RESUMO
PURPOSE: To estimate the supply and demand of current and future radiation therapy services by 2035 for Colombia. METHODS AND MATERIALS: The present study was performed by surveying different radiation therapy services identified in Colombia through the Colombian Association of Radiation Oncology. The demand was estimated based on incident cases and published information on the use of radiation therapy by type of cancer. Future demand was estimated under the assumption that incidence rates do not change and therefore the change in the number of cases is due to the change in the age structure of the Colombian population. Sensitivity analyses were conducted on the percentage of radiation therapy use by type of cancer. A Monte Carlo simulation was carried out to estimate the distribution of cases requiring radiation therapy, the amount of equipment, and the number of staff needed for care with the use of this technology. RESULTS: In total, Colombia has 69 linear accelerators, 2 radiosurgery equipment, 30 high-dose-rate brachytherapy pieces of equipment, 124 radiation therapy oncologists (113 working, 9 not working, and 2 not informed), and 275 radiation therapy technologists as of June 2020. It was estimated that to meet the current cancer burden the country would need a total of 162 radiation therapy oncologists, 121 medical physicists, and 323 radiation therapy technologists and to increase the number of radiation therapy technologists, radiation therapy oncologists, and medical physicists to 491, 246, and 184, respectively, to meet the disease burden by 2035 (73,684-88,743 cases per year). CONCLUSIONS: In Colombia it is estimated that there is a deficit of human resources and technology for radiation therapy; therefore, there is need to investment resources from the public and private sectors to provide timely and quality care to cancer patients requiring this treatment.
RESUMO
Introducción: El objetivo de esta investigación fue identificar los factores que influyen en la no utilización del servicio de citología brindado por el bienestar universitario de la Universidad de Santander. Materiales y Métodos: Este estudio es descriptivo de corte transversal. Realizado en una muestra conformada por 247 estudiantes de la Facultad de Salud de la Universidad de Santander de la ciudad de Bucaramanga, mediante una encuesta, instrumento conformado por 15 preguntas las cuales indagaron acerca de los conocimientos, experiencia, prácticas con la toma de citologías, y posibles motivos por los cuales no acceden a este servicio. Resultados: La población de estudiantes de la Facultad de Salud de la Universidad de Santander con una edad media 21 años estudiantes(16.2%), Estado civil Soltera (92,3%), la religión (80.6%) son católicas,(45.3%) seguridad social entidad prestadora de servicio, (48.9%) si se ha realizado alguna vez una citología, (71.8%), prefieren realizarse la citología en su (91.5%) estudiantes que no han utilizado el servicio de citología ofrecido por el bienestar universitario, (71.7%) de la muestra total prefiere que una mujer realice el examen de citología, conoce el servicio de toma de citología brindado por bienestar universitario de la, (91.1%) conocen que es el examen de citología, (85%) estudiantes creen que a su edad necesitan un examen de citología. Discusión y Conclusiones: Este estudio detectó la poca utilización del servicio de citología de bienestar universitario se debe a diferentes factores relacionados como pena o vergüenza, seguido a la falta de tiempo, temor que sea un hombre, dolor e incomodidad, temor al resultado y no tienen vida sexual activa.
Introduction: The aim of this research was to identify factors influencing non-use of cytology service provided by the university Wellness at the University of Santander. Materials and Methods: This study is cross sectional. Done in a sample comprised 247 students of the Faculty of Health at the University of Santander in Bucaramanga, in a survey instrument had 15 questions which inquired about knowledge, experience, practice by taking smears, and possible reasons for not accessing this servicio. Results: The population of students from the Faculty of Health at the University of Santander, mean age 21 years students (16.2%) Marital status Single (92.3%) religion (80.6%) were Catholic (45.3%) social security service provider entity (48.9%) if it has ever done a Pap smear (71.8%) prefer to be in cytology (91.5%) students did not use the cytology service offered by the university Wellness (71.7%) of the total sample preferred a women to do pap test, known cytology service provided by making the university Wellness (91.1%) are aware which is the examination of cytology (85%) students believe that their age need a pap test. Discussion and Conclusions: This study detected the low utilization of the university Wellness cytology is due to different factors such as grief or shame, continued to lack of time to be a man fear, pain and discomfort, fear of the result and not are sexually active.