The organization of healthcare in patients with breast cancer: dynamics for 2009-2019

Abstract

Relevance: Breast cancer remains one of the most common oncological diseases. In women with cancer, breast cancer was diagnosed in 25 % of the cases. These facts determine the need for a comprehensive assessment of the organization of medical care for patients with the studied pathology in Russia. Purpose: to evaluate changes in the organization of medical care for patients with breast malignancies over 10 years in the period from 2009 to 2019. Materials and methods: a survey of expert oncologists who had experience in participating in international clinical trials was conducted. The questionnaire was developed by specialists in public health and healthcare using the Delphi method. For data processing, statistical, mathematical and analytical research methods were used. Results: positive dynamic was noted in terms of clinical and economic availability of medical technologies, which increased the possibility of using targeted therapy and treatment of previously incurable patients. The level of awareness and perception among specialists and patients also increased, which increased the level of compliance. A number of administrative barriers remain both in terms of personnel policy and drug provision. Conclusion: the obtained results allowed identifying the main directions for improving the organization of medical care for breast cancer in Russia.