City project

Systemic Treatment

Strengthening Oncology Services and Access to Essential Cancer Medicines in Rosario

City

Rosario, Argentina

Project lead

Dr Alejandra Bartoli

Areas of action

Implementation

Cycle I

The challenge

Oncology services in Rosario continue to evolve, and further strengthening of structural and organisational capacities could enhance the quality, equity, and effectiveness of cancer treatment.
Capacity for dedicated oncology and oncohematology inpatient care varies across public hospitals, highlighting opportunities to better align infrastructure with clinical demand.
Patient registration and treatment data are collected through heterogeneous systems, and improved completeness and quality would support greater continuity of care and more effective health system planning.
Time intervals between diagnosis and treatment initiation show variability, and targeted process improvements could help reduce delays and optimise patient pathways.
Access to cancer medicines, both high- and low-cost, differs across settings, and further coordination with payers, together with strengthened medication traceability and shared treatment protocols, could support more consistent access and sustainability.
Finally, continued efforts to define minimum service standards, improve working conditions in public institutions, and align professional remuneration with clinical responsibilities would contribute to sustaining workforce performance and service quality.

The goal

To develop an integrated Development Plan for public oncology services in Rosario to improve infrastructure, human resources, and technology.
To define and agree with oncologists and health payors on a list of first-and-second-line essential cancer treatments to improve access, quality, and continuity of care.

The How

Conducting a comprehensive assessment of oncology services in public hospitals to identify current gaps and future needs.
Developing a city-level Oncology Service Development Plan to guide improvements in infrastructure, workforce, clinical processes, and technology.
Defining and validating a consensus-based list of essential oncology medicines for first- and second-line treatment of priority solid tumours.
Aligning medicine selection with adapted international clinical guidelines and establishing indicators to monitor implementation and adherence.
Promoting coordination between healthcare providers and payers to support sustainable access to essential cancer medicines.

Outputs

Development Plan for public oncology services in Rosario, covering infrastructure, human resources, processes, and technology.
Consensus-based list of essential oncology medicines for first-and-second-line treatment by tumour type.

Team

Project Lead

Dr Alejandra Bartoli, Hospital Centenario

Project Team

Alejandra Bartoli, Hospital Centenario
Genovese Alicia, Centro de Especialidades Medicas Ambulatorias (CEMAR)
Saldías Patricia, Grupo Gamma
Jose Luis Fedele, Grupo Gamma
Gastón Martinengo, Grupo Oroño
Duilio Racca, Hospital Baigorria
Gustavo Braidot, Hospital Baigorria
Marcelo Tatangelo, Hospital Británico
Susana Cerana, Hospital Británico
Cristina Nasurdi, Hospital Centenario
Adriana Rocaspana, Hospital Centenario
Mario Astegiano, Hospital Español
Mariana Siccardi, Hospital Español
Vicenta Noviello, Hospital Provincial
Fernando Rosso, Sanatorio Plaza
Alicia Quartara , Hospital Centenario
Ramiro Jurado, Centro de Especialidades Medicas Ambulatorias (CEMAR)

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