A snapshot of cancer in Chile: analytical frameworks for developing a cancer policy

Biological research: BR

Catterina Ferreccio¹  Camilo Cid²  Cristian Moscoso³  Gareth I Owen³  Ethel V Velasquez³  Eileen McNerney⁴  Bruno Nervi⁴  Enrique Castellon⁴  Jorge Jimenez de la Jara⁴  Sergio Oñ⁵  Cristian Herrera⁶  Richard Sullivan⁷  Eduardo Bronstein⁷  Alejandro Corvalan⁷  ate⁷  Eva Bustamante⁷  Gabriel Bastias⁷  Pamela Gonzalez⁸  Sofia Sagues⁸ 

[1] Biomedical Research Consortium Chile, Santiago, Chile;Center UC Investigation in Oncology (CITO), Pontificia Universidad CatóCentro de EvaluacióDepartment of Public Health, Pontificia Universidad CatóFondap ACCDiS, Pontificia Universidad CatóForo Nacional de Cancer, Santiago, Chile;lica de Chile, Santiago, Chile;n de Intervenciones en Salud (CEISALUD-UC), Santiago, Chile

关键词: Chile;    Cancer policy;    Investigation;    Research and development;    Statistics;    Gallbladder cancer;    Stomach cancer;    Developing country;   

DOI  :  10.1186/0717-6287-48-10

学科分类：生物科学（综合）

来源: BioMed Central

【 摘 要 】

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. 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. 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. 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. 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.

【 授权许可】

CC BY