City project

Radiotherapy

Improving Access, Quality, and Continuity of Radiotherapy Services in Rosario
Project lead
Dr Alejandro Chinellato
Implementation
Cycle I

The challenge

  • Radiotherapy services in Rosario operate within a complex and diverse landscape, with treatment delivery distributed across public and private providers, predominantly within the private sector.
  • Public-sector radiotherapy capacity is currently limited, relying on legacy technology that constrains the range and complexity of treatments that can be delivered.
  • As a result, public patients are often referred to private providers, highlighting the importance of strengthening coordination mechanisms to ensure continuity of clinical information and integrated care.
  • Human resource capacity, including dosimetrists, radiotherapy technologists, and radiation oncologists, represents a key area for reinforcement to support service sustainability and quality.
  • The integration of radiotherapy training within medical and technical education pathways offers an opportunity to strengthen the future specialist workforce.
  • Access to advanced radiotherapy techniques, such as radiosurgery, varies according to technological availability and clinical guidance frameworks, and further alignment with payer policies and standardised indications could help reduce variability and promote equity in care.

The goal

  • To improve equitable access, technical quality, and continuity of radiotherapy treatments in Rosario through a comprehensive service assessment and sustained strengthening of specialised technical workforce capacity.

The How

  • Conducting a comprehensive assessment of access to radiotherapy treatments , including infrastructure, service availability, waiting times, and organisational and financial barriers.
  • Mapping radiotherapy services across public and private sectors to identify gaps and inequities in access.
  • Using the assessment to inform a locally validated radiotherapy service improvement plan.
  • Strengthening and expanding the continuous education programme for radiotherapy technologists.
  • Ensuring ongoing, accredited training aligned with international standards in radiotherapy techniques, safety, and equipment maintenance.

Outputs

  • Assessment of timely patient access to radiotherapy treatment in the city of Rosario. 
  • Strengthening of the continuous education programme for radiotherapy technologists. 

Team

Project Lead
Dr Alejandro Chinellato. Radiation Oncologist, Group Gamma
Project Team
Miguel Castiglioni, Group Oroño y Hospital Centenario
Gabriel Pacenti, Centro de Radioterapia Dr. José Miechi
Martha Reñe, Centro de Radioterapia Luis Reñe
Alejandro Landucci, Centro de Radioterapia, Sunchales, Atilra
Esteban Castro , Centro de Radioterapia, Sunchales, Atilra
Florencia Maini , Hospital Centenario
Silvana Prado Sanatorio Parque
Marisel Colautti, Maestría en Salud Pública, Centro de Estudios Interdisciplinarios. Universidad Nacional de Rosario
Delia Amarilla , Maestría en Salud Pública, Centro de Estudios Interdisciplinarios. Universidad Nacional de Rosario

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