Table 1 Institutional analysis of cancer care regulations in Brazil based on the principles of Giddens’ structuration theory
From: Cancer care in Brazil: structure and geographical distribution
Structural property | Aspect | Regulation | Type | Identified characteristic |
|---|---|---|---|---|
Rules | Normative | PNPCC | Facilitative | Establishes criteria for organizing the healthcare network |
Ordinance no. 2947/2012 | Facilitative | Establishes criteria for the accreditation of hospitals for cancer surgeries | ||
Ordinance no. 140/2014 | Facilitative | Establishes criteria for the accreditation of hospitals for high-complexity procedures in oncology | ||
Semantic | PNPCC | Restrictive | Establishes care of paediatric patients and patients with rare tumours in facilities qualified as CACON | |
Resources | Allocative | Ordinance no. 2947/2012 | Facilitative | Financial increase for hospitals of size A and B |
Ordinance no. 931/2012 | Facilitative | Installation of radiotherapy machines | ||
Ordinance no. 1357/2017 | Restrictive | Withdraws investments for the creation and maintenance of strategic public health surveillance services | ||
Authoritative | Ordinance no. 2947/2012 | Restrictive | Closing of hospitals of size C that do not increase the number of cancer surgeries | |
Ordinance no. 140/2014 | Restrictive | Differential planning and evaluation parameters for paediatric oncology and haematology-oncology services in the north, northeast, and centre-west regions of Brazil. Limits the number of accreditations for establishments with good infrastructure and that previously received financial and human resources. |