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The ministry of health issued by the general office of the city early cancer treated early project management approach (try out) "notice

 

 

Who do disease control letter [2012] no. 972

 

 

        Beijing, hebei, liaoning, heilongjiang, shandong, hunan, guangdong, chongqing, gansu province (city) health TingJu:

        According to the ministry of health issued the ministry of finance about 2012 major public health service project subsidy funds notice "(money club [2012] no. 64) requirement, in order to ensure the city early cancer treated early project work smoothly, our organization has formulated the" city early cancer treated early project management approach (try out) ". Hereby printed and distributed to you, please conscientiously implement.

General office of the ministry of health

On October 26, 2012

 

 

 

City early cancer treated early project management approach

 

(for trial implementation)

 

 

        A, the project objectives

 

        (a) in the national nine provinces city crowd to develop lung cancer, breast cancer, colon cancer, upper gastrointestinal cancer and liver cancer high-risk groups evaluation, screening and early treated early, each provinces were done risk factors survey and evaluation of the high risk population of 50000 people, 10000 high-risk groups for cancer screening, to each cancer kind of carry out health economics evaluation.

 

        (2) to study and evaluate the city five high cancer high-risk population screening and early treated early appropriate technology, to establish and perfect the system of prevention and control work and long-term mechanism, strengthen the ability construction, make great efforts to reduce the incidence of cancer in the city, and the recurrence rate, the morbidity and mortality, To carry out health economics evaluation, find suitable for the actual status of the city, the input-output ratio high cancer screening and early treated early technologies and solutions, further spread in the whole nation.

 

        Second, the project scope and time

 

        (a) the project scope. According to the ministry of health and the ministry of finance annual work plan and budget sure. 2012 project areas include Beijing, hebei, liaoning, heilongjiang, shandong, hunan, guangdong, chongqing, such as gansu province 9 provinces, each project provinces choose 1-2 a medium and above cities (city permanent population more than 500000) concrete implementation project.

 

        (2) the project time. The project before the end of October start the work finished report, before the end of next year 3 complete the work of the project.

 

        Three, content of the project

 

        (a) project city (area) and screening object selection principle.

 

        1. Define projects, the city (area). Choose work good fundamentals, conditions and equipment complete city (area) as a project. First select tumor registration point is located, the state of chronic comprehensive prevention and control demonstration area is located, medical reform undertaken major chronic diseases prevention and control project special city (area) or in a related project or research city (area).

 

        2. Determine the number of screening. Each province each cancer annually to carry out risk factors of the high risk population survey and evaluation of not less than 10000 people, the number of screening not less than 2000 people. If the provinces have two or more cities (area) to participate in the project should be according to the task of distribution, and not to carcinoma which distribution.

 

        3. Determine screening object. To carry out investigation and the high risk population risk factors assessment condition is: the registered permanent residence of this municipality permanent population (in the local living above 3 years), age 40-69 years old (in id card on the date of birth). For assessment to determine for high-risk groups in the crowd of cancer screening. To the community for the unit selection screening object, not a single professional people.

 

        (2) working content and specific requirements.

 

        1. Determine the provincial and municipal level project management institutions and technical institutions, establish the provincial and municipal level the work of the project scheme and implementation plan, do a clear division of work, the responsibility to the people. Project implementation mechanism in compliance with laws and regulations and the ethical requirements under the principle of unified coordination by the administrative departments of public health, implement the work of the project.

 

        2. Local health administrative department and the technology actuator coordination organization street or community, and carry out publicity mobilization and health education, to determine the areas under their respective jurisdiction conforms to the condition of the respondents list and basic information, project implementation advance notice to people, and strive to the crowd participation rate above 70%.

 

        (3) to carry out risk factors survey and evaluation of the high risk population. The epidemiological survey way, by the investigation object under the guidance of the staff to fill in, quality control by staff entry database, application developed the high risk population assessment model and its background software (by the national cancer center offers), beginning to sieve out screening high-risk groups to prepare survey assessment report.

 

        4. Screen high-risk groups to accept the cancer screening. Five kind of high-risk cancer (lung cancer, breast cancer, colon cancer, upper gastrointestinal cancer, liver cancer) with reference to the ministry of health screening scheme for disease control board "the cancer early treated early project technology scheme" (2011 edition), and the specific technical process according to the national cancer center the city early cancer treated early project technology scheme of implementation. By a professional diagnosis and treatment ability of the three levels of tumor hospitals or with oncology tertiary general hospital for cancer screening task. Collect information screening of the newspaper after the national cancer center project office. The project entity undertaking a collection of all biological specimen required properly preserved, within the time prescribed by the sent to the national cancer center project office, according to tumor biological sample operation procedures and other relevant provisions of management.

 

        5. For screening out of the suspected cancer or precancerous lesion patients, advised its to have cancer diagnosis and treatment level of tertiary hospital for standardization make a diagnosis and give treatment, guidance to medical insurance policy and the cohesion, and carry out regular follow-up and standardization management of intervention.

