Blanco Susana, Andisco Daniel, Jiménez Pablo, Luciani Silvana
Instituto Nacional del Cáncer Instituto Nacional del Cáncer Secretaría de Salud de la Nación Buenos Aires Argentina Instituto Nacional del Cáncer, Secretaría de Salud de la Nación, Buenos Aires, Argentina.
Organización Panamericana de la Salud Organización Panamericana de la Salud Washington, D.C. Estados Unidos de América. Organización Panamericana de la Salud, Washington, D.C., Estados Unidos de América.
Rev Panam Salud Publica. 2019 Jul 31;43:e63. doi: 10.26633/RPSP.2019.63. eCollection 2019.
This paper presents results from the mammography quality plan of the National Breast Cancer Program at Argentina's National Cancer Institute, which focused on improving mammography quality in the public health-care sector and on using mammography to implement breast cancer screening. Plan implementation started in 2011, based on the premise that poor quality mammography impedes early diagnosis of breast cancer. At the time, there was little awareness in Argentina of the importance of quality control, and constant changes in lines of authority in the health system tended to hinder organized implementation of the program. The plan consisted of quality review and control of mammography facilities, training of technical and medical human resources, and implementation of an accreditation system for mammography services by the National Cancer Institute. Perception by involved personnel of the importance of quality improved; an overview was obtained of the state of mammography at the national level regarding quality, technology, quantity of equipment, and opportunities for implementation of screening; technical and medical personnel were trained using different methods; and standardization of mammography reading was promoted in the participating provinces.
本文介绍了阿根廷国家癌症研究所国家乳腺癌项目的乳腺钼靶质量计划的成果,该计划专注于提高公共卫生保健部门的乳腺钼靶质量,并利用乳腺钼靶进行乳腺癌筛查。计划于2011年开始实施,其前提是质量不佳的乳腺钼靶检查会妨碍乳腺癌的早期诊断。当时,阿根廷对质量控制的重要性认识不足,卫生系统中权力线的不断变化往往阻碍了该计划的有组织实施。该计划包括对乳腺钼靶检查设施的质量审查和控制、技术和医疗人力资源的培训,以及由国家癌症研究所实施乳腺钼靶检查服务的认证系统。相关人员对质量重要性的认识有所提高;了解了全国乳腺钼靶检查在质量、技术、设备数量以及筛查实施机会方面的状况;采用不同方法对技术和医务人员进行了培训;并在参与的省份促进了乳腺钼靶读片的标准化。