Project description DEENESFRITPL Enhancing accessibility to cancer care in Latin American health systems High mortality rates due to delayed cancer diagnosis and treatment in Latin America are the lethal consequences of the fragmented healthcare system. A comprehensive approach is needed to address this challenge, which particularly affects disadvantaged population groups. The EU-funded EquityCancer-LA project will develop an evaluation scheme for a multi-component, integrated care intervention to improve the early diagnosis of frequent cancers in healthcare networks of Chile, Colombia and Ecuador. The project will focus on tracing the contextual and cost-effectiveness of an affordable, tailored solution to reduce diagnostic delays, developing a strategy for its implementation in different contexts. It will provide novel data about healthcare inequalities and contribute to clinical practice and research on early diagnosis through an innovative use of e-tools. Show the project objective Hide the project objective 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. Fields of science social sciencessociologydemographymortalitymedical and health scienceshealth sciencesinfectious diseasesRNA virusescoronavirusesmedical and health sciencesclinical medicineoncology Keywords cancer early diagnosis integrated care implementation research equity in access Latin America vulnerable populations cancer control quasi-experimental study primary care training IT tools Programme(s) H2020-EU.3.1. - SOCIETAL CHALLENGES - Health, demographic change and well-being Main Programme H2020-EU.3.1.3. - Treating and managing disease Topic(s) SC1-BHC-17-2020 - Global Alliance for Chronic Diseases (GACD) - Prevention and/or early diagnosis of cancer Call for proposal H2020-SC1-BHC-2018-2020 See other projects for this call Sub call H2020-SC1-2020-Single-Stage-RTD Funding Scheme RIA - Research and Innovation action Coordinator CONSORCI DE SALUT I D'ATENCIO SOCIAL DE CATALUNYA Net EU contribution € 799 851,25 Address AVENIDA DEL TIBIDABO 21 08022 Barcelona Spain See on map Region Este Cataluña Barcelona Activity type Research Organisations Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Total cost € 799 851,25 Participants (7) Sort alphabetically Sort by Net EU contribution Expand all Collapse all FUNDACIO PRIVADA PER A LA RECERCA I LA DOCENCIA SANT JOAN DE DEU Spain Net EU contribution € 26 750,00 Address SANTA ROSA 39-4 08950 Esplugues De Llobregat See on map Region Este Cataluña Barcelona Activity type Research Organisations Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Total cost € 167 728,75 Third-party Legal entity other than a subcontractor which is affiliated or legally linked to a participant. The entity carries out work under the conditions laid down in the Grant Agreement, supplies goods or provides services for the action, but did not sign the Grant Agreement. A third party abides by the rules applicable to its related participant under the Grant Agreement with regard to eligibility of costs and control of expenditure. PARC SANITARI SANT JOAN DE DEU Spain Net EU contribution € 140 978,75 Address CALLE DOCTOR ANTONI PUJADAS 42 08830 Sant Boi De Llobregat See on map Region Este Cataluña Barcelona Activity type Other Links Contact the organisation Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Total cost € 140 978,75 UNIVERSIDAD DE CHILE Chile Net EU contribution € 562 287,50 Address Av. Libertador Bernardo O'Higgins 1058 10 Santiago See on map Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Total cost € 562 287,50 COLEGIO MAYOR DE NUESTRA SENORA DELROSARIO CORPORACION SIN ANIMO DE LUCRO Colombia Net EU contribution € 555 491,25 Address CALLE 12C 6-25 Bogota Dc See on map Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Total cost € 555 491,25 PONTIFICIA UNIVERSIDAD CATOLICA DEL ECUADOR Ecuador Net EU contribution € 552 657,50 Address AV 12 DE OCTUBRE 1076 Y PATRIA 17012184 Quito See on map Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Total cost € 552 657,50 UNIVERSIDADE NOVA DE LISBOA Portugal Net EU contribution € 201 225,00 Address CAMPUS DE CAMPOLIDE 1099 085 Lisboa See on map Region Continente Área Metropolitana de Lisboa Área Metropolitana de Lisboa Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Total cost € 201 225,00 KOBENHAVNS UNIVERSITET Denmark Net EU contribution € 159 447,50 Address NORREGADE 10 1165 Kobenhavn See on map Region Danmark Hovedstaden Byen København Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Total cost € 159 447,50
