Overview of Domain 3
An essential part of implementing and running a lung cancer screening programme is accurately understanding the costs involved, as well as how the programme will be financed. Domain 3 supports the development of a comprehensive budget, with the assumption that the screening programme operates or will operate within an already existing health system. This domain also supports users of the framework to consider how to ensure that people who experience greater barriers to accessing health services are not prevented from participating.
Assessment framework key questions
In this domain, metrics are designed to assess:
Technical infrastructure for screening
- what technical infrastructure exists and whether there is a need to plan for any additional capacity for the delivery of screening
- what the ideal model of screening implementation should be, given the existing capacity
Workforce capacity to deliver screening
- which existing workforce within the health system could support the implementation of a lung cancer screening programme
- whether there are any reported or anticipated staff shortages that may impact screening implementation
Wider workforce requirements across the lung cancer care pathway
- the wider workforce requirements, such as diagnostic and treatment services, that would be needed
The policy brief
Screening programmes are complex, and it is essential that all aspects of a programme are appropriately resourced over time. To help those planning to implement screening programmes, we have published a policy brief focusing on the importance of financial planning.
Further reading
- LungPLAN: Projecting Lung Assessment Needs (American Cancer Society & The National Lung Cancer Roundtable, 2021)
- The OncoSim-Lung model (Canadian Partnership Against Cancer, 2019)
- Budget impact analysis of cancer screening: a methodological review (Jahn et al. 2019)