Layers of difference: a cancer center’s approach to minimizing cancer health disparity

Abstract

Purpose The purpose of this paper is to provide a case study of a multifaceted institutional approach to minimizing cancer health disparities, presenting a novel organizational framework entitled, “A.C.C.E.S.S.” to guide those efforts. Design/methodology/approach This paper presents a case study of an organization that operates under the theory that cancer health disparities are a result of the cumulative incongruence of differences that exist between people in various contexts and interactions over time. Consequently, the A.C.C.E.S.S. framework is used to demonstrate the range of opportunities within an organization to intervene and mitigate gaps that result in inequality. Findings Addressing A.C.C.E.S.S. in various interactions and contexts over a sustained period of time results in a continuous improvement cycle that attenuates cancer health disparity. Originality/value The antecedents and impacts of cancer health disparities are well documented. However, there is a dearth of directionality for institutions and organizations in achieving equality in cancer treatment and care. This paper provides a framework to consider in organizing such endeavors.

Health Disparities and Precision Oncology in Foregut Malignancies

“…Achieving a goal of health equity in precision oncology in foregut malignancies starts with an awareness of these factors and beginning to apply solutions that have been successful in other cancer types. A 2017 study by Chachula et al 62 examined how their ACCESS "(awareness and education, community outreach, cultural and linguistic competence, equity and inclusion, strong partnership, and sustainability)" framework, which was based on the strategies identified by Jongen et al, has been successful in mitigating specifically cancer disparities at the Moffitt Cancer Center in Florida. This framework attempts to address disparities at multiple time points, with a primary emphasis on upstream determinants of care, such as with the M-POWER program that provides health education to community members.…”