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• W2095972963 abstract "The growing cancer burden and a great unused potential for making advancements in cancer care andresearch on an international scale, urges policymakers to take extra measures. In view of this need, the‘Organisation of European Cancer Institutes’ (OECI) pleads for more harmonization between cancerinstitutes in Europe through common used methods that enable the comparison, evaluation andsynchronization of their cancer activities. Subsequent to the introduction of an accreditation project, themost recent proposed initiative is to develop and implement a system in which European cancerinstitutes can be designated.Although this initiative appears to be very promising at first sight, two major problems currently occur inthe development and implementation of the designation system: (1) the challenges and features fordeveloping the right categories, criteria and review-methods are unclear (2) their is insufficientunderstanding of the social-political context and what consequences it might have for the developmentand implementation of the designation system. A qualitative research has therefore been performed inorder to get a better understanding of the system-technical and social-political aspects in developingand implementing the designation systemand to provide subsequent recommendations. Data has beengathered with the help of a literature review, interviews, observations and many informal conversations.The analysis of data in the field has been supported by theoretical concepts, considerations, relevantaspects of existing examples similar to this designation initiative.Findings from the theoretical and field research indicate that the development and implementation ofthe designation system are mainly challenged by the complex context. Translating it from theory intopractice appears to bear several hazards along the way. From a system-technical point of view thesehazards mainly concern the practical applicability of the system, with regard to demographic,legislative, administrative and language differences. Social-politically it is the complex social setting thatinitially triggers conflicting and strategic behavior and therefore challenges the required acceptance andcommitment among stakeholders to the system. These hazards can be related the best to what Bowkerand Star (1999) in theory call a ‘divergence between the symbolical and material side’;.The big managerial challenge for the future is therefore to find a balance between the overarchingpurpose of the system and a ‘satisfying’ basis that is applicable and worthy enough to be loyal to for allparties. From a system-technical point of view, this means that in the development of categories, criteriaas well as the review methods a balance have to be found between the level of abstraction and rigidity -for having an effective purpose on a supranational scale- and the level of specifity and flexibility -foranticipating to the daily, complex practice in which cancer institutes have to be designated. A first draftof the designation system based on this thought is presented in the appendix. From a social-politicalpoint of view, it requires an extra effort in realizing a more constructive, harmonized setting as well as inclarifying and promoting the system’s added value to reach to required consensus and commitment." @default.
• W2095972963 created "2016-06-24" @default.
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• W2095972963 date "2008-01-01" @default.
• W2095972963 modified "2023-09-27" @default.
• W2095972963 title "Designating European cancer institutes: 'towards a professional tool for quality improvement': a quality study on the challenges and critical features of a designational system for European cancer institutes with the focus on development and implementation" @default.
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