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Table 3 Themes and dimensions

From: Identifying important breast cancer control strategies in Asia, Latin America and the Middle East/North Africa

Theme Dimension Concepts
Building capacity Science and research Capacity for basic and clinical science; funding for clinical research; trained nurses/staff for clinical research.
  Skilled nurses Capacity to train nurses for patient care and patient education and to provide qualified nursing support.
  Research infrastructure Capacity for clinical research; need for research laboratories; need for research equipment.
  National statistics Capacity to investigate local incidence and characteristics of breast cancer; IT capacity to support national registries and research.
  Public education Capacity for national public education and awareness campaigns on breast cancer and screening.
Developing evidence Study of local etiology Evidence identifying differences between local patients and those in the UK/USA; younger women; more aggressive tumor morphology.
  Personalized therapy Evidence to promote personalized therapy; includes using genetic targets to tailor treatment.
  Developing guidelines Research in local populations and other evidence to inform local guidelines and policies; national treatment guidelines and coordination.
  International networks Connecting to evidence internationally; keeping up to date; global research programs, networking and education opportunities.
  Local communication Communicating evidence across stakeholders; improved communications between/within institutions and across institutions within areas or the country.
Removing barriers Out-of-pocket costs Barriers due to out-of-pocket expenses paid for by the patient.
  Disparities in access Barriers for underserved and rural populations.
  High cost to payers Barriers to reimbursing high-cost treatments.
  Early detection Barriers to accessing earlier detection.
  Reimbursement Barriers to accessing therapies that are not yet proven to be cost effective.
Promoting advocacy Patient empowerment Strategies to empower patients/patient groups and inform consumers.
  Managing survivorship Support increased focus on survivors; long-term side-effects and quality of life.
  Quality of life Support increased focus in research and practice on quality of life.
  Metastatic disease Support for the management of metastatic disease.
  Organized advocacy Support for leadership and staffing of advocacy groups; communication between advocacy groups.