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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...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Society of Clinical Oncology
2019
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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. |
format | Online Article Text |
id | pubmed-6613667 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | American Society of Clinical Oncology |
record_format | MEDLINE/PubMed |
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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