Healthcare delivery interventions to reduce cancer disparities worldwide

• 作者: Divya A Parikh James C Dickerson Manali I Patel Meera V Ragavan
• 来源期刊: 世界临床肿瘤学杂志:英文版
• 学科: 医学
• 关键词: INTERVENTION Cancer DISPARITY Health services research Global oncology Navigation TELEHEALTH
• 年，卷（期）: 2020,（9）
• 页码范围: 705-722
• 页数: 18页
• 分类号: R73

摘要

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,costeffective,and scalable interventions to reduce barriers to the receipt of cancer care globally.