scholarly journals Developing a Model of Distributed, Decentralized Digitally Connected Cancer Control Program

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 240s-240s
Author(s):  
M. Kuriakose ◽  
P. Sebastian ◽  
S. Balasubramanian ◽  
R. Sadanandan
Keyword(s):  
Health Care ◽  
Cancer Care ◽  
Cancer Control ◽  
Control Program ◽  
Health Care Facilities ◽  
The State ◽  
Cancer Centers ◽  
Number Of Patients ◽  
Out Of Pocket Expenses ◽  
Cancer Control Program

Background and context: Traditional method of managing cancer through establishing large comprehensive cancer centers are ineffective in developing country setting that has poorly developed primary health care facilities. These larger cancer centers become victims of their success and attract increasing number of patients from distant places, overstretching the resources and increasing out-of-pocket expenses for the patients. Increasing the number of cancer centers also is not effective as each unit by itself will not have the critical mass of expertise to offer comprehensive cancer care. In addition, for sustainability and improved resource utilization, the cancer care needs to be integrated with the existing health care system. The state with a population ∼ 33.3 million has 19 cancer treatment facilities distributed throughout the coastal districts. The cancer incidence rate of the state is 128 per 100,000, which is the fourth highest in the country. Aim: To develop a model for distributed, decentralized digitally connected cancer control program for the state of Kerala, India. Strategy/Tactics: A model for distributed, decentralized digitally connected cancer care that offers resource stratified cancer care and integrate with the existing health care. Program/Policy process: The distributed cancer care network for the state that will be digitally connected using a recently introduced e-health program to interconnect the cancer care as well as to integrate with the existing healthcare network. The cancer centers will be stratified in 4 levels. Level 1 would be 3 apex cancer centers with most advanced infrastructure and serves as quaternary centers and coordinate cancer care in 3 zones. The Level 2 cancer centers established at medical colleges and cancer centers in major private medical hospitals offer comprehensive cancer care in a geographic area and serve as tertiary cancer referral centers. Level 3 centers are located in the district and Taluk hospitals that offers primary cancer care for common cancers including palliative daycare chemotherapy. Level 4 units are established as part of the national health mission in primary and family health centers which provide the important task of cancer surveillance and improving cancer literacy for the public with peoples participation. Outcomes: The expected outcomes are downstaging of cancer, developing a resource-stratified referral pathway that minimize treatment delay, provide cancer care within 90 minutes of travel and lowering out-of-pocket expenses. What was learned: Planning of the program involved participation of major stakeholders of cancer and health care of the state as well as NGO.

scholarly journals Building a Comprehensive Cancer Center: Overall Structure

2021 ◽  
pp. 3-13
Author(s):  
Dolores Grosso ◽  
Mahmoud Aljurf ◽  
Usama Gergis
Keyword(s):  
Medical Center ◽  
Cancer Control ◽  
Community Outreach ◽  
Control Program ◽  
Cancer Center ◽  
Cancer Centers ◽  
Comprehensive Cancer Centers ◽  
Private Donations ◽  
Cancer Control Program ◽  
Health Organization

AbstractAccording to the World Health Organization (WHO), cancer is the second leading cause of death globally, accounting for approximately 9.6 million deaths [1]. The WHO recommends that each nation has a national cancer control program (NCCP) to reduce the incidence of cancer and deaths related to cancer, as well as to improve the quality of life of cancer patients [2]. Comprehensive cancer centers form the backbone of a NCCP and are charged with developing innovative approaches to cancer prevention, diagnosis, and treatment [3]. This is accomplished through basic and clinical research, the provision of patient care, the training of new clinicians and scientists, and community outreach and education. Most comprehensive cancer centers are affiliated with university medical centers, but their cancer care initiatives may involve partnering outside the institution with other comprehensive cancer centers, community leaders, or members of industry [3]. When affiliated with a university medical center, cancer center executives must work in concert with their counterparts at the hospital, patient practice, medical school, and allied health science leaders resulting in an overlapping, often complicated reporting structure. Comprehensive cancer centers and the departments in the center receive funding for their services from various sources, including national and local grants, institutional funds, private donations, and industry [4].

Regionalization of Cancer Control Efforts in the U.S.A.

1981 ◽  
Vol 2 (1) ◽  
pp. 35-49
Author(s):  
Thomas W. Elwood ◽  
T. Phillip Waalkes ◽  
William P. Vaughan
Keyword(s):  
Community Education ◽  
Cancer Control ◽  
Control Program ◽  
Improve Patient Care ◽  
Cancer Centers ◽  
Integrated Approaches ◽  
Cancer Control Program ◽  
Oncology Center ◽  
Improve Patient ◽  
Johns Hopkins Oncology

The Johns Hopkins Oncology Center, one of the first of the nation's twenty-one Comprehensive Cancer Centers, established a cancer control program to mobilize resources to improve patient care and prevent the occurrence of neoplastic diseases. Initial efforts were based on the results of a series of investigations conducted in four communities. Findings from these studies were then converted into a series of programmatic interventions. The strategy included integrated approaches to creating a community education program within the overall effort.

