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Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model

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 it...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Society of Clinical Oncology 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613667/
https://www.ncbi.nlm.nih.gov/pubmed/31260395
http://dx.doi.org/10.1200/JGO.19.00054
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author 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
author_facet 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
author_sort Sardi, Armando
collection PubMed
description 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.
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spelling pubmed-66136672019-07-09 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 J Glob Oncol Special Article 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. American Society of Clinical Oncology 2019-07-01 /pmc/articles/PMC6613667/ /pubmed/31260395 http://dx.doi.org/10.1200/JGO.19.00054 Text en © 2019 by American Society of Clinical Oncology https://creativecommons.org/licenses/by/4.0/ Licensed under the Creative Commons Attribution 4.0 License: https://creativecommons.org/licenses/by/4.0/
spellingShingle Special Article
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
Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model
title Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model
title_full Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model
title_fullStr Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model
title_full_unstemmed Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model
title_short Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model
title_sort overcoming barriers in the implementation of programs for breast and cervical cancers in cali, colombia: a pilot model
topic Special Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613667/
https://www.ncbi.nlm.nih.gov/pubmed/31260395
http://dx.doi.org/10.1200/JGO.19.00054
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