tECNICAS RADIOLOGICAS

S256

ARTIGO ARTICLE

Análise de conformidades às normas técnicas de proteção radiológica dos serviços de radioterapia no Estado de São Paulo, Brasil
Compliance with technical standards for radiological protection at radiation therapy services in São Paulo State, Brazil

Maria Bernadete de Paula Eduardo
Hillegonda Maria Dutilh Novaes 2

1

Abstract
1 Centro de Vigilância
Epidemiológica, Secretaria de Estado da Saúde de
São Paulo, São Paulo, Brasil.
2 Faculdade de Medicina,
Universidade de São Paulo,
São Paulo, Brasil.
Correspondência
M. B. P. Eduardo
Centro de Vigilância
Epidemiológica, Secretaria de Estado da Saúde de São Paulo.
Av. Dr. Arnaldo 351, 6 o andar, sala 607, São Paulo, SP
01246-001, Brasil. [e-mail] Introdução

Radiation therapy services provide essential therapeutic procedures for cancer, one of the main causes of population morbidity and mortality. Despite their importance in the health system and their potential risks due to the use of ionizing radiation, there are few studies on such services. We evaluated compliance with technical standards for radiological protection in radiation therapy services in São Paulo State,
Brazil. Forty-nine services were studied in 2000 through interviews with technical staff. Typologies of performance profiles focusing on structure and process variables were constructed and services compared. Important differences were observed in the services’ positions in the health care system, level of complexity, and geographic distribution, with better average performance in structural conditions but very inadequate performance in patient protection, indicating the need for more effective health surveillance.

Os serviços de radioterapia ocupam importante posição no SUS, no atendimento às neoplasias que, juntamente com as doenças cardiovasculares, representam um dos problemas mais graves de saúde, tanto nos países industrializados quanto nos em desenvolvimento