Mouth Cancer Control Program in the State of Pernambuco, Brazil

Oral Cancer ◽  
2018 ◽  
Vol 2 (3-4) ◽  
pp. 97-104
Author(s):  
Aurora Karla de Lacerda Vidal ◽  
Emanuel Sávio de Souza Andrade ◽  
Thuanny Silva de Macêdo ◽  
Maria Cecília Freire de Melo ◽  
Fátima Cristina Mendes de Matos ◽  
...  
Keyword(s):  
Cancer Control ◽  
Control Program ◽  
The State ◽  
Cancer Control Program

scholarly journals Strategies Are Required for Strengthening Integration of Cancer Control Program in Ethiopia Primary Health Care System

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 84s-84s
Author(s):  
Z.M. Abate
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cancer Prevention ◽  
Health Care System ◽  
Cancer Control ◽  
Control Program ◽  
Primary Health Care System ◽  
Primary Health ◽  
Cancer Control Program ◽  
Care System

Background: Cancer is one of the leading causes of morbidity and mortality worldwide. The number of new cases is expected to rise by about 70% over the next 2 decades. Approximately 70% of deaths from cancer occur in low- and middle-income countries. This growing cancer burden requires innovative approaches to place cancer control and care within existing health systems, while resources should be amalgamated to optimize cost-effective use. Neglect of cancer prevention and care leads to unnecessary death, suffering, and unaffordable treatment. Thus, extension of cancer prevention, diagnosis, and treatment to millions of people with or at risk for cancer is an urgent priority. Integrating cancer prevention and management into primary health care system will tackle cancer-specific priorities while addressing the gaps within the health system, optimizing the use of resources, ensures access to the community and improving coverage. According to World Health Organization regardless of resource level, all countries can implement basic components of cancer control. In the light of the rapidly increasing global cancer burden, it is becoming essential to use the limited resources available in the most effective way. In resource-constrained countries like Ethiopia without specialized services, experience has shown that much can be done to prevent and treat cancer. A strategy to integrated approach thus addresses health problems by providing services in a comprehensive manner. Aim: The purpose of this study is to make a document analysis to assess the requirement of developing strategies for strengthening integration of cancer control program in primary health care system (PHCS). Methods: Document analysis. Results: The Ethiopian National Cancer Control Program unlike most low resource countries planned with necessary implementation cost. The cancer control plan despite its presence usually lack integration in existing health system. There is a variation and significant gaps in the current state of comprehensive cancer control. Conclusion: The country requires strategies to ensure that this plan translated into fully operational interventions. Country specific approaches of integration are required. Integrated framework for cancer prevention is critical to make the most efficient use of its meager resources. This study recommends Ethiopia to develop tailored strategies to strengthen integrated and people-centered cancer control program in its primary health care system.

Implementation of an integrated cancer care network

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e17564-e17564
Author(s):  
J. Latreille ◽  
A. Samson ◽  
U. Tran ◽  
C. Mimeault ◽  
C. Boily ◽  
...  
Keyword(s):  
Cancer Care ◽  
Cancer Control ◽  
Interdisciplinary Approach ◽  
Evaluation Process ◽  
Control Program ◽  
Interdisciplinary Teams ◽  
University Hospitals ◽  
Patient Centered ◽  
Care Network ◽  
Cancer Control Program

e17564 Background: In 1998, the province of Quebec adopted its cancer control program (CP). Its goal was to establish a hierarchical and integrated cancer network of interdisciplinary teams. In 2004, a team evaluation process was initiated by the Direction de la lutte contre le cancer (ministry of health) to help implement this program. Methods: The evaluation consisted of completion of a matrix by the requesting team, a visit by a multidisciplinary group of experts and a report card. Three levels of expertise were assessed: core (all), regional (regional hospitals), and supraregional (tumor specific/complex situations). The matrix was based on the fundamental orientations of the CP, thus setting the framework for patient centered care. The conformity indicators were mainly structural and process oriented. In order to be evaluated for the subsequent mandates, teams had to conform to the core mandate. Those who did not succeed had one year to reapply. Mandates are for 4 years. Results: Teams were able to comply with most of the elements of the evaluation matrix. Sessions for clarification and coaching about this new interdisciplinary approach were necessary and helpful. A total of 153 visits were done:70 for core, 8 for regional and 75 for supraregional mandates respectively. Major health institutions such as university hospitals applied for multiple supraregional team designation. In all, 130 teams had their designation confirmed. This process highlighted some common weaknesses such as the lack of use of data for quality control. Conclusions: Acceptance of this hierarchical cancer care model was facilitated by the fact that it was in line with the integrated health care network of Quebec. The evaluation process has had an impact on the way cancer care is delivered in Quebec. This initial phase has helped implement an interdisciplinary patient centered model of care in line with the CP. Participation of different experts has also helped foster knowledge transfer and appropriation of the process. Impact on patient care and satisfaction remains to be assessed. An initial patient's questionnaire has been completed in 2008 and will serve as a control to future surveys. No significant financial relationships to disclose.

Zambia Cervical Cancer Control Program resource mapping – leveraging support to achieve the 90-70-90 elimination target

2021 ◽  
pp. 100281
Author(s):  
Dorothy Lombe ◽  
Susan Msadabwe ◽  
Mbaita Maka ◽  
Memory Samboko ◽  
Prudence Haimbe ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Control ◽  
Control Program ◽  
Resource Mapping ◽  
Program Resource ◽  
Cancer Control Program
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