screening strategies and early diagnosis of dermatological neoplasms in primary and secondary care: an integrative analysis of clinical resolvability and operational management in the unified Health system
screening strategies and early diagnosis of dermatological neoplasms in primary and secondary care: an integrative analysis of clinical resolvability and operational management in the unified Health system
DOI:
https://doi.org/10.51473/rcmos.v1i1.2024.1859Keywords:
Dermatology in Primary Care, Dermatological Surgery, Public Health, Early Diagnosis, Traffic Medicine.Abstract
This scientific paper proposes an exhaustive and multidimensional analysis of the strategic importance of general clinical practice integrated with ambulatory dermatological intervention within the context of Brazilian public health. Through a systematic literature review and critical analysis of clinical protocols active up to 2021, it investigates the role of the Primary Health Care (PHC) physician as the fundamental agent in the early detection of skin conditions, with emphasis on malignant neoplasms (carcinomas and melanomas). The study explores the vital interface between preventive medicine, performed in Basic Health Units, and medium-complexity interventional medicine, executed in strategic philanthropic hospitals (Santa Casas), demonstrating how local resolvability through minor dermatological surgeries positively impacts morbidity, mortality, and the financial sustainability of the system. It discusses, in an innovative manner, the relevance of physical aptitude exams in Traffic Medicine as underutilized opportunities for opportunistic screening of chronic and dermatological pathologies in economically active populations. It concludes that technical excellence, combined with a humanistic, longitudinal, and health surveillance view, constitutes the determining vector for the efficacy of care in municipal networks.
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