[Situational diagnosis of cancer care at the Instituto Mexicano del Seguro Social].

Cancer is a public health problem with an impact on Health Services in Mexico; it is also, one of the leading causes of mortality (mortality rate: 610.6 / 100 000) and is expected to double the total number of new cases by 2035 (GLOBOCAN). The most frequent neoplasms are the malignant tumor of breast, prostate, cervix and uterin, colorectal and pulmonary. The most affected groups are the female, and by age the 65 years and older (INEGI). At the IMSS, the mortality rate for malignant tumors has varied, with a sustained decline since 2010. In the last 15 years there has been a growth of 15% of the Disability Adjusted Life Years; during which the IMSS spent 2% of its current expenditure resources of the Health Insurance and Maternity. The IMSS has a network of medical units capable of attending to the process of prevention, early detection, diagnosis, treatment and rehabilitation of cancer patients. With the commitment of its improvement and to fulfill the National Health Programs, the OncoIMSS Program was created, with a reorganization of the care process with opportunity, quality, optimization of resources, regionalization, strengthening of infrastructure and trained human capital.