The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource-Stratified Phased Implementation: Methods and overview

Catherine Duggan, Allison Dvaladze, Anne F. Rositch, Ophira Ginsburg, Cheng Har Yip, Susan Horton, Rolando Camacho Rodriguez, Alexandru Eniu, Miriam Mutebi, Jean Marc Bourque, Shahla Masood, Karla Unger-Saldaña, Anna Cabanes, Robert W. Carlson, Julie R. Gralow, Benjamin O. Anderson

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: The Breast Health Global Initiative (BHGI) established a series of resource-stratified, evidence-based guidelines to address breast cancer control in the context of available resources. Here, the authors describe methodologies and health system prerequisites to support the translation and implementation of these guidelines into practice. METHODS: In October 2018, the BHGI convened the Sixth Global Summit on Improving Breast Healthcare Through Resource-Stratified Phased Implementation. The purpose of the summit was to define a stepwise methodology (phased implementation) for guiding the translation of resource-appropriate breast cancer control guidelines into real-world practice. Three expert consensus panels developed stepwise, resource-appropriate recommendations for implementing these guidelines in low-income and middle-income countries as well as underserved communities in high-income countries. Each panel focused on 1 of 3 specific aspects of breast cancer care: 1) early detection, 2) treatment, and 3) health system strengthening. RESULTS: Key findings from the summit and subsequent article preparation included the identification of phased-implementation prerequisites that were explored during consensus debates. These core issues and concepts are key components for implementing breast health care that consider real-world resource constraints. Communication and engagement across all levels of care is vital to any effectively operating health care system, including effective communication with ministries of health and of finance, to demonstrate needs, outcomes, and cost benefits. CONCLUSIONS: Underserved communities at all economic levels require effective strategies to deploy scarce resources to ensure access to timely, effective, and affordable health care. Systematically strategic approaches translating guidelines into practice are needed to build health system capacity to meet the current and anticipated global breast cancer burden.

Original languageEnglish (US)
Pages (from-to)2339-2352
Number of pages14
JournalCancer
Volume126
DOIs
StatePublished - May 15 2020

Keywords

  • breast cancer
  • clinical breast assessment
  • clinical breast examination
  • dissemination and implementation science
  • early diagnosis
  • health care systems
  • health disparities
  • low-income and middle-income countries
  • multidisciplinary evaluation
  • phased implementation
  • resource-stratification
  • supportive and palliative care
  • treatment
  • underserved communities

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Fingerprint

Dive into the research topics of 'The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource-Stratified Phased Implementation: Methods and overview'. Together they form a unique fingerprint.

Cite this