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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2021
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.
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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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