Primary prevention
- Continuity in smoking prevention activities (special emphasis on
young people and women).
- Reduction of obesity and overweight (special emphasis on
children).
- Promotion of moderate physical exercise on a regular basis.
- Prevention of excessive sun exposure.
- Strict compliance with legislation regarding exposure to
carcinogenic agents in the work place.
- Administration of the human papilloma virus vaccine in 12-year
old girls.
- Prevention of excessive alcohol consumption.
Early detection
- To gradually extend colorectal cancer screening to all the
population between the ages of 50 and 69 years (expected full
coverage in 2014).
- To assess the breast cancer screening programme and to introduce
quality improvement measures.
- To apply the early detection protocol for cervical cancer by
performing Pap-smears and detection of the human papilloma virus in
women included in the target group in primary care.
- To assess all the evaluations in the framework of the Screening
expert group and to discuss the recommendations for improvement and
elaboration of reports on changes in available scientific
evidence.
Cancer care
- To extend the fast diagnostic of cancer programme to prostate and
bladder tumors.
- To invest in radiation therapy equipment until obtaining 35
technologically updated linacs in the public hospitals by 2012
(implementation of 6 new equipments and 6 updated).
- To continue the development of oncoguides for the main tumour
sites
- To apply the criteria of the commission for complex cancer
surgery procedures and therapies (including pediatric oncology)
approved by the Catalan Health Service..
- To extend the multidisciplinary care model considering the
caseload of patients in every hospital.
- To develop a clinical nursing model with case management
responsibilities in the scope of the fast diagnostic of cancer
programme, the tumors committee and multidisciplinary functional
unit, in accordance with healthcare professionals and those in
charge of healthcare centers. Also, develop the professional
profile for the coordinator of the multidisciplinary functional
unit.
- To extend psychooncological care to hospitals with a patient
volume larger than 450 patients annually and consolidate the
provision of healthcare services in reference centers. Define the
intervention model of psychooncological care integrated into
psychiatry and clinical psychology services..
- To improve information systems in order to be able to assess the
clinical results of healthcare centers and the healthcare system in
oncology.
- To carry out a pilot assessment of long term survivors of cancer,
exploring their specific needs and use of complementary and/or
alternative therapies.
- To elaborate shared criteria for lymphedema treatment in breast
cancer.
- To assess the cost of cancer treatment linked with the oncoguides
and the additional cost of therapeutic innovations in clinical
practice.
Information systems
- To set up the Cancer Registry of Catalonia so that it will be
operative by 2010 with the integration of different existing
databases and the incorporation of relevant clinical data.
- To create the chemotherapy information system in order to assess
its use and the relationship with indications presented in the
oncoguides.
- To improve the radiation therapy information system by updating
variables and establishing a shared computer-based circuit for all
hospitals.
- To create the Cancer.Cat web site, with evidence-based
information aimed at citizens regarding cancer, its risk factors,
prevention and early detection, treatments and disease management
carried out by patients and their social setting.