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Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review

Background: The coordination of cancer care among multiple providers is vital to improve care quality and ensure desirable health outcomes across the cancer continuum, yet evidence is scarce of this being optimally achieved in low- and middle-income countries (LMICs). Objective: Through this scoping...

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Autores principales: Lubuzo, Buhle, Hlongwana, Khumbulani W., Hlongwa, Mbuzeleni, Ginindza, Themba G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9265683/
https://www.ncbi.nlm.nih.gov/pubmed/35805565
http://dx.doi.org/10.3390/ijerph19137906
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author Lubuzo, Buhle
Hlongwana, Khumbulani W.
Hlongwa, Mbuzeleni
Ginindza, Themba G.
author_facet Lubuzo, Buhle
Hlongwana, Khumbulani W.
Hlongwa, Mbuzeleni
Ginindza, Themba G.
author_sort Lubuzo, Buhle
collection PubMed
description Background: The coordination of cancer care among multiple providers is vital to improve care quality and ensure desirable health outcomes across the cancer continuum, yet evidence is scarce of this being optimally achieved in low- and middle-income countries (LMICs). Objective: Through this scoping review, our objective was to understand the scope of cancer care coordination interventions and services employed in LMICs, in order to synthesise the existing evidence and identify key models and their elements used to manage and/or improve cancer care coordination in these settings. Methods: A detailed search strategy was conducted, aligned with the framework of Arksey and O’Malley. Articles were examined for evidence of coordination interventions used in cancer care in LMICs. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension Guidelines for Scoping Reviews, which included a checklist and explanation. The PRISMA flow diagram was utilised to report the screening of results. Data were extracted, categorised and coded to allow for a thematic analysis of the results. Results: Fourteen studies reported on coordination interventions in cancer care in LMICs. All studies reported a positive impact of cancer coordination interventions on the primary outcome measured. Most studies reported on a patient navigation model at different points along the cancer care continuum. Conclusions: An evidence-based and culturally sensitive plan of care that aims to promote coordinated and efficient multidisciplinary care for patients with suspicion or diagnosis of cancer in LMICs is feasible and might improve the quality of care and efficiency.
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spelling pubmed-92656832022-07-09 Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review Lubuzo, Buhle Hlongwana, Khumbulani W. Hlongwa, Mbuzeleni Ginindza, Themba G. Int J Environ Res Public Health Review Background: The coordination of cancer care among multiple providers is vital to improve care quality and ensure desirable health outcomes across the cancer continuum, yet evidence is scarce of this being optimally achieved in low- and middle-income countries (LMICs). Objective: Through this scoping review, our objective was to understand the scope of cancer care coordination interventions and services employed in LMICs, in order to synthesise the existing evidence and identify key models and their elements used to manage and/or improve cancer care coordination in these settings. Methods: A detailed search strategy was conducted, aligned with the framework of Arksey and O’Malley. Articles were examined for evidence of coordination interventions used in cancer care in LMICs. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension Guidelines for Scoping Reviews, which included a checklist and explanation. The PRISMA flow diagram was utilised to report the screening of results. Data were extracted, categorised and coded to allow for a thematic analysis of the results. Results: Fourteen studies reported on coordination interventions in cancer care in LMICs. All studies reported a positive impact of cancer coordination interventions on the primary outcome measured. Most studies reported on a patient navigation model at different points along the cancer care continuum. Conclusions: An evidence-based and culturally sensitive plan of care that aims to promote coordinated and efficient multidisciplinary care for patients with suspicion or diagnosis of cancer in LMICs is feasible and might improve the quality of care and efficiency. MDPI 2022-06-28 /pmc/articles/PMC9265683/ /pubmed/35805565 http://dx.doi.org/10.3390/ijerph19137906 Text en © 2022 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 Review
Lubuzo, Buhle
Hlongwana, Khumbulani W.
Hlongwa, Mbuzeleni
Ginindza, Themba G.
Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review
title Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review
title_full Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review
title_fullStr Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review
title_full_unstemmed Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review
title_short Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review
title_sort coordination models for cancer care in low- and middle-income countries: a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9265683/
https://www.ncbi.nlm.nih.gov/pubmed/35805565
http://dx.doi.org/10.3390/ijerph19137906
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