑战。方法通过在巴西众议院网站上的系统搜索,这项探索性研究检查了截至2022年提交的癌症相关法案。结果在1311份法案中,310份符合纳入标准,并根据其内容进行了分类。每年癌症法案数量的增加反映了代表们对这一议题的兴趣。所述癌症类型对应于最常见的癌症类型,但结肠直肠癌除外。最常见的策略是一级预防(n:129),建议减少风险因素暴露或促进保护性风险因素暴露,其次是三级(n:106)和二级策略(n:36),分别针对癌症的治疗/管理及其早期诊断/检测。关于拟议改革的性质,大多数人寻求实施更多的医疗保健机会(n:125)、对含有致癌物的商品的生产/销售(dis)激励措施(n:60)和财政/金融(dis,直接解决健康决定因素的努力很少,而且法律转化率低,这就带来了推进立法主张的机会。政策摘要为了有效应对与癌症相关的挑战,立法部门必须考虑到已经提出或遗漏的建议、社会的投入、现实世界的数据以及现有多部门政策产生的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
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