Cargando…

Barriers to Accessing Oncology Services for Effective Cancer Care in the Public Health Institutions in Limpopo Province, South Africa: A Qualitative Study

It is estimated that by 2030, 24 million people worldwide will develop cancer, and 13 million will die annually, with 75% of deaths in low- and middle-income countries. The management and effective control of care have not been fully achieved due to a lack of material and human resources exacerbated...

Descripción completa

Detalles Bibliográficos
Autores principales: Ramutumbu, Neo Jacqueline, Ramathuba, Dorah Ursula, Maputle, Maria Sonto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10366909/
https://www.ncbi.nlm.nih.gov/pubmed/37489406
http://dx.doi.org/10.3390/nursrep13030084
_version_ 1785077275378581504
author Ramutumbu, Neo Jacqueline
Ramathuba, Dorah Ursula
Maputle, Maria Sonto
author_facet Ramutumbu, Neo Jacqueline
Ramathuba, Dorah Ursula
Maputle, Maria Sonto
author_sort Ramutumbu, Neo Jacqueline
collection PubMed
description It is estimated that by 2030, 24 million people worldwide will develop cancer, and 13 million will die annually, with 75% of deaths in low- and middle-income countries. The management and effective control of care have not been fully achieved due to a lack of material and human resources exacerbated by poor governance and co-ordination of the services. The study aimed to explore barriers to accessing oncology services for effective cancer care in the public health institutions in Limpopo province. The study was conducted in the five district hospitals in Limpopo province. A qualitative exploratory descriptive and contextual approach was used to collect data that employed focus group discussions amongst healthcare professionals in different disciplines. Non-probability purposive sampling was used to sample participants from various sections contributing to oncology care. Five focus group discussions were conducted at the selected hospitals. The data were analysed using the eight steps of Tesch’s method. The findings revealed that Limpopo province has a shortage of high-technology medical equipment, poor coordination, and a lack of oncological and allied expertise. Governments should ensure that patients receive the care required as stated in the constitution to navigate cancer care pathways to improve patient health outcomes, particularly in rural areas where care is fragmented and poorly financed. Recommendations to support oncology patients involve psychosocial work and palliative care of the multidisciplinary teams to be put forward. The identified barriers regarding oncology care may contribute to changing the departments’ outlook and effective functioning by including interdisciplinary oncology teams at all levels of care.
format Online
Article
Text
id pubmed-10366909
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103669092023-07-26 Barriers to Accessing Oncology Services for Effective Cancer Care in the Public Health Institutions in Limpopo Province, South Africa: A Qualitative Study Ramutumbu, Neo Jacqueline Ramathuba, Dorah Ursula Maputle, Maria Sonto Nurs Rep Article It is estimated that by 2030, 24 million people worldwide will develop cancer, and 13 million will die annually, with 75% of deaths in low- and middle-income countries. The management and effective control of care have not been fully achieved due to a lack of material and human resources exacerbated by poor governance and co-ordination of the services. The study aimed to explore barriers to accessing oncology services for effective cancer care in the public health institutions in Limpopo province. The study was conducted in the five district hospitals in Limpopo province. A qualitative exploratory descriptive and contextual approach was used to collect data that employed focus group discussions amongst healthcare professionals in different disciplines. Non-probability purposive sampling was used to sample participants from various sections contributing to oncology care. Five focus group discussions were conducted at the selected hospitals. The data were analysed using the eight steps of Tesch’s method. The findings revealed that Limpopo province has a shortage of high-technology medical equipment, poor coordination, and a lack of oncological and allied expertise. Governments should ensure that patients receive the care required as stated in the constitution to navigate cancer care pathways to improve patient health outcomes, particularly in rural areas where care is fragmented and poorly financed. Recommendations to support oncology patients involve psychosocial work and palliative care of the multidisciplinary teams to be put forward. The identified barriers regarding oncology care may contribute to changing the departments’ outlook and effective functioning by including interdisciplinary oncology teams at all levels of care. MDPI 2023-07-12 /pmc/articles/PMC10366909/ /pubmed/37489406 http://dx.doi.org/10.3390/nursrep13030084 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ramutumbu, Neo Jacqueline
Ramathuba, Dorah Ursula
Maputle, Maria Sonto
Barriers to Accessing Oncology Services for Effective Cancer Care in the Public Health Institutions in Limpopo Province, South Africa: A Qualitative Study
title Barriers to Accessing Oncology Services for Effective Cancer Care in the Public Health Institutions in Limpopo Province, South Africa: A Qualitative Study
title_full Barriers to Accessing Oncology Services for Effective Cancer Care in the Public Health Institutions in Limpopo Province, South Africa: A Qualitative Study
title_fullStr Barriers to Accessing Oncology Services for Effective Cancer Care in the Public Health Institutions in Limpopo Province, South Africa: A Qualitative Study
title_full_unstemmed Barriers to Accessing Oncology Services for Effective Cancer Care in the Public Health Institutions in Limpopo Province, South Africa: A Qualitative Study
title_short Barriers to Accessing Oncology Services for Effective Cancer Care in the Public Health Institutions in Limpopo Province, South Africa: A Qualitative Study
title_sort barriers to accessing oncology services for effective cancer care in the public health institutions in limpopo province, south africa: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10366909/
https://www.ncbi.nlm.nih.gov/pubmed/37489406
http://dx.doi.org/10.3390/nursrep13030084
work_keys_str_mv AT ramutumbuneojacqueline barrierstoaccessingoncologyservicesforeffectivecancercareinthepublichealthinstitutionsinlimpopoprovincesouthafricaaqualitativestudy
AT ramathubadorahursula barrierstoaccessingoncologyservicesforeffectivecancercareinthepublichealthinstitutionsinlimpopoprovincesouthafricaaqualitativestudy
AT maputlemariasonto barrierstoaccessingoncologyservicesforeffectivecancercareinthepublichealthinstitutionsinlimpopoprovincesouthafricaaqualitativestudy