RESUMEN
Oman is a high-income Middle Eastern country. Over the past 50 years, the country's health care system has undergone revolutionary changes to meet the health care needs of its population, driven by high oil and gas revenues. It currently has a very efficient universal health care system. There are 2 linear accelerators in the country and 6 radiation oncologists. A new cancer research center is currently under construction. The major challenge that could affect the delivery of radiation therapy in the future is sustenance of the health care achievements in view of a growing population and the reliance on public funding for health care delivery.
Asunto(s)
Atención a la Salud/economía , Predicción , Oncólogos de Radiación/provisión & distribución , Oncología por Radiación/tendencias , Instituciones Oncológicas , Educación Médica , Arquitectura y Construcción de Instituciones de Salud , Femenino , Humanos , Masculino , Programas Nacionales de Salud/clasificación , Programas Nacionales de Salud/organización & administración , Neoplasias/epidemiología , Omán/epidemiología , Aceleradores de Partículas/provisión & distribución , Oncología por Radiación/economía , Oncología por Radiación/instrumentación , Oncología por Radiación/organización & administración , Sistema de Registros , Distribución por Sexo , Atención de Salud UniversalAsunto(s)
Densidad de Población , Oncología por Radiación/instrumentación , Teleterapia por Radioisótopo/instrumentación , Radioisótopos de Cobalto , Emigración e Inmigración , Etiopía , Financiación Gubernamental , Predicción , Accesibilidad a los Servicios de Salud , Historia del Siglo XX , Hospitales Especializados/historia , Humanos , Internado y Residencia/organización & administración , Programas Nacionales de Salud/economía , Programas Nacionales de Salud/organización & administración , Neoplasias/diagnóstico , Neoplasias/prevención & control , Neoplasias/radioterapia , Aceleradores de Partículas/provisión & distribución , Prevención Primaria , Oncólogos de Radiación/educación , Oncología por Radiación/economía , Oncología por Radiación/educación , Oncología por Radiación/historiaRESUMEN
PURPOSE: Planning for radiation oncology requires reliable estimates of both demand for radiotherapy and availability of technological resources. This study compares radiotherapy resources in the 17 regions of the decentralised Spanish National Health System (SNHS). MATERIALS AND METHODS: The Sociedad Española de Oncología Radioterápica (SEOR) performed a cross-sectional survey of all Spanish radiation oncology services (ROS) in 2015. We collected data on SNHS radiotherapy units, recording the year of installation, specific features of linear accelerators (LINACs) and other treatment units, and radiotherapeutic techniques implemented by region. Any machine over 10 years old or lacking a multileaf collimator or portal imaging system was considered obsolete. We performed a k-means clustering analysis using the Hartigan-Wong method to test associations between the gross domestic regional product (GDRP), the number of LINACs per million population and the percentage of LINACs over 10 years old. RESULTS: The SNHS controls 72 (61%) of the 118 Spanish ROS and has 180 LINACs, or 72.5% of the total public and private resources. The mean rate of LINACs per million population is 3.9 for public ROS, and 42% (n = 75) of the public accelerators were obsolete in 2015: 61 due to age and 14 due to technological capability. There was considerable regional variation in terms of the number and technological capacity of radiotherapy units; correlation between GRDP and resource availability was moderate. CONCLUSION: Despite improvements, new investments are still needed to replace obsolete units and increase access to modern radiotherapy. Regular analysis of ROS in each Spanish region is the only strategy for monitoring progress in radiotherapy capacity.