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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...

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Detalles Bibliográficos
Autores principales: Truant, Tracy L.O., Lambert, Leah K., Thorne, Sally
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
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.
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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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