A scoping review on population-centered indicators for cancer care continuum

Rajaguru, Vasuki; Jang, Ji Eun; Kwon, Jong Kyou; Kim, Jae Hyun; Shin, Jaeyong; Chun, Mison

doi:10.3389/fpubh.2022.912946

Cited by 3 publications

(2 citation statements)

References 47 publications

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“…[3][4][5][6] Within the field of oncology, several QIs are used to assess quality of care along the cancer care continuum, from cancer screening to survivorship care. 7 By establishing tumor-site specific, evidence-based benchmarks in cancer care delivery, QIs can help identify gaps in healthcare delivery, patient experience and outcomes. Furthermore, they allow for comparisons over time within and between institutions, which inform areas of priority for organisations and accountability for quality improvement through targeted allocation of resources.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Integration of the social determinants of health into quality indicators for colorectal cancer surgery: a scoping review protocol

Bondzi-Simpson,

Ribeiro,

Benipal

et al. 2023

BMJ Open

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IntroductionQuality monitoring is a critical component of high-performing cancer care systems. Quality indicators (QIs) are standardised, evidence-based measures of healthcare quality that allow healthcare systems to track performance, identify gaps in healthcare delivery and inform areas of priority for strategic planning. Social structures and economic systems that allow for unequal access to power and resources that shape health and health inequities can be described through the social determinants of health (SDoH) framework. Therefore, granular analysis of healthcare quality through SDoH frameworks is required to identify patient subgroups who may experience health inequity. Given the high burden of disease of colorectal cancer (CRC) and well-defined cancer care pathways, CRC is often the first disease site targeted by health systems for quality improvement. The objective of this review is to examine how SDoH have been integrated into QIs for CRC surgery. This review aims to address three primary questions: (1) Have SDoH been integrated into the development, reporting and assessment of CRC surgery QIs? (2) When integrated, what measures and statistical methods have been applied? (3) In which direction do individual SDoH influence QIs outputs?MethodsThis review will follow Arksey and O’Malley frameworks for scoping reviews. We will search MEDLINE, EMBASE, HealthSTAR databases for papers that examine QIs for CRC surgery applicable to healthcare systems from database inception until January 2023. Interventional trials, prospective and retrospective observational studies, reviews, case series and qualitative study designs will be included. Two authors will independently review all titles, abstracts and full texts to determine which studies meet the inclusion criteria.Ethics & disseminationNo ethics approval is required for this review. Results will be disseminated through scientific presentation and relevant conferences targeted for researchers examining healthcare quality and equity in cancer care.Registration detailsosf.io/vfzd3-Open Science Framework.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Integration of the social determinants of health into quality indicators for colorectal cancer surgery: a scoping review protocol

Bondzi-Simpson,

Ribeiro,

Benipal

et al. 2023

BMJ Open

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“…Reviewing these two medical conditions provided an in-depth understanding of quality measures that should be monitored in a wide range of medical conditions (Kanaoka et al, 2022;Aktaa et al, 2022;Rajaguru et al, 2022). The evidence included in Chapter 2 revealed that measures of survival and disease control are commonly used in VBHC.…”

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confidence: 99%

Health outcomes measurement for value-based healthcare

Abdalla

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Interventions to improve access to cancer care in underserved populations in high income countries: a systematic review

Santos Salas,

Bassah,

Pujadas Botey

et al. 2024

Oncol.Rev.

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BackgroundUnderserved populations both globally and in Canada face serious cancer inequities that result from systemic economic, environmental, and social conditions. These pose barriers in access to cancer care and lead to suboptimal cancer care experiences and outcomes. Knowledge of effective interventions to improve access to cancer care is needed to inform the design of tailored interventions for these populations.AimTo identify interventions and programs to improve access to cancer care for underserved populations in high income countries with universal health coverage (UHC) and the United States (US) throughout the cancer care continuum.MethodsWe conducted a systematic review following the PRISMA standards. We searched Medline, EMBASE, PsycINFO, CINAHL, Scopus, and the Cochrane Library. Inclusion criteria: quantitative and qualitative studies published in English in the last 10 years (2013–2023), describing interventions/programs to improve access to cancer care for underserved populations (18 years and over). We included studies in the US given the body of scholarship on equity in cancer care in that country. Screening, data extraction and analysis were undertaken by two independent reviewers.ResultsOur search yielded 7,549 articles, and 74 met the inclusion criteria. Of these, 56 were conducted in the US, 8 in Australia, 6 in Canada, and 4 in the United Kingdom. Most (90.5%) were quantitative studies and 47.3% were published between 2020–2023. Seven types of interventions were identified: patient navigation, education and counselling, virtual health, service redesign, financial support, improving geographical accessibility and multicomponent interventions. Interventions were mainly designed to mitigate language, distance, financial, lack of knowledge and cultural barriers. Most interventions focused on access to cancer screening, targeted rural populations, racialized groups and people with low socioeconomic status, and were conducted in community-based settings. The majority of interventions or programs significantly improved access to cancer care.ConclusionOur systematic review findings suggest that interventions designed to remove specific barriers faced by underserved populations can improve access to cancer care. Few studies came from countries with UHC. Research is required to understand tailored interventions for underserved populations in countries with UHC.

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A scoping review on population-centered indicators for cancer care continuum

Cited by 3 publications

References 47 publications

Integration of the social determinants of health into quality indicators for colorectal cancer surgery: a scoping review protocol

Integration of the social determinants of health into quality indicators for colorectal cancer surgery: a scoping review protocol

Health outcomes measurement for value-based healthcare

Interventions to improve access to cancer care in underserved populations in high income countries: a systematic review

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