RESUMO
Here we describe the working method used to implement an Integrated Cancer Health Plan in Andalusia (Spain) and to set out some of the lines of work for improving quality of care and health network planning. Four main initial considerations were made: (1) work must be centred on patients and respect for their autonomy; (2) cancer requires action at every healthcare level; (3) integration of expert professionals is to be encouraged; and (4) relevant information and data should be systematically used for planning. Two operative approaches were also established: structured participation and evidence-based healthcare. This methodology was used in various planning programmes, largely in relation to healthcare resources. In this article, as examples, we describe the development of two types of programmes: one for radiotherapy equipment and another for the management of lymphoedema in breast cancer patients. Analysis of results obtained against cancer is always controversial. It is necessary to review the healthcare structure used in terms of effectiveness and excellence. Comprehensive or integrated health plans are a useful model for a wide-ranging and multi-level approach to cancer. The structured and real participation of experts and an evidence- based healthcare strategy proved very useful in this public health planning experience (AU)
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Assuntos
Humanos , Masculino , Feminino , Protocolos Antineoplásicos , Neoplasias/terapia , Planejamento em Saúde/métodos , Planejamento em Saúde/organização & administração , Planejamento em Saúde/normas , Planejamento em Saúde/tendências , Planejamento em Saúde , Apoio ao Planejamento em Saúde/organização & administração , Apoio ao Planejamento em Saúde/normasRESUMO
The authors evaluate a program of peripheral obtention of analytical samples during a 37-month period in the Granada province, which it has been able to extend to 40.44% of the population. An analysis of the cost/benefit ratio and the efficacy in the implantation of the program (77.78%) during that period was carried out. The results were compared with those achieved with this program in other Spanish provinces. Finally, an indicator was proposed (expected mean number of users per 1000 inhabitants and month) which might permit to know in advance the effectiveness of the implantation of the Program in a given area.
