City Cancer Challenge
City project

Quality and Multidisciplinary teams

Advancing Quality Cancer Care Through Multidisciplinary Practice in León
City
León, Mexico
Project lead
Dr. Rosa Olivia Guerra Vázquez
Areas of action

The challenge

  • In León, gaps in coordination, workforce capacity, and standardised clinical processes limit timely access to quality breast cancer care. The absence of clear, multidisciplinary care pathways contributes to delays in treatment initiation, variability in clinical decision-making, and uneven access to evidence-based therapies.
  •  Shortages of trained specialists, limited opportunities for continuous professional development, and weak safety and quality assurance mechanisms place additional strain on healthcare teams and patient outcomes. 
  • Fragmented communication and limited collaboration across institutions further hinder continuity of care and the effective functioning of multidisciplinary teams, underscoring the need for structured, integrated approaches to breast cancer management.

The goal

  • Design and implement a multidisciplinary management pathway for breast cancer patients at Hospital General de León to reduce variability in care, shorten treatment timelines
  • Increasing survival and quality of patient life  while establishing a scalable and replicable model that can be extended to other healthcare institutions across the city.

The How

  • Design and implement with the collaboration of experts, local professionals and health authorities the mechanisms for multidisciplinary and inter-institutional collaboration and coordination for the management of breast cancer patients. 
  • Leverage expert academic input and institutional involvement in the design of a resource stratified pathway that will enable cross-departmental collaboration, improve the patient experience and create a model that can be replicated by other institutions in the city.

Outputs

  • Breast Cancer patient management pathways (resource stratified) in the city of León. 
  • Model for multidisciplinary breast cancer management in the city of León.

Team

Project Lead
Dr. Rosa Olivia Guerra Vázquez, Deputy Director of Planning and Quality, General Hospital of León, Health Secretariat of the State of Guanajuato.
Project Team
Dr. Alfonso Delgado Vargas, Internal Medicine Physician; Director of the General Hospital of León, Health Secretariat of the State of Guanajuato
Dra. Rosa Olivia Guerra Vázquez, Deputy Director of Planning and Quality, General Hospital of León, Health Secretariat of the State of Guanajuato.
Lic. Maria Magdalena Alderete Hurtado, Social Worker, General Hospital of León, Health Secretariat of the State of Guanajuato
Dr. Diego Armando Hernández Domínguez. Oncologist, General Hospital of León, Health Secretariat of the State of Guanajuato
Dr. Gilberto Espinoza Macías. Oncology Surgeon, General Hospital of León, Health Secretariat of the State of Guanajuato
Enf .Fabiola Soledad Montes Cervantes, Nurse, General Hospital of León, Health Secretariat of the State of Guanajuato
Dr. Eduardo Arturo Limón Rodríguez, Internal Medicine Physician; Deputy Medical Director, General Hospital of León, Health Secretariat of the State of Guanajuato
Dr. Luis Raúl Chavira Guerrero, Head of the Department of Anatomical Pathology, General Hospital of León, Health Secretariat of the State of Guanajuato
Dra. Martha Sofía Cárdenas Vega, Palliative Care Specialist Physician; Head of Palliative Care, General Hospital of León, Health Secretariat of the State of Guanajuato
Dra. Claudia Karina Anaya Moreno, State Coordinator for Evaluation and Institutional Monitoring, Health Secretariat of the State of Guanajuato

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