Ramírez-Barbosa Paula, Acuña Merchán Lizbeth
Cuenta de Alto Costo- Fondo Colombiano de Enfermedades de Alto Costo. Ministerio de Salud y Proteccion Social, Bogota, Colombia.
Colomb Med (Cali). 2018 Mar 30;49(1):128-134. doi: 10.25100/cm.v49i1.3882.
To describe the outcomes of risk management indicators for five types of cancer in population that is affiliated to the General System of Social Security in Health, in six cities of Colombia.
Based on the data from the administrative cancer registry for the period 2016, the High Cost Disease Fund (CAC in Spanish) as a technical organization of the Colombian health system, processed and analyzed the data for the calculation of risk management indicators established in consensus based on the evidence found in six cities.
There is a diversity in the indicators results found among the different cities, evidencing strengths and weaknesses in each of them for the different types of cancer. From the set of indicators, those with the best results presented are related to the greater detection of cancer in early stages or in situ, as well as a decrease in mortality, especially in colorectal and in gastric cancer. Most indicators in gastric cancer showed optimal results. Important measurements such as the opportunity for diagnosis and treatment are below the proposed standard for most types in all the six cities.
The descriptive analysis of cancer risk management indicators shows certain weaknesses in the quality and timeliness of the care of cancer patients, the standards agreed upon in the consensus with the different actors of the system are not being reached, situation which may be due to a reality of problems of the Colombian health system, as well as deficiencies in the quality of the report to the CAC.
描述哥伦比亚六个城市中隶属于健康社会保障总体系人群的五种癌症风险管理指标的结果。
基于2016年行政癌症登记处的数据，作为哥伦比亚卫生系统技术组织的高成本疾病基金（西班牙语为CAC）处理并分析了这些数据，以计算基于六个城市中所发现证据经共识确定的风险管理指标。
不同城市间指标结果存在差异，表明每种癌症在各个城市都有优势和劣势。从指标集来看，呈现出最佳结果的指标与癌症早期或原位癌的更多检出以及死亡率下降有关，尤其是在结直肠癌和胃癌方面。胃癌的大多数指标显示出最佳结果。在所有六个城市中，大多数类型的癌症在诊断和治疗时机等重要指标低于提议标准。
癌症风险管理指标的描述性分析显示，癌症患者护理的质量和及时性存在一定弱点，未达到与系统中不同行为者达成共识的标准，这种情况可能归因于哥伦比亚卫生系统的实际问题以及向高成本疾病基金报告质量的不足。