 

        6. From domestic has health economics evaluation background research professional institutions guidance and implementation of health economics evaluation. According to the national cancer center issued by the city early cancer treated early project health economics evaluation work plan "to carry out five kind of high-risk cancer diagnosis and screening of cost accounting, cost information collection and patients and people's quality of life evaluation, according to the data obtained by preliminary cost benefit analysis and cancer economic burden analysis. Conditional place epidemiological effect and cost effect evaluation and budget impact analysis.

 

        7. To strengthen the data management and use, project information material implement archives management system. The national cancer center organizing experts to collect all reported data analysis evaluation, and regularly relevant results will be submitted to the ministry of public health bureau for disease control.

 

        Four, the organization implementation

 

        (a) the public health administrative department.

 

        1. The ministry of health for disease control bureau is responsible for the work of the project organization and coordination and supervision and management, YiZhengSi jointly with the related department bureau people examination evaluate each work to carry out the situation.

 

        2. The health administrative department at the provincial level was established including the relevant office and units involved in the project leadership group and expert group, determine the project city (area), set up the work of the project scheme and special fund budget arrangement, in the project officially before starting the submitted to the ministry of public health bureau disease control and the national cancer center project office.

 

        3. Project city (area) was established by the administrative department of health related office and unit composition project leadership group and expert group, to make project implementation plan, to determine the various tasks for specific institutions. Organization and coordination field work, ensure that the work of the project into effect.

 

        (2) technology actuator.

 

        1. The national cancer center is a project of the national technical guidance institutions, in particular, in charge of the project management of technology, organization experts make the national technical scheme and workbook, provide technical guidance, is responsible for the information summary and analysis of data, guide to carry out health economics evaluation, cooperate with the administrative department of public health development of project supervision evaluation, control project quality, supervise the implementation schedule.

 

        2. The provincial tumor hospital FangBan and tumor formulating province project technology scheme and field work manual, and carry out quality control, the selected target population screening, collection, summary, analysis and report to the relevant data.

 

        3. Various cities (area) class projects unit is responsible for carrying out the specific project, including organization launched, questionnaire investigation, high-risk groups evaluation, cancer screening and evaluation of health economics. Responsible for collection project data information and biological specimens, the provincial technical institutions after the audit report the national cancer center.

 

        Five, funds management

 

        (a) project funded by the central government and local governments jointly. The administrative department of public health around the financial department of the business, according to the major reform, special requirements, to carry out matching funds, to keep the project smooth implementation.

 

        (2) the central government allocated funds for the project, should according to actual high-risk groups evaluation number, cancer screening number, and complete health economics evaluation task, implement to each individual and screening for unit. At all levels of projects unit should arrange and use of special funds, and shall not overspray expenditure.

 

        (3) at all levels of projects unit should regularly to the local health administration department report use of funds. In violation of regulations, false, personally, intercept or misappropriate funds occupy, work units and individuals, according to the relevant provisions of the state and the law treatment.

 

        (4) after the completion of the project, the financial departments and the public health administrative department organization personnel to the circumstance such as project financial audit, also can entrust a third party audit institutions. Audit found unreasonable expenses, by the project implementation unit, assume, already submit an expense account cost, to be the wages.

 

        Six, quality control

 

        (a) in strict accordance with the work of the project scheme and technical scheme to carry out training, training assessment qualified rear can work. Every link staff should have corresponding qualifications and work experience.

 

        (2) set up quality control member, ensure the quality of work done. Questionnaires completed subject to quality control member confirm complete and correct rear can entry database, screening after completion of the subject to quality control member confirm all screening information complete and correct rear can end screening, health economics information collection is subject to the confirmation after quality control member rear can entry database.

 

        (3) project information must be approved by the provincial and municipal level technology actuator step by step the audit report the national cancer center project office. Project all biological specimen should be strictly in accordance with the technical scheme processing, storage and transportation, in order to ensure the quality of biology.

 

        (4) the national cancer center regularly send experts group, to strengthen the guidance of place. Npa, municipal expert group for field work for supervision, not less than 2 times a year, and shall timely discover and solve the problem.

 

        Seven, supervision and evaluation

 

        (a) the ministry of health bureau for disease control in conjunction with YiZhengSi and other relevant department bureau people and national cancer center organization expert, through the spot check way to all levels of projects, units for supervision inspection, supervision and evaluation of project implementation and use of funds. Core assessment index for task effeciency, high-risk groups detection rate, positive rate of screening and early.

 

        (2) of the provinces, the municipal public health administrative department should formulate the project supervision appraisal methods and requirements, to the project organization, progress, implementation process, effect and use of funds regularly supervision and examination, to coordinate and solve the problems in the project progress.

 

        (3) after the annual project, the local health administrative departments at all levels and project entity undertaking a summarize the project implementation, including the project effect, the existing problems and the use of funds, forming a summary report submitted to the ministry of public health bureau disease control and the national cancer center. Two consecutive years did not complete the task of the city (area), the national cancer center to the relevant departments will cancel the qualification of project Suggestions.

 

        Accessories: work flow chart