La calidad de los servicios de radiología en cinco países latinoamericanos

Fleitas, Ileana; Caspani, Carlos C.; Borrás, Cari; Plazas, Maria-Cristina; Miranda, Alberto Alexandre Assis; Brandan, M.E.; Mora, Roxana

doi:10.1590/s1020-49892006000800008

Cited by 10 publications

(9 citation statements)

References 4 publications

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“…This question was investigated by a research group that, with support from PAHO, assessed the quality of diagnostic radiology services in five countries in the Region that differ widely in their social and technological characteristics: Argentina, Bolivia, Colombia, Cuba, and Mexico. Fleitas et al (5) present the results of this research, which shows that the training and experience of radiologists and radiology technicians are very important in improving diagnostic accuracy. This research involved screening and diagnostic mammography, among other types of radiology services.…”

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confidence: 65%

The role of diagnostic and therapeutic radiology in the field of public health

Borrás¹

2006

Rev Panam Salud Publica

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confidence: 65%

The role of diagnostic and therapeutic radiology in the field of public health

Borrás¹

2006

Rev Panam Salud Publica

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“…13 14 To validate that the same sensitivity could be used, we based our case in a study comparing 26 radiology services in Argentina, Bolivia, Colombia, Cuba and Mexico, funded by the PAHO. 15 Argentina has shown the highest quality measures of all the participating countries as it had the greatest number of doctors working full time on breast cancer diagnosis and the quality of the image and certainty of radiological interpretation was the highest of the region. 15 Quality-adjusted life-years gained Argentina adheres to the MERCOSUR economic evaluation guidelines which recommend qualityadjusted life-year (QALY) as the best measure of health outcomes in cost-effectiveness analyses.…”

Section: Characteristics Of the Testsmentioning

confidence: 99%

“…15 Argentina has shown the highest quality measures of all the participating countries as it had the greatest number of doctors working full time on breast cancer diagnosis and the quality of the image and certainty of radiological interpretation was the highest of the region. 15 Quality-adjusted life-years gained Argentina adheres to the MERCOSUR economic evaluation guidelines which recommend qualityadjusted life-year (QALY) as the best measure of health outcomes in cost-effectiveness analyses. 4 The calculation formula used for this study was 'Years of Life' × 'Utility Value'=number of QALYs.…”

Section: Characteristics Of the Testsmentioning

confidence: 99%

Telemammography for breast cancer screening: a cost-effective approach in Argentina

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Gilardino

et al. 2021

BMJ Health Care Inform

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ObjectivesArgentina is a low and middle-income country (LMIC) with a highly fragmented healthcare system that conflicts with access to healthcare stated by the country’s Universal Health Coverage plan. A tele-mammography network could improve access to breast cancer screening decreasing its mortality. This research aims to conduct an economic evaluation of the implementation of a tele-mammography program to improve access to healthcare.MethodsA cost-utility analysis was performed to explore the incremental benefit of annual tele-mammography screening for at-risk Argentinian women over 40 years old. A Markov model was developed to simulate annual mammography or tele-mammography screening in two hypothetical population-based cohorts of asymptomatic women. Parameter uncertainty was evaluated through deterministic and probabilistic sensitivity analysis. Model structure uncertainty was also explored to test the robustness of the results.ResultsIt was estimated that 31 out of 100 new cases of breast cancer would be detected by mammography and 39/100 by tele-mammography. The model returned an incremental cost-effectiveness ratio (ICER) of £26 051/quality-adjusted life-year (QALY) which is lower than the WHO-recommended threshold of £26 288/QALY for Argentina. Deterministic sensitivity analysis showed the ICER is most sensitive to the uptake and sensitivity of the screening tests. Probabilistic sensitivity analysis showed tele-mammography is cost-effective in 59% of simulations.DiscussionTele-mammography should be considered for adoption as it could improve access to expertise in underserved areas where adherence to screening protocols is poor. Disaggregated data by province is needed for a better- informed policy decision. Telemedicine could also be beneficial in ensuring the continuity of care when health systems are under stress like in the current COVID-19 pandemic.ConclusionThere is a 59% chance that tele-mammography is cost-effective compared to mammography for at-risk Argentinian women over 40- years old, and should be adopted to improve access to healthcare in underserved areas of the country.

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“…Seven countries applied, and five of them (Argentina, Bolivia, Colombia, Cuba, and Mexico) were awarded a research contract, which involved medical physicists and radiologists in these countries. The results of this health services delivery research project are presented in this issue of this journal, in an article by Fleitas et al (24).…”

Section: -2003 Pasb Director Sir George Ao Alleynementioning

confidence: 99%