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Barriers to Equity in Cancer Survivorship Care: Perspectives of Cancer Survivors and System Stakeholders
As more cancer patients survive into post-treatment, the challenge of managing their survivorship care is confronting health care systems globally. In striving to deliver high quality survivorship care, equity constitutes a particularly troublesome challenge. We analyzed accounts from both cancer su...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8050754/ https://www.ncbi.nlm.nih.gov/pubmed/33912623 http://dx.doi.org/10.1177/23333936211006703 |
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author | Truant, Tracy L.O. Lambert, Leah K. Thorne, Sally |
author_facet | Truant, Tracy L.O. Lambert, Leah K. Thorne, Sally |
author_sort | Truant, Tracy L.O. |
collection | PubMed |
description | As more cancer patients survive into post-treatment, the challenge of managing their survivorship care is confronting health care systems globally. In striving to deliver high quality survivorship care, equity constitutes a particularly troublesome challenge. We analyzed accounts from both cancer survivors and stakeholders within care system management to uncover insights with respect to barriers to equitable cancer survivorship services. Beyond the social determinants of health that shape inequities across all of our systems, the cancer care system involves a pattern of prioritizing biomedicine, evidence-based options, and care standardization. We learned that these lead to system rigidities that not only compromise the individualization essential to person-centered care but also obscure the attention to group differences that becomes indispensable to responsiveness to inequities. On the basis of these insights, we reflect on what may be required to begin to redress the current and projected inequities with respect to access to appropriate cancer survivorship supports and services. |
format | Online Article Text |
id | pubmed-8050754 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-80507542021-04-27 Barriers to Equity in Cancer Survivorship Care: Perspectives of Cancer Survivors and System Stakeholders Truant, Tracy L.O. Lambert, Leah K. Thorne, Sally Glob Qual Nurs Res Nursing Across the Cancer Continuum As more cancer patients survive into post-treatment, the challenge of managing their survivorship care is confronting health care systems globally. In striving to deliver high quality survivorship care, equity constitutes a particularly troublesome challenge. We analyzed accounts from both cancer survivors and stakeholders within care system management to uncover insights with respect to barriers to equitable cancer survivorship services. Beyond the social determinants of health that shape inequities across all of our systems, the cancer care system involves a pattern of prioritizing biomedicine, evidence-based options, and care standardization. We learned that these lead to system rigidities that not only compromise the individualization essential to person-centered care but also obscure the attention to group differences that becomes indispensable to responsiveness to inequities. On the basis of these insights, we reflect on what may be required to begin to redress the current and projected inequities with respect to access to appropriate cancer survivorship supports and services. SAGE Publications 2021-04-14 /pmc/articles/PMC8050754/ /pubmed/33912623 http://dx.doi.org/10.1177/23333936211006703 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Nursing Across the Cancer Continuum Truant, Tracy L.O. Lambert, Leah K. Thorne, Sally Barriers to Equity in Cancer Survivorship Care: Perspectives of Cancer Survivors and System Stakeholders |
title | Barriers to Equity in Cancer Survivorship Care: Perspectives of Cancer
Survivors and System Stakeholders |
title_full | Barriers to Equity in Cancer Survivorship Care: Perspectives of Cancer
Survivors and System Stakeholders |
title_fullStr | Barriers to Equity in Cancer Survivorship Care: Perspectives of Cancer
Survivors and System Stakeholders |
title_full_unstemmed | Barriers to Equity in Cancer Survivorship Care: Perspectives of Cancer
Survivors and System Stakeholders |
title_short | Barriers to Equity in Cancer Survivorship Care: Perspectives of Cancer
Survivors and System Stakeholders |
title_sort | barriers to equity in cancer survivorship care: perspectives of cancer
survivors and system stakeholders |
topic | Nursing Across the Cancer Continuum |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8050754/ https://www.ncbi.nlm.nih.gov/pubmed/33912623 http://dx.doi.org/10.1177/23333936211006703 |
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