Cargando…
Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach
To address the wide variation in access to cancer care in India requires strengthening of infrastructure, trained oncology workforce, and minimisation of out-of-pocket expenditures. However, even with major investments, it is unlikely to achieve the same level of infrastructure and expertise across...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396157/ https://www.ncbi.nlm.nih.gov/pubmed/35985695 http://dx.doi.org/10.1136/bmjgh-2022-009584 |
_version_ | 1784771866943029248 |
---|---|
author | Sengar, Manju Pramesh, C S Mehndiratta, Abha Shah, Sudeep Munshi, Anusheel Vijaykumar, D K Puri, Ajay Mathew, Beela Arora, Ramandeep Singh Kumari T, Priya Deodhar, Kedar Menon, Santosh Epari, Sridhar Shetty, Omshree Cluzeau, Francoise |
author_facet | Sengar, Manju Pramesh, C S Mehndiratta, Abha Shah, Sudeep Munshi, Anusheel Vijaykumar, D K Puri, Ajay Mathew, Beela Arora, Ramandeep Singh Kumari T, Priya Deodhar, Kedar Menon, Santosh Epari, Sridhar Shetty, Omshree Cluzeau, Francoise |
author_sort | Sengar, Manju |
collection | PubMed |
description | To address the wide variation in access to cancer care in India requires strengthening of infrastructure, trained oncology workforce, and minimisation of out-of-pocket expenditures. However, even with major investments, it is unlikely to achieve the same level of infrastructure and expertise across the country. Therefore, a resource stratified approach driven by evidence-based and contextualised clinical guidelines is the need of the hour. The National Cancer Grid has been at the forefront of delivery of standardised cancer care through several of its initiatives, including the resource-stratified guidelines. Development of new guidelines is resource and time intensive, which may not be feasible and can delay the implementation. Adaptation of the existing standard guidelines using the transparent and well-documented methodology with involvement of all stakeholders can be one of the most reasonable pathways. However, the adaptation should be done keeping in mind the context, resource availability, budget impact, investment needed for implementation and acceptability by clinicians, patients, policymakers, and other stakeholders. The present paper provides the framework for systematically developing guidelines through adaptation and contextualisation. The process can be used for other health conditions in resource-constraint settings. |
format | Online Article Text |
id | pubmed-9396157 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-93961572022-09-06 Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach Sengar, Manju Pramesh, C S Mehndiratta, Abha Shah, Sudeep Munshi, Anusheel Vijaykumar, D K Puri, Ajay Mathew, Beela Arora, Ramandeep Singh Kumari T, Priya Deodhar, Kedar Menon, Santosh Epari, Sridhar Shetty, Omshree Cluzeau, Francoise BMJ Glob Health Practice To address the wide variation in access to cancer care in India requires strengthening of infrastructure, trained oncology workforce, and minimisation of out-of-pocket expenditures. However, even with major investments, it is unlikely to achieve the same level of infrastructure and expertise across the country. Therefore, a resource stratified approach driven by evidence-based and contextualised clinical guidelines is the need of the hour. The National Cancer Grid has been at the forefront of delivery of standardised cancer care through several of its initiatives, including the resource-stratified guidelines. Development of new guidelines is resource and time intensive, which may not be feasible and can delay the implementation. Adaptation of the existing standard guidelines using the transparent and well-documented methodology with involvement of all stakeholders can be one of the most reasonable pathways. However, the adaptation should be done keeping in mind the context, resource availability, budget impact, investment needed for implementation and acceptability by clinicians, patients, policymakers, and other stakeholders. The present paper provides the framework for systematically developing guidelines through adaptation and contextualisation. The process can be used for other health conditions in resource-constraint settings. BMJ Publishing Group 2022-08-19 /pmc/articles/PMC9396157/ /pubmed/35985695 http://dx.doi.org/10.1136/bmjgh-2022-009584 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Practice Sengar, Manju Pramesh, C S Mehndiratta, Abha Shah, Sudeep Munshi, Anusheel Vijaykumar, D K Puri, Ajay Mathew, Beela Arora, Ramandeep Singh Kumari T, Priya Deodhar, Kedar Menon, Santosh Epari, Sridhar Shetty, Omshree Cluzeau, Francoise Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach |
title | Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach |
title_full | Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach |
title_fullStr | Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach |
title_full_unstemmed | Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach |
title_short | Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach |
title_sort | ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach |
topic | Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396157/ https://www.ncbi.nlm.nih.gov/pubmed/35985695 http://dx.doi.org/10.1136/bmjgh-2022-009584 |
work_keys_str_mv | AT sengarmanju ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT prameshcs ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT mehndirattaabha ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT shahsudeep ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT munshianusheel ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT vijaykumardk ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT puriajay ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT mathewbeela ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT aroraramandeepsingh ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT kumaritpriya ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT deodharkedar ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT menonsantosh ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT eparisridhar ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT shettyomshree ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach AT cluzeaufrancoise ensuringqualityincontextualisedcancermanagementguidelinesforresourceconstraintsettingsusingasystematicapproach |