Abstract

SAMUDIO, A  and  HOSPITAL DE CLINICAS - FACULTAD DE CIENCIAS MEDICAS -UNA. Departamento de Hemato Oncología Pediátrica et al. MODEL OF CANCER CARE FOR CHILDREN AND ADOLESCENTS. An. Fac. Cienc. Méd. (Asunción) [online]. 2016, vol.49, n.2, pp.33-42. ISSN 1816-8949.  https://doi.org/10.18004/anales/2016.049(02)33-042.

ABSTRACT Comprehensive care for children and adolescents with cancer is one of the major challenges for the public health system in our countries where childhood cancer represents a public health problem and a social problem. Pediatric cancer in Paraguay, a country with limited resources, is a social and public health problem because of the consequences that are inflicted on patients, their families, communities and health systems. A decentralized care model with closer-to-home clinics dedicated to primary care and referrals of children with a potential cancer diagnosis improved access to specialized care and cancer follow-up. These clinics, implemented within the regional hospitals of national health systems, offer sustainable and effective solutions for better access and follow-up care for children with cancer. An analysis of the challenges, success and cost-effectiveness of these regional pediatric cancer clinics for referral and follow-up allows us to suggest an optimal model for such clinics in low-income settings. This model could be replicated for the care of other diseases and in other age groups. We present here the results of the evaluation of the results of the patients of the four regional clinics since its initial implementation. Key Words: cancer, Comprehensive system of care, My Child Matters.

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