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Improving equity in access to early diagnosis of cancer: implementation research in different healthcare systems of Latin America (EquityCancer-LA)

Objective

Healthcare fragmentation is a main cause for delay in cancer diagnosis and treatment, contributing to high and steadily increasing mortality rates in Latin America(LA), particularly among disadvantaged populations. Building on Equity-LA I (GA223123) and II (GA305197), this research focuses on integrated care interventions, which have proven effective at improving early diagnosis of cancer, mostly in HIC, and are also promoted by national cancer plans in LA, but limitedly implemented or evaluated. The objective is to evaluate the contextual effectiveness of scaling-up a multicomponent integrated care intervention to improve early diagnosis of frequent cancers in healthcare networks of Chile, Colombia and Ecuador. Method: This participatory, interdisciplinary and mix-methods implementation research is two-pronged: a) a quasi-experimental design (controlled before and after) with an intervention and a control healthcare network; b) a case study design. Focussing on the most vulnerable socioeconomic population, it develops in four phases: 1) analysis of delays, related factors and contextual barriers to early diagnosis (base-line); 2) adaptation and scaling-up of the intervention (PC training, fast-track referral pathway and patient information, adapting available ICT tools) in real life; 3) intra-country evaluation of intervention; 4) cross-country analysis. ICT tools will be also adopted in research activities as needed in a Covid-19 on-going or post- pandemic context. Relevance: EquityCancer-LA contributes to H2020 call objectives advancing cancer control policies by generating: 1) robust evidence on contextual effectiveness and costs-effectiveness of an affordable, tailored intervention to reduce diagnostic delays; and a validated strategy for its large-scale implementation in LA and LMICs; 2) novel data on delays and key barriers and facilitators to early diagnosis and inequalities in access; 3) e-tools to improve clinical practice and research on early diagnosis.

Field of science

  • /medical and health sciences/clinical medicine/cancer

Call for proposal

H2020-SC1-2020-Single-Stage-RTD
See other projects for this call

Funding Scheme

RIA - Research and Innovation action

Coordinator

CONSORCI DE SALUT I D'ATENCIO SOCIAL DE CATALUNYA
Address
Avenida Del Tibidabo 21
08022 Barcelona
Spain
Activity type
Research Organisations
EU contribution
€ 799 851,25

Participants (6)

FUNDACIO SANT JOAN DE DEU
Spain
EU contribution
€ 167 728,75
Address
Calle Santa Rosa, 39-57
08950 Esplugues De Llobregat
Activity type
Research Organisations
UNIVERSIDAD DE CHILE
Chile
EU contribution
€ 562 287,50
Address
Av. Libertador Bernardo O'higgins 1058
10 Santiago
Activity type
Higher or Secondary Education Establishments
COLEGIO MAYOR DE NUESTRA SENORA DELROSARIO CORPORACION SIN ANIMO DE LUCRO
Colombia
EU contribution
€ 555 491,25
Address
Calle 12C 6-25
11001 Bogota Dc
Activity type
Higher or Secondary Education Establishments
PONTIFICIA UNIVERSIDAD CATOLICA DEL ECUADOR
Ecuador
EU contribution
€ 552 657,50
Address
Av 12 De Octubre 1076 Y Patria
17012184 Quito
Activity type
Higher or Secondary Education Establishments
UNIVERSIDADE NOVA DE LISBOA
Portugal
EU contribution
€ 201 225
Address
Campus De Campolide
1099 085 Lisboa
Activity type
Higher or Secondary Education Establishments
KOBENHAVNS UNIVERSITET
Denmark
EU contribution
€ 159 447,50
Address
Norregade 10
1165 Kobenhavn
Activity type
Higher or Secondary Education Establishments