A snapshot of cancer in Chile: analytical frameworks for developing a cancer policy
INTRODUCTION: The South American country Chile now boasts a life expectancy of over 80 years. As a consequence, Chile now faces the increasing social and economic burden of cancer and must implement political policy to deliver equitable cancer care. Hindering the development of a national cancer pol...
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Sociedad de Biología de Chile
2015
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oai:scielo:S0716-976020150001000102016-02-16A snapshot of cancer in Chile: analytical frameworks for developing a cancer policyla Jara,Jorge Jimenez deBastias,GabrielFerreccio,CatterinaMoscoso,CristianSagues,SofiaCid,CamiloBronstein,EduardoHerrera,CristianNervi,BrunoCorvalan,AlejandroVelasquez,Ethel VGonzalez,PamelaCastellon,EnriqueBustamante,EvaOñate,SergioMcNerney,EileenSullivan,RichardOwen,Gareth I Chile Cancer policy Investigation Research and development Statistics Gallbladder cancer Stomach cancer Developing country INTRODUCTION: The South American country Chile now boasts a life expectancy of over 80 years. As a consequence, Chile now faces the increasing social and economic burden of cancer and must implement political policy to deliver equitable cancer care. Hindering the development of a national cancer policy is the lack of comprehensive analysis of cancer infrastructure and economic impact. OBJECTIVES: Evaluate existing cancer policy, the extent of national investigation and the socio-economic impact of cancer to deliver guidelines for the framing of an equitable national cancer policy. METHODS: Burden, research and care-policy systems were assessed by triangulating objective system metrics -epidemiological, economic, etc. - with political and policy analysis. Analysis of the literature and governmental databases was performed. The oncology community was interviewed and surveyed. RESULTS: Chile utilizes 1% of its gross domestic product on cancer care and treatment. We estimate that the economic impact as measured in Disability Adjusted Life Years to be US$ 3.5 billion. Persistent inequalities still occur in cancer distribution and treatment. A high quality cancer research community is expanding, however, insufficient funding is directed towards disproportionally prevalent stomach, lung and gallbladder cancers. CONCLUSIONS: Chile has a rapidly ageing population wherein 40% smoke, 67% are overweight and 18% abuse alcohol, and thus the corresponding burden of cancer will have a negative impact on an affordable health care system. We conclude that the Chilean government must develop a national cancer strategy, which the authors outline herein and believe is essential to permit equitable cancer care for the country.info:eu-repo/semantics/openAccessSociedad de Biología de ChileBiological Research v.48 20152015-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602015000100010en10.1186/0717-6287-48-10 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
English |
| topic |
Chile Cancer policy Investigation Research and development Statistics Gallbladder cancer Stomach cancer Developing country |
| spellingShingle |
Chile Cancer policy Investigation Research and development Statistics Gallbladder cancer Stomach cancer Developing country la Jara,Jorge Jimenez de Bastias,Gabriel Ferreccio,Catterina Moscoso,Cristian Sagues,Sofia Cid,Camilo Bronstein,Eduardo Herrera,Cristian Nervi,Bruno Corvalan,Alejandro Velasquez,Ethel V Gonzalez,Pamela Castellon,Enrique Bustamante,Eva Oñate,Sergio McNerney,Eileen Sullivan,Richard Owen,Gareth I A snapshot of cancer in Chile: analytical frameworks for developing a cancer policy |
| description |
INTRODUCTION: The South American country Chile now boasts a life expectancy of over 80 years. As a consequence, Chile now faces the increasing social and economic burden of cancer and must implement political policy to deliver equitable cancer care. Hindering the development of a national cancer policy is the lack of comprehensive analysis of cancer infrastructure and economic impact. OBJECTIVES: Evaluate existing cancer policy, the extent of national investigation and the socio-economic impact of cancer to deliver guidelines for the framing of an equitable national cancer policy. METHODS: Burden, research and care-policy systems were assessed by triangulating objective system metrics -epidemiological, economic, etc. - with political and policy analysis. Analysis of the literature and governmental databases was performed. The oncology community was interviewed and surveyed. RESULTS: Chile utilizes 1% of its gross domestic product on cancer care and treatment. We estimate that the economic impact as measured in Disability Adjusted Life Years to be US$ 3.5 billion. Persistent inequalities still occur in cancer distribution and treatment. A high quality cancer research community is expanding, however, insufficient funding is directed towards disproportionally prevalent stomach, lung and gallbladder cancers. CONCLUSIONS: Chile has a rapidly ageing population wherein 40% smoke, 67% are overweight and 18% abuse alcohol, and thus the corresponding burden of cancer will have a negative impact on an affordable health care system. We conclude that the Chilean government must develop a national cancer strategy, which the authors outline herein and believe is essential to permit equitable cancer care for the country. |
| author |
la Jara,Jorge Jimenez de Bastias,Gabriel Ferreccio,Catterina Moscoso,Cristian Sagues,Sofia Cid,Camilo Bronstein,Eduardo Herrera,Cristian Nervi,Bruno Corvalan,Alejandro Velasquez,Ethel V Gonzalez,Pamela Castellon,Enrique Bustamante,Eva Oñate,Sergio McNerney,Eileen Sullivan,Richard Owen,Gareth I |
| author_facet |
la Jara,Jorge Jimenez de Bastias,Gabriel Ferreccio,Catterina Moscoso,Cristian Sagues,Sofia Cid,Camilo Bronstein,Eduardo Herrera,Cristian Nervi,Bruno Corvalan,Alejandro Velasquez,Ethel V Gonzalez,Pamela Castellon,Enrique Bustamante,Eva Oñate,Sergio McNerney,Eileen Sullivan,Richard Owen,Gareth I |
| author_sort |
la Jara,Jorge Jimenez de |
| title |
A snapshot of cancer in Chile: analytical frameworks for developing a cancer policy |
| title_short |
A snapshot of cancer in Chile: analytical frameworks for developing a cancer policy |
| title_full |
A snapshot of cancer in Chile: analytical frameworks for developing a cancer policy |
| title_fullStr |
A snapshot of cancer in Chile: analytical frameworks for developing a cancer policy |
| title_full_unstemmed |
A snapshot of cancer in Chile: analytical frameworks for developing a cancer policy |
| title_sort |
snapshot of cancer in chile: analytical frameworks for developing a cancer policy |
| publisher |
Sociedad de Biología de Chile |
| publishDate |
2015 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602015000100010 |
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