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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Cancer Survival Analysis01:21

Cancer Survival Analysis

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...

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Quality Oncology Practice in Resource-Limited Settings: The Role and Impact of Best Practice Models.

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Related Experiment Video

Updated: May 31, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
23:56

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

Applying Quality Oncology Practices in Africa: Lean Implementation, Real Impact.

Naghib Bogere1, David Mwiine1, Judith Asasira1

  • 1Uganda Cancer Institute, Kampala, Uganda.

American Society of Clinical Oncology Educational Book. American Society of Clinical Oncology. Annual Meeting
|May 28, 2026
PubMed
Summary

Implementing the American Society of Clinical Oncology

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Area of Science:

  • Oncology quality improvement in resource-limited settings (RLS).

Background:

  • Expanding cancer services in low- and middle-income countries is a priority, but patient outcomes depend on care organization and coordination.
  • Structured quality measurement is feasible in RLS, but sustainability without burdening clinical teams is a challenge.

Purpose of the Study:

  • To describe the implementation of the ASCO Quality Oncology Practice Initiative (QOPI) Resource-Limited Setting (RLS) track.
  • To demonstrate how a lean, stepwise approach can drive sustained improvements in resource-constrained African oncology settings.

Main Methods:

  • Applied a lean methodology focusing on process simplification and staged implementation of QOPI RLS.
  • Integrated QOPI RLS into routine care using a three-tier structure to stabilize core processes before expanding.
  • Analyzed operational examples of QOPI evolving into an embedded governance tool.

Main Results:

  • Staged, lean-informed implementation transformed QOPI into an organizing system for care delivery.
  • Initial focus on essential processes (documentation, treatment planning) created a baseline; subsequent expansion revealed gaps in safety and coordination.
  • Quality activities became embedded, improving systemic therapy delivery, institutional capability, and readiness for complex functions like clinical trials.

Conclusions:

  • Structured, stepwise quality approaches enhance oncology care in RLS by improving core process reliability.
  • This provides a practical method for applying global standards and improving daily cancer care in diverse health systems.