¿Por qué las mujeres mastectomizadas no recurren a la reconstrucción mamaria en el sistema de seguridad social? Why mastectomized women do not resort to breast reconstruction in Mexico's Social Security system?

摘要: It is now recognized that breast reconstruction (BR) forms part of the comprehensive treatment cancer. However, a vast majority women do not benefit from this intervention. The aim present study was to investigate reasons why resort at Mexican Social Security Institute in state Tabasco. qualitative based on focus group with seven mastectomized patients without BR, under 60 years age, stage IIIA disease. Six categories factors may be involved their decisionmaking process were explored: knowledge, general opinion perceived consequences mastectomy, emotionality, and role social support network. results indicated none participants had received information health institution, nor formally considered possibility BR. Their decision have BR been influenced by lack information, belief best applied young couples, pain or discomfort after other concerns cancer, fears concerning surgery its possible complications. Participants stated they favored life, family relationships, spirituality,