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Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model.
Sardi, Armando; Orozco-Urdaneta, Mavalynne; Velez-Mejia, Carolina; Perez-Bustos, Andres H; Munoz-Zuluaga, Carlos; El-Sharkawy, Farah; Parra-Lara, Luis Gabriel; Córdoba, Patricia; Gallo, David; Sittig, Michelle; King, Mary Caitlin; Nieroda, Carol; Zambrano-Vera, Katherin; Singer, John.
Afiliação
  • Sardi A; Institute for Cancer Care, Mercy Medical Center, Baltimore, MD.
  • Orozco-Urdaneta M; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
  • Velez-Mejia C; Partners for Cancer Care and Prevention, Baltimore, MD.
  • Perez-Bustos AH; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
  • Munoz-Zuluaga C; Institute for Cancer Care, Mercy Medical Center, Baltimore, MD.
  • El-Sharkawy F; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
  • Parra-Lara LG; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
  • Córdoba P; Institute for Cancer Care, Mercy Medical Center, Baltimore, MD.
  • Gallo D; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
  • Sittig M; Partners for Cancer Care and Prevention, Baltimore, MD.
  • King MC; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
  • Nieroda C; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
  • Zambrano-Vera K; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
  • Singer J; Fundación para la Prevención y Tratamiento del Cáncer, Cali, Colombia.
J Glob Oncol ; 5: 1-9, 2019 07.
Article em En | MEDLINE | ID: mdl-31260395
Breast and cervical cancers are leading causes of mortality among women in Latin America. Colombia has universal health care and a government-sponsored 10-year cancer control plan focused on prevention, early detection, and treatment. However, many administrative and social barriers have hindered its success, and a majority of patients are diagnosed at a late stage. Established in 2012, Partners for Cancer Care and Prevention (PFCCAP) works to decrease the burden of these cancers by mitigating the obstacles women face during their cancer diagnosis and treatment. Through community outreach meetings with medical personnel, hospital directors, and government officials, PFCCAP identified major barriers, including lack of trained health care personnel, few centers with adequate screening equipment, and a fragmented health system with significant administrative delays and poor continuity of care. Its solution included monthly teleconferences, biannual on-site training, quality control programs, and improved access to screening equipment. PFCCAP also initiated a patient navigation project. After implementation of the PFCCAP plan of action, from 2012 to 2018, the average time from initial consult to biopsy decreased from 65 to 20 days; from biopsy to diagnosis, 33 to 4 days; and from diagnosis to surgery, 121 to 60 days. To date, more than 1,500 women have benefited from this initiative, which has expanded to other regions. Overall, PFCCAP is creating centers of excellence in strategically located hospitals and promoting the implementation of national guidelines. Although several barriers still exist, PFCCAP is helping to implement an efficient health care model that can be replicated in other underserved populations.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Neoplasias do Colo do Útero / Programas de Rastreamento Tipo de estudo: Diagnostic_studies / Evaluation_studies / Guideline / Prognostic_studies / Screening_studies / Sysrev_observational_studies Aspecto: Implementation_research Limite: Female / Humans País/Região como assunto: America do sul / Colombia Idioma: En Revista: J Glob Oncol Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Neoplasias do Colo do Útero / Programas de Rastreamento Tipo de estudo: Diagnostic_studies / Evaluation_studies / Guideline / Prognostic_studies / Screening_studies / Sysrev_observational_studies Aspecto: Implementation_research Limite: Female / Humans País/Região como assunto: America do sul / Colombia Idioma: En Revista: J Glob Oncol Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos