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Highlights of the Index


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Good. Many processes for a safe cancer system are in place. However, there is room for improvement in deepening the understanding of complications of care and supporting patients needs during the active treatment phase.

View all indicators that have been rated Safe.              


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Good. Many cancer patients are receiving care based on the best available evidence across the care continuum. Guidelines selected for CSQI are system-focused and continue to require effort to ensure achievement off targets and consistency across regions.

View all indicators that have been rated Effective.


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Fair. Ontarians continue to access many specialist services they need within appropriate timeframes. However, wait times for other services including testing and supportive care require improvements for timely access to these resources.

View all indicators that have been rated Accessible.


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Fair. Opportunities for improvement still exist with respect to real-time measures of patient experience and outcomes. More emphasis is needed on patient quality of life during and after treatment.

View all indicators that have been rated Responsive.


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Fair. Inequity exists, however, for some measures in the cancer system, equitable care is being realized. There is a disproportionate burden of modifiable risk factors among Ontario's Indigenous peoples, but efforts are underway to work in partnership to address disparities.

View all indicators that have been rated Equitable.


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Fair. Integration across the cancer system continues to be a key focus of system level quality improvement activities. More efforts are required to measure the level of coordination across the various functions and services within Ontario's cancer system.

View all indicators that have been rated Integrated.


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Good. Cancer screening and imaging measures show progress towards optimal use of resources to achieve desired outcomes. However, more meaningful measures identifying ways of optimizing system resources without compromising health outcomes are needed.

View all indicators that have been rated Efficient.

I have hope that one day the vast majority of patients and family members will actively participate in their own care, whether cancer or another health issue. We can’t expect to have the best cancer system in the world if we leave the work to others.

Patricia P., Patient/Family Advisor

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