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© 2015 BHGI. All rights reserved. 3 GLOBAL SUMMIT 2005 – BETHESDA RESOURCE STRATIFICATION Basic level: Core resources or fundamental services necessary for any breast health care system to function. Limited level: Second-tier resources or services that produce major improvements in outcome such as survival. Enhanced level: Third-tier resources or services that are optional but important, because they increase the number and quality of therapeutic options and patient choice. Maximal level: Highest-level resources or services used in some high resource countries that have lower priority on the basis of extreme cost and/or impracticality.
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Resource-Stratified Guidelines:A FRAMEWORK FOR
CHANGEBenjamin O. Anderson, M.D.Chair and DirectorBreast Health Global InitiativeFred Hutchinson Cancer Research CenterProfessor of Surgery & Global Health MedicineUniversity of WashingtonSeattle, Washington
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CANCER CONTROL STRATEGIESCOMPREHENSIVE APPROACH
EARLYDETECTION
DIAGNOSIS
TREATMENT
PRIMARYPREVENTION
PRIMARYPREVENTION
HEALTHSYSTEMS
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GLOBAL SUMMIT 2005 – BETHESDARESOURCE STRATIFICATION
Basic level: Core resources or fundamental services necessary for any breast health care system to function.
Limited level: Second-tier resources or services that produce major improvements in outcome such as survival.
Enhanced level: Third-tier resources or services that are optional but important, because they increase the number and quality of therapeutic options and patient choice.
Maximal level: Highest-level resources or services used in some high resource countries that have lower priority on the basis of extreme cost and/or impracticality.
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© 2015 BHGI. All rights reserved.4
DETECTION STRATEGIES AND GOALS:WHAT DO WE KNOW?
?
?
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BHGI GUIDLINE TABLESEARLY DETECTION DIAGNOSIS
STAGE I STAGE II LOCALLY ADVANCED METASTATIC
HEALTH CARE SYSTEMS
Cancer: 113 (8 suppl), 2008
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RESOURCE-STRATIFIED GUIDELINESSUMMARY
Cancer control requires systematic approaches to early detection, diagnosis and treatment.
Resource-stratified guidelines provide a framework for building functional systems using existing resources.
Next steps require evidence-based guidance to policy makers for implementing scalable models for healthcare delivery adapted to existing conditions and resources.
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