The transfer of cancer care expertise from one city to the next is often hampered by administrative siloes, language barriers and differences in technology between sites. Early knowledge-transfer programmes have shown potential, but their impact has been limited.
In 2020 City Cancer Challenge (C/Can) partnered with Project ECHO, a movement which strives to demonopolise knowledge and amplify capacity to provide best-practice care to under-represented people all over the world through replications of the ECHOTM online learning model.
Through the pilot programme, entitled “C/Can Quality Improvement of Cancer Care Systems TeleECHOTM”, to help project teams in C/Can cities share their policy drafts and products to ensure patient-centric cancer care, and agree on metrics to measure the quality improvement of key practices in their respective clinics.
The ECHOTM model has four basic objectives: to use technology to leverage scarce resources, share best practices to reduce disparity, develop case-based learning to master complexity and create a web-based database to monitor outcomes.
By doing so, the project has improved the quality of the final products that each project team develops, providing expert knowledge and policy-planning advice remotely to the project teams in individual C/Can cities and supporting them in the implementation of their respective work plans in a cost-effective manner.
One of the ECHOTM-based programmes, geared towards palliative care, has already provided training for 81 people.
To contribute to the organisation’s gender equity strategy, C/Can has put together a working group to generate recommendations on how to build gender-responsive health systems.
Providing seed funding to support researchers in C/Can’s network of cities, who are investigating health system research projects through an implementation science lens.
Improving diagnostics, treatment and drug delivery processes in the Paraguayan health system for HER2-positive positive breast cancer patients, and strengthening information systems in selected public hospitals. This is to support the avoidance of misdiagnosis and support the delivery of the appropriate cancer drug at an optimal time for patients.
Providing health authorities in Tbilisi with a budget impact analysis of including cancer diagnostics as part of the country’s Universal Healthcare Programme (UHC)
Foster the development of a global coalition for cancer diagnostics
Discussion series on strengthening a multidisciplinary approach to cancer care and developing patient management guidelines
Enablement of knowledge-transfer among cancer care professionals to channel connected health and embed global perspectives into local solutions.
Palliative care training for cancer care professionals in Yangon, Kumasi and Kigali
Fostering an innovation mindset and power skills to drive change
Closing gender disparities in the healthcare sector and enhancing the capacity of women oncologists to lead change
Developing a syllabus to provide training in the management of childhood cancers for primary health care professionals.
An online knowledge-transfer programme will enhance cities’ capacity to exchange experiences and consultation opportunities.
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