Www.bhgi.info © 2015 BHGI. All rights reserved. 1 Resource-Stratified Guidelines: A F RAMEWORK FOR C HANGE Benjamin O. Anderson, M.D. Chair and Director.

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Presentation transcript:

© 2015 BHGI. All rights reserved. 1 Resource-Stratified Guidelines: A F RAMEWORK FOR C HANGE Benjamin O. Anderson, M.D. Chair and Director Breast Health Global Initiative Fred Hutchinson Cancer Research Center Professor of Surgery & Global Health Medicine University of Washington Seattle, Washington

© 2015 BHGI. All rights reserved. 2 CANCER CONTROL STRATEGIES COMPREHENSIVE APPROACH EARLYDETECTION DIAGNOSIS TREATMENT PRIMARYPREVENTION PRIMARYPREVENTIONHEALTHSYSTEMS

© 2015 BHGI. All rights reserved. 3 GLOBAL SUMMIT 2005 – BETHESDA RESOURCE STRATIFICATION  Basic level: Core resources or fundamental services necessary for any breast health care system to function.  Limited level: Second-tier resources or services that produce major improvements in outcome such as survival.  Enhanced level: Third-tier resources or services that are optional but important, because they increase the number and quality of therapeutic options and patient choice.  Maximal level: Highest-level resources or services used in some high resource countries that have lower priority on the basis of extreme cost and/or impracticality.

© 2015 BHGI. All rights reserved. 4 DETECTION STRATEGIES AND GOALS: WHAT DO WE KNOW? ? ?

© 2015 BHGI. All rights reserved. 5 BHGI GUIDLINE TABLES EARLY DETECTION DIAGNOSIS STAGE I STAGE II LOCALLY ADVANCED METASTATIC HEALTH CARE SYSTEMS Cancer: 113 (8 suppl), 2008

© 2015 BHGI. All rights reserved. 6 RESOURCE-STRATIFIED GUIDELINES SUMMARY  Cancer control requires systematic approaches to early detection, diagnosis and treatment.  Resource-stratified guidelines provide a framework for building functional systems using existing resources.  Next steps require evidence-based guidance to policy makers for implementing scalable models for healthcare delivery adapted to existing conditions and resources.

© 2015 BHGI. All rights reserved. 7