brdta1zhi9newra_UserUpload.Net

Scorecard results

Indicator Range Score Justification

Lung cancer is a strategic priority

1 Operational,

comprehensive, up to

date national cancer

control plan

0 – 5 4  The Ministry of Social Affairs published an operational National Cancer Control Plan in

2009.^6 In 2018, the government published a report presenting the long-term plan for
cancer care until 2025 and beyond.
 The implementation of the 2009 plan resulted in the establishment of regional cancer
centres resulting in a decentralised delivery of cancer care which is the responsibility of
county councils.
 The 2009 plan identified central government grants as the source of funding. Budgets are
allocated to cancer centres and county councils who are responsible for implementing the
cancer strategy within the county.
 A specific lung cancer control plan has not been published by the government or health
ministry.
2 Comprehensive clinical
guidelines for lung
cancer

0 – 6 6  Lung cancer clinical guidelines were published by the Regional Cancer Centre and

Planning Group for Lung Cancer in 2018.^7

 Guidelines mention screening and cover diagnosis, treatment and supportive / palliative

care.

 The 2018 standardised pathway for lung cancer covers shared decision-making.

Lung cancer is a public health issue

3 Tobacco control policies

and public health

measures

0 – 9 8  Government objectives on tobacco control and a national agency for tobacco control

exists.^8

 Advertising is banned on national TV and radio.

 The law mandates that health warnings appear on tobacco packages.

 Sweden is party to World Health Organization (WHO) Framework Convention on

Tobacco Control (FCTC).

 National smoke-free legislation exists for indoor offices, restaurants/cafes/pubs/bars and

public transportation.

 No national mass media campaign ran during the survey period (up to 2016).

4 E-cigarettes regulation

and public health

measures

0 – 4 3  Laws regulate the safety and quality standards of e-cigarettes.

 Sales of e-cigarettes are prohibited to people under 18 years of age.

 There are restrictions on advertising, promotion and sponsorships.

 E-cigarette usage is not banned: vaping in Sweden is permitted where tobacco smoking is

permitted.

5 National policies

and programmes

for environmental

exposure control

0 – 2 2  Air quality is covered under the Clean Air Strategy (2015) and Climate and Air Quality

Policy (2014-2018).

 A Swedish action plan for reducing the health effects of radon was published in 2018.

6 Evidence-based

approach to lung cancer

screening

0 – 1 0  No data found to show that Sweden has conducted a lung cancer screening study or trial.

7 Patient organisations

involvement in policy

development

0 – 3 2  A specific lung cancer patient organisation exists in Sweden.

 Lung cancer guidelines and care plan involved patients during development.

 Civil society has no opportunity to comment on Health Technology Assessment (HTA)

recommendations.

Lung cancer is a race against time

8 Suspected lung cancer

patient diagnosis within

a specific time frame

0 – 2 2  The standardised care pathway for lung cancer mention fast-tracking and specific

timeframe for diagnostic referral in suspected lung cancer patients.

9 Guidelines/ pathways

for rapid referral to

quality care

0 – 2 2  The standardised care pathway for lung cancer provides timeframes and process for

referral to care.

 Guidelines discuss care delivery with multidisciplinary teams.