Increased cancer incidence despite of medication available to many people
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Increased cancer incidence despite of medication available to many people

Cancer care accounted for 34 percent of all tertiary claims presented under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) during the first 11 months since its unveiling in September 2018. The National Health Authority’s data analysis shows an increased cancer incidence even as the insurance scheme makes medication available to many people. Claim applicants were predominantly women in all age categories, with the largest number in the 45-50 year age group. Although ovary, breast, cervix and radical hysterectomy are common among women, men seeking oncology facilities under the scheme came either for phase three of palliative therapy or with colon and head and neck cancers.PMJAY is a government-funded health insurance program aimed at providing an annual free health coverage of Rs 5 lakh to more than 10,74 million vulnerable households. The system provides 150 oncology packs. The study of the use of oncology facilities under the policy further illustrates state-wise differences. More than 60% of all oncology claims are made by Tamil Nadu and Maharashtra. In Madhya Pradesh, migration for cancer care is most prevalent, preceded by Uttar Pradesh, Bihar, Jharkhand, and Maharashtra. These states made up for 80% of the cancer care programs benefactor surge. NHA, the enforcing agency for the scheme, has collaborated with the National Cancer Grid to address the discrepancy and develop uniform standards for cancer prevention, diagnosis, and treatment across the country. The Grid helps bind doctors and specialists across the country to allow standard treatment across the country while sparing patients the hassle of long-distance commuting to receive treatment. The analysis also highlighted the increased use of packages for medical oncology, preceded by radiation and surgical oncology. Medical oncology accounted for more than 80% of the complete oncology claims, while radiation oncology accounted for 13.8% and surgical oncology for 3.3%. Pediatric cancer accounted for 2.7% of the overall oncology reports made.

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