Problem solving for breast health care delivery in low and middle resource countries (LMCs): Consensus statement from the Breast Health Global Initiative

Joe B. Harford, Isabel V. Otero, Benjamin O. Anderson, Eduardo Cazap, William J. Gradishar, Julie R. Gralow, Gabrielle M. Kane, Laurens M. Niëns, Peggy L. Porter, Anne V. Reeler, Paula T. Rieger, Lillie D. Shockney, Lawrence N. Shulman, Tanya Soldak, David B. Thomas, Beti Thompson, David P. Winchester, Sten G. Zelle, Rajendra A. Badwe

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

International collaborations like the Breast Health Global Initiative (BHGI) can help low and middle income countries (LMCs) to establish or improve breast cancer control programs by providing evidence-based, resource-stratified guidelines for the management and control of breast cancer. The Problem Solving Working Group of the BHGI 2010 Global Summit met to develop a consensus statement on problem-solving strategies addressing breast cancer in LMCs. To better assess breast cancer burden in poorly studied populations, countries require accurate statistics regarding breast cancer incidence and mortality. To better identify health care system strengths and weaknesses, countries require reasonable indicators of true health system quality and capacity. Using qualitative and quantitative research methods, countries should formulate cancer control strategies to identify both system inefficiencies and patient barriers. Patient navigation programs linked to public advocacy efforts feed and strengthen functional early detection and treatment programs. Cost-effectiveness research and implementation science are tools that can guide and expand successful pilot programs.

Original languageEnglish (US)
Pages (from-to)S20-S29
JournalBreast
Volume20
Issue numberSUPPL. 2
DOIs
StatePublished - Apr 2011

Keywords

  • Advocacy
  • Cost-effectiveness research
  • Implementation science
  • Mortality-to-incidence ratio
  • Patient navigation
  • Situational analysis

ASJC Scopus subject areas

  • Surgery
  • Oncology
  • Cancer Research

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