Consultation using DELI to identify requirements for ONCODIR solutions in Spain
To gather suggestions from experts and decision-makers on the best use of the applications designed in ONCODIR, a consultation was organised in Spain between February and June 2025. Thirteen in-depth interviews were conducted, and the DELI dashboard was used as a means of analysing information on colorectal cancer in Spain.
A policy model that includes factors related to the incidence of colorectal cancer was proposed as the basis for the consultation. These factors are as follows: diet and metabolism, alcohol consumption, sedentary lifestyle, cigarette consumption, personal and family history, and level of health literacy. The premise is that the applications generated in ONCODIR will be useful in reducing the identified risk factors and, consequently, will help to reduce the incidence of colorectal cancer.
It was also proposed that the application of the model at the national, regional, or local levels requires four conditions: (1) the political will of government officials, (2) the quality of related data, (3) specific interventions for risk factors, and (4) policy spaces in which these components intervene.
Recommendations for improving the adoption of ONCODIR solutions focused on two areas: (1) those related to the use and adoption of ONCODIR solutions, and (2) the relationship between ONCODIR solutions and citizens to increase use and engagement.
Within the first area, the importance of political commitment on the part of the leaders of the autonomous communities in Spain was mentioned, as well as the need to adapt these applications to the specific contexts of each of them. The importance of obtaining the approval of technology assessment agencies and of incorporating the applications into the digital structure of the autonomous communities was also noted. Finally, it was proposed that the implementation of the applications required consideration of appropriate incentives for citizens, health personnel, and decision-makers.
In the second area, it was considered particularly important that the applications should promote exchange between citizens, clinicians, and decision-makers. It was also proposed that the applications should not only be used for prevention, but also during the treatment and survival phases. Finally, it was proposed that ONCODIR solutions could be linked to the services provided in autonomous communities and municipalities to reduce the risks of colorectal cancer.
The recommendations obtained through this consultation process in Spain will be considered to identify steps that can promote the adoption of ONCODIR solutions in the health systems of European countries.