Cancer: Ways to Reduce Inequalities

Posted on Sep 7 2013 - 1:00pm by Admin

The hematologist Jean-Paul Vernant Friday handed the government its recommendations for the new Cancer Plan 2014-2018.


The report by Professor Jean-Paul Vernant Friday handed the government recommendations for the future 3rd Cancer Plan to reduce social inequalities in this disease. Cancer remains in France the leading cause of death with 148,000 estimated deaths in 2012 and 355 000 new cases per year, says the report. It is a condition for which health inequalities are “very marked” against other diseases compared to other European countries, says Professor Vernant, a specialist in hematology that Hollande commissioned in December of preparatory work 3rd Cancer Plan. The specialist proposes to establish “indicators of measurement and control” of inequalities in cancer as well as “corrective actions” including “the requirement of a lack of co-pay for patients during the screenings, cancer care and post-cancer. “

After the 2004-2008 plan under Jacques Chirac and that of 2008-2013, Nicolas Sarkozy, François Hollande has asked former department head of the Paris Pitié-Salpêtrière develop tracks for the new 2014 Plan -2018. Friday handed the Ministers of Health, Marisol Touraine, and Research, Genevieve Fioraso, this “important work” provides guidance on “reducing inequalities”, “prevention, including reducing smoking”, are in a press the two departments.

“The first two planes cancer were responsible for major advances in the field of organization of research as in that care.’s Third Cancer Plan must continue action, but must also anticipate new organizations that impose therapeutic innovations in continuous development, “the report by Professor Vernant, posted on the website of the National Cancer Institute . Faced with a “technicality” more important “should be taken care that the therapeutic innovations are not the opportunity to highlight the social and territorial inequalities already too high,” warns the report, which urges governments to “negotiate with manufacturers so that these innovations are traded at fair prices.”

“Corrective Actions”

The report suggests “several corrective actions” to reduce inequalities, particularly restricting direct or indirect costs incurred by the disease which remain the responsibility of the patient (transport costs, for example, or certain expenses related to cosmetic treatments) . Faced with overall hospitalizations increasingly short for cancer treatment and the rise of care “outpatient”, they are realized in a day hospital or community medicine, the report calls for greater involvement of GPs. Professor Vernant listed as one of the major goals for the future plan “to engage the physician in the course of care in health facilities.” He also wants a “consultation process end” is systematically organized to serve the patient enters the post-cancer. This meeting should involve the referring oncologist, a “nurse coordinator”, a psychologist and also the attending physician in question.

For the Ministries of Health and Research, Professor Vernant proposals “will enrich the important work of the working groups” set up by the government with the INCA (National Cancer Institute) to develop cancer that Plan 3 will be “announced in early 2014.”

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