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Ben RHM II - LZG.NRW

Ben RHM II - LZG.NRW

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ Bereg (HU), Moravia-Silesia (CZ) and Veneto (IT) supplied this specific indicator for the selected year. Concerning the 5-year survival rate (as percentage of women diagnosed with breast cancer), three regions delivered available information for 2005. These regions were Emilia- Romagna (IT), Sicily (IT) and Varna-Oblast (BG). With regard to the 10-year survival rate, only Emilia-Romagna (IT) provided data for the year 2005. After analysing the availability of data, the Steering Group re-examined the relevance of the seven health performance indicators regarding breast cancer. Because of their importance by determining the burden disease and assessing the performance of the health management with regard to breast cancer, the Group decided that the following indicators should be further used: incidence, participation in mammography screening and 5-year survival rate. Based on these three indicators, it was confirmed that none of the participants had provided information on all indicators. Nevertheless, Varna-Oblast (BG), Emilia-Romagna (IT) and Sicily (IT) supplied data on most of the selected indicators. b. Quantitative analysis of the data According to the European Guidelines for Quality Assurance in Breast Cancer Screening and Diagnosis (European Commission 2006), the desirable proportion of women invited to attend screening is 75%. This participation rate and two further breast cancer indicators were consid- ered by the Steering Group for the identification of good practice. The Steering Group defined the following optimal values for the selected indicators: Optimal values of breast cancer: • Incidence: the lower the better • 5-year survival rate: the higher the better • Participation in mammography screening: 75% Three regions supplied information on most of the selected indicators. These regions were Varna-Oblast (BG), Emilia-Romagna (IT) and Sicily (IT). - 322 -

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ Table 14: Breast cancer: 2005 Health Performance Indicators Selected by the Steering Group Incidence (per 100.000 women) 92,50 n/a n/a Participation in mammography screening (percentage of women aged 50-69 years) 5-year survival rate (percentage of women diagnosed with breast cancer) n/a = not available BG - Varna-Oblast IT-E Emilia-Romagna IT-S Sicily n/a 72,50 39,30 73,20 87,00 98,00 75,00 Taking optimal indicator values as the basis, only Varna-Oblast (BG) and Emilia-Romagna (IT) were considered for the further identification of good practice for breast cancer since Sicily (IT) recorded low participation rates in mammography screening programmes. 9.3.2 Second approach: analysis of additional information a. Organigraphs In looking at treatment and care services for breast cancer it seems from the organigraphs and system descriptions (section 5.2.15), that in Varna-Oblast (BG) and Emilia-Romagna (IT), there is a programme of integrated care in operation. With regard to the information and education of health professionals, the organigraphs and system descriptions show that Varna-Oblast (BG) and Emilia-Romagna (IT) refer to pro- vision of information and education for health professionals regarding mammography screen- ing. b. In-depth interviews The analysis of the in-depth interviews about breast cancer shows that the two regions of Varna-Oblast (BG) and Emilia-Romagna (IT) report breast cancer cases at the regional level. Moreover, both regions have integrated care programmes. Likewise, Disease-Management- Programmes have been implemented in both regions. c. Reference frameworks Analysing the information received regarding the reference frameworks, it was verified that Varna-Oblast (BG) and Emilia-Romagna (IT) conducted similar measures/interventions in the health management of breast cancer (the interventions carried out in each region are marked in yellow in the illus. 29 and 30). - 323 -

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Part II
IB417 - IIS RU