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HOW TO HAVE AN INTEGRATED CAMPAIGN
WITH ALL STAKEHOLDERS
Isabel Portillo, PhD
Colorectal Cancer Screening Programme Coordinator
Osakidetza - The Basque Health Service. Bilbao. Spain.
No conflicts of interest
Colorectal Cancer Screening SummitTogether Driving Change and Saving Lives
November 30th, 2020
1. PLANNING PERIOD (2008)
• CANCER ADVISORY BOARD APPROVED THE
COLORECTAL CANCER SCREENING
• PRESS COMMUNICATION MAY 2008
Literature
review
Organization
check
Benchmarking
Managers
Primary Care
IT
Laboratory
Endoscopy
Pathology
Society
Docs
Review
Approval
Study Involvement Carry outProposal
Let’s
Go!
2. ORGANISATION
• CENTRAL COORDINATION
• SOFTWARE
• MAILING
• HOT LINE
• TRAINING
• COMMUNICATION
3.IMPLEMENTATION
• 8 HEALTH CENTRES
• INFORMATIVE LETTER
• KITS BY POST
• 3 LABORATORIES
• 3 COLONOSCOPY REFERRAL CENTRES UNDER
SEDATION
• FOLLOW-UP ALL INVITATIONS AND POSITIVE
CASES
4. PILOT PHASE
• 15,000 INVITEES
• 58,1% PARTICIPATION RATE
• 6% POSITIVE RATE
• 90% COLONOSCOPY ADHERENCE
• PRIMARY CARE AND DIGESTIVE STAFF SATISFACTION
• CONGRATS FROM PATIENTS ASSOCIATION
5. T OWARDS TOTAL COVERAGE
• REGIONAL PARLIAMENT AGREEMENT 2013
• INVEST IN EQUITY AND QUALITY
• REACH VULNERABLE PEOPLE
• POPULATION BASED OBJECTIVE
WORKING TOGETHER
MAIN INDICATORS
54.9
62.7 62.964.9
67.168.2 67.9
70 70 69.9
61.3
68 68.770.3
72.173 72.6
74.6 74.6 74.9
58.1
65.5 65.867.7
69.770.7 70.3
72.4 72.3 72.5
50
55
60
65
70
75
80
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
MEN WOMEN TOTAL
INVITATION COVERAGE PARTICIPATION RATE
5.7
27
43.7
67.5
100
5.7
24
45.2
80.5
92.1 97.9 100
4.5
26
55.3
70.5
80
96.7
1.5
18.3
38.9
57.1
14.4
0
20
40
60
80
100
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
ROUND 1 ROUND 2 ROUND 3 ROUND 4 ROUND 5
MEN
64.4%
WOMEN
35.5%
MEN : 2.202
WOMEN: 1.215
TOTAL: 3,417
CANCER DETECTED
70% INITIAL STAGE
+26,972
Advanced Adenomas
detected and resected
6. PLAN-ADJUST-CHECK-IMPROVE
• ANNUAL PLAN
• FEED-BACK RESULTS
• QUALITY ASSESMENT
• COST-EFFECTIVE ASSESMENT
• INEQUALITIES ASSESMENT
OPEN-MINDED TO LISTEN AND CHANGE
CONCLUSIONS
1. PREPAREDNESS IS THE BEST
INVESTMENT
2. MAKE DECISIONS BASED ON YOUR
OWN DATA
3. INVOLVE AND GET COMMITMENT
4. CONTINUE EVALUATION
THANK YOU VERY MUCH FOR YOUR ATTENTION!
www.osakidetza.euskadi.eus
