Radiation Oncology-Where to from Here? A Global Inquiry into the Perspectives of Radiation Oncology Professionals in Light of the Growing Cancer Epidemic.

INTRODUCTION: Radiation oncology is a vital tool in resisting the cancer epidemic affecting millions worldwide. This study queried the perspectives of radiation oncology professionals and sought their solutions in regard to current practice, future practice, outsourcing, and common values. METHODS: A mass consumer survey was distributed globally that collected quantitative and qualitative data from 245 radiation oncology professionals based in 47 countries. RESULTS: Participants scored the sector highly on the quality of current practice. The United States was identified as the perceived global leader in the practice of radiation oncology. The sector was considered moderately open to reform with suggestions of better training, greater resources, and incorporation of data informatics. A preference for paradigms involving private enterprise emerged. Appropriate outsourcing tasks and companies were identified and industry leaders evaluated. Remarkable accord was observed in values and priorities across professional groups and examined subsets. CONCLUSIONS: There is an opportunity to realize value through the application of successful global paradigms. Our research generated a unique performance evaluation of the sector by identifying the current situation and areas open to reform. The required shift in the role of government from provider to regulator implied a mandate for a reorientation of policy settings with greater emphasis on free enterprise solutions that maximize value and ultimately advance patient care.