scholarly journals Scaling up cancer care for children without medical insurance in developing countries: The case of Mexico

2012 ◽  
Vol 60 (2) ◽  
pp. 196-203 ◽  
Author(s):  
Ricardo Pérez-Cuevas ◽  
Svetlana V. Doubova ◽  
Marta Zapata-Tarres ◽  
Sergio Flores-Hernández ◽  
Lindsay Frazier ◽  
...  
Keyword(s):  
Developing Countries ◽  
Cancer Care ◽  
Medical Insurance ◽  
Scaling Up

Concerns and difficulties associated with the COVID-19 pandemic among older adults with cancer in Mexico.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 12042-12042
Author(s):  
Sofia Sánchez-Román ◽  
Yanin Chavarri Guerra ◽  
Andrea Morales Morales Alfaro ◽  
Daniela Ramirez Maza ◽  
Andrea de la O Murillo ◽  
...  
Keyword(s):  
Older Adults ◽  
Developing Countries ◽  
Medical Care ◽  
Cancer Care ◽  
Significant Proportion ◽  
Stage Iv ◽  
Well Being ◽  
Public Hospitals ◽  
The Individual

12042 Background: The COVID-19 pandemic has impacted the well-being of people not only due to the disease but also because of stay-at-home orders, social distancing, unemployment, and different kinds of loses. Older adults have particularly suffered during the pandemic, with increased health-related concerns and anxiety leading to increased vulnerability. However, little is known about the effects of the pandemic on older adults with cancer living in developing countries. They are facing issues related to their diagnosis and treatment, as well as the effects of the pandemic on their care and on the well-being of their families. To improve care for this vulnerable population, we studied the concerns and difficulties associated with COVID-19 among older Mexican adults with cancer. Methods: We included patients age ≥65 with the 10 most common tumors in Mexico according to GLOBOCAN and within 3-24 months of cancer diagnosis at two public hospitals in Mexico City. Patients were contacted telephonically and asked to complete a survey reporting the difficulties encountered during the COVID-19 pandemic and to rate their concerns associated with cancer care management using a 0-10 Likert-type scale, with higher ratings meaning increased concerns. Focused interviews were used to describe the individual experience of selected patients and their relatives related to COVID-19 and cancer care. Results: Between April 20, 2020 and December 1, 2021, 67 patients (mean age 71.9, min 65, max 90; 35.8% female; 62.7% living with a partner) were included. The most common tumors were prostate (43%), colon (16%), and lung (12%). 46% had Stage IV disease, and 61% had a life expectancy of more than a year. Twenty-five percent of patients reported encountering at least one difficulty in obtaining cancer care due to the COVID-19 pandemic. 43% of the patients reported difficulties with accessing follow-up cancer care; 39% reported issues with obtaining medications, including chemotherapy; and 34% reported problems obtaining medical care in general, including oncology visits. Regarding concerns, 33% of the patients reported being “very worried” or “extremely worried” about the COVID-19 pandemic. The most relevant concerns were related to getting infected with COVID-19 (or having a family member who became infected) (mean rating 7.9, SD 2.9); not being able to pay for cancer treatments or medical care (mean rating 6.9, SD 3.5); and worsening of cancer due to delayed care during the pandemic (mean rating 6.6, SD 3.7). Conclusions: A significant proportion of older adults with cancer in Mexico faced difficulties obtaining cancer treatment and follow-up care during the COVID-19 pandemic. Their most relevant concerns included getting infected, financial losses, and progression of disease. Creating systems to provide continued cancer care for vulnerable populations in developing