title: [Breast cancer screening process indicators in Mexico: a case study].
abstract: OBJECTIVE
  To identify, measure and compare the performance indicators of productivity, effective access and quality service for the early detection breast cancer program in Mexico.
  
  
  METHODS
  By means of a study case based on the 2011 Women Cancer Information System (SICAM), the indicators were measured and compared with the Mexican official standard NOM-041-SSA2-2011 and international standards.
  
  
  RESULTS
  The analysis showed insufficient installed capacity (37%), low coverage in screening (15%), diagnostic evaluation (16%), biopsy (44%) and treatment (57%), and very low effectiveness in confirmed cases by the total number of screening mammograms performed (0.04%). There was no information available, from SICAM, to estimate the rest of the indicators proposed.
  
  
  CONCLUSIONS
  Efficient health information systems are required in order to monitor indicators and generate performance observatories of screening programs.
authors.affiliation: MAGNI Gineco-obstetras Asociados, Unidad Médica de Atención Médica e Investigación Clínica S.C., México, Distrito Federal.
authors.forename: Santos
authors.initials: S
authors.lastname: Uscanga-Sánchez
authors.affiliation: Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Torres-Mejía
authors.affiliation: Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Angélica
authors.initials: A
authors.lastname: Ángeles-Llerenas
authors.affiliation: Subdirección de Cáncer de Mama, Centro Nacional de Equidad de Género y Salud Reproductiva, Secretaria de Salud, México, Distrito Federal, México.
authors.forename: Raúl
authors.initials: R
authors.lastname: Domínguez-Malpica
authors.affiliation: Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Lazcano-Ponce
mesh_terms: D001706:Biopsy / Q000706:statistics & numerical data; D001943:Breast Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D004526:Efficiency; D005260:Female; D063005:Health Information Systems; D006293:Health Promotion; D006301:Health Services Needs and Demand; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008800:Mexico / Q000453:epidemiology; D015397:Program Evaluation