Healthcare delivery interventions to reduce cancer disparities worldwide.
Healthcare delivery interventions to reduce cancer disparities worldwide.
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DOI：
10.5306/wjco.v11.i9.705
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发表时间：
2020-09-24
影响因子：
2.8
通讯作者：
Patel MI
中科院分区：
文献类型：
--
作者：
Dickerson JC;Ragavan MV;Parikh DA;Patel MI
在全球范围内，癌症护理服务的特点是不平等，一些经济、人口和社会文化群体的结果比其他群体更差。在本次综述中，我们试图确定旨在减少高收入和低收入国家癌症护理差异的面向患者的干预措施。我们发现当前文献中研究的干预措施有两大类：患者导航和远程医疗。导航在减少差异方面拥有最有力的证据基础，主要是在癌症筛查方面。高收入和低收入国家都看到导航干预措施取得了改善的结果。远程医疗干预仍然是一个活跃的探索领域，主要是在高收入国家，最好的证据是远程提供姑息治疗。需要持续的研究来确定最有效、最具成本效益和可扩展的干预措施，以减少全球接受癌症护理的障碍。
Globally, cancer care delivery is marked by inequalities, where some economic, demographic, and sociocultural groups have worse outcomes than others. In this review, we sought to identify patient-facing interventions designed to reduce disparities in cancer care in both high- and low-income countries. We found two broad categories of interventions that have been studied in the current literature: Patient navigation and telehealth. Navigation has the strongest evidence base for reducing disparities, primarily in cancer screening. Improved outcomes with navigation interventions have been seen in both high- and low-income countries. Telehealth interventions remain an active area of exploration, primarily in high income countries, with the best evidence being for the remote delivery of palliative care. Ongoing research is needed to identify the most efficacious, cost-effective, and scalable interventions to reduce barriers to the receipt of cancer care globally.