RADIATION TREATMENT
MACHINE CAPACITY PLANNING
AT CANCER CARE ONTARIO
JONATHAN WANG
Analyst at Cancer Care Ontario ( CCO )
recommend a strategy for allocating new linear accelerator
capacity to cancer treatment centres over the five-year period
from 2013 and 2017
PRODUCT
Terapi radiasi melibatkan penggunaan mesin
radiasi, yang dikenal sebagai akselerator linier, atau
linacs
CANCER CARE ONTARIO
CCO Assignments :
1. leads multi-year system planning of cancer treatment resources
2. manages contracts for services with hospitals and providers, develops and
deploys information systems
3. establishes clinical guidelines and standards
4. tracks performance targets to ensure systemwide improvements in treatment
and access to care for cancer and chronic kidney disease
History
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launched its Radiation
Treatment Capital
Investment Strategy (RTCIS)
for radiation treatment in
1972 aaaaa 2001
Ontario.
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2012 1996 2013
PROBLEM
insufficient capacity ( kapasitas yang tidak mencukupi ) some patients who should
receive radiation therapy might not receive it, or might not receive it in a timely
manner some patients may be required to travel to an Ontario cancercentre other
than their local centre or to other jurisdictions at high personal cost; and some
patients may be required to substitute for other treatments that are not as
effective as radiation therapy for their condition.
insufficient capacity causes waiting times toincrease for all patients.
Allocation problem, Ontario has a
a. 16 empty room for linacs
b. RTCIS recomend, 4 linacs 2013, 3 linacs 2014, 5 linacs 2015, 2 linacs 2016, 2 linacs
2017
CONDITION EXISTING
1. Radiation therapy is used as a curative treatment for cancer
2. Treat 426 patients per year (based on each patient receiving an average of 20
fractions per case)
3. Having 2 strategy investment
a. Capacity expansion, development of cancer treatment facilities and radiation equipment
have increased the number of linacs from 65 in 2000 to 95 in 2011.
RESULT : new facilities in Grand River, Peel and Durham.
b. RESULT : construction of new facilities in Newmarket, Barrie, Niagara and Algoma, and
redevelopment of the existing centres in Kingston and Ottawa
4. CCO facilities have three types of permanent rooms
a. Treatment room, houses a single linear accelerator.
b. Swing room, is an empty room used for equipment replacemen
c. Empry room, has been allocated for future expansion but is currently not
being used
CONDITION EXISTING
FORECASTING