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Strengthening Pathology Capacity to Deliver Quality Cancer Care in Cities in LMICs
Diagnostic pathology services for oncology health systems are essential; yet, surveys, observations, and hard data from across low- and middle-income countries have revealed that these services are almost always lacking adequate quality and often missing completely. The City Cancer Challenge Foundat...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457877/ https://www.ncbi.nlm.nih.gov/pubmed/34129368 http://dx.doi.org/10.1200/GO.20.00604 |
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author | Frech, Silvina Bravo, Luis Eduardo Rodriguez, Ingrid Pomata, Alicia Aung, Khin Thida Soe, Aung Naing Hornburg, Beatriz Guarner, Jeannette Brock, Jane Camacho, Rolando Milner, Dan |
author_facet | Frech, Silvina Bravo, Luis Eduardo Rodriguez, Ingrid Pomata, Alicia Aung, Khin Thida Soe, Aung Naing Hornburg, Beatriz Guarner, Jeannette Brock, Jane Camacho, Rolando Milner, Dan |
author_sort | Frech, Silvina |
collection | PubMed |
description | Diagnostic pathology services for oncology health systems are essential; yet, surveys, observations, and hard data from across low- and middle-income countries have revealed that these services are almost always lacking adequate quality and often missing completely. The City Cancer Challenge Foundation (C/Can), the American Society for Clinical Pathology, and C/Can partner cities undertook intense analysis of their existing pathology services as part of a year-long assessment process including the specific formation of a pathology-focused team. Internal and external expert assessments identified sustainable solutions adapted to the local context and level of resources and created specific local implementation projects. Through local leadership, capacity development, and collaboration, services were improved city-wide in three cities: Cali, Colombia; Asunción, Paraguay; and Yangon, Myanmar. Common problems identified across cities included deficiencies in personnel training, equipment, reagents, processes, quality, and coordination. Specific solutions included quality training, standard process development and regulation, implementation of new services, and public-private collaboration. As the first cities joining the C/Can initiative, Cali, Asunción, and Yangon demonstrate the success of the approach and the value of local expertise in identifying problems and solutions. The additional value of international partners' expertise created opportunities for growth through mentorship and technical support. Importantly, the power of healthcare programs with strong political support is emphasized. |
format | Online Article Text |
id | pubmed-8457877 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-84578772021-09-23 Strengthening Pathology Capacity to Deliver Quality Cancer Care in Cities in LMICs Frech, Silvina Bravo, Luis Eduardo Rodriguez, Ingrid Pomata, Alicia Aung, Khin Thida Soe, Aung Naing Hornburg, Beatriz Guarner, Jeannette Brock, Jane Camacho, Rolando Milner, Dan JCO Glob Oncol SPECIAL ARTICLES Diagnostic pathology services for oncology health systems are essential; yet, surveys, observations, and hard data from across low- and middle-income countries have revealed that these services are almost always lacking adequate quality and often missing completely. The City Cancer Challenge Foundation (C/Can), the American Society for Clinical Pathology, and C/Can partner cities undertook intense analysis of their existing pathology services as part of a year-long assessment process including the specific formation of a pathology-focused team. Internal and external expert assessments identified sustainable solutions adapted to the local context and level of resources and created specific local implementation projects. Through local leadership, capacity development, and collaboration, services were improved city-wide in three cities: Cali, Colombia; Asunción, Paraguay; and Yangon, Myanmar. Common problems identified across cities included deficiencies in personnel training, equipment, reagents, processes, quality, and coordination. Specific solutions included quality training, standard process development and regulation, implementation of new services, and public-private collaboration. As the first cities joining the C/Can initiative, Cali, Asunción, and Yangon demonstrate the success of the approach and the value of local expertise in identifying problems and solutions. The additional value of international partners' expertise created opportunities for growth through mentorship and technical support. Importantly, the power of healthcare programs with strong political support is emphasized. Wolters Kluwer Health 2021-06-15 /pmc/articles/PMC8457877/ /pubmed/34129368 http://dx.doi.org/10.1200/GO.20.00604 Text en © 2021 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 ARTICLES Frech, Silvina Bravo, Luis Eduardo Rodriguez, Ingrid Pomata, Alicia Aung, Khin Thida Soe, Aung Naing Hornburg, Beatriz Guarner, Jeannette Brock, Jane Camacho, Rolando Milner, Dan Strengthening Pathology Capacity to Deliver Quality Cancer Care in Cities in LMICs |
title | Strengthening Pathology Capacity to Deliver Quality Cancer Care in Cities in LMICs |
title_full | Strengthening Pathology Capacity to Deliver Quality Cancer Care in Cities in LMICs |
title_fullStr | Strengthening Pathology Capacity to Deliver Quality Cancer Care in Cities in LMICs |
title_full_unstemmed | Strengthening Pathology Capacity to Deliver Quality Cancer Care in Cities in LMICs |
title_short | Strengthening Pathology Capacity to Deliver Quality Cancer Care in Cities in LMICs |
title_sort | strengthening pathology capacity to deliver quality cancer care in cities in lmics |
topic | SPECIAL ARTICLES |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457877/ https://www.ncbi.nlm.nih.gov/pubmed/34129368 http://dx.doi.org/10.1200/GO.20.00604 |
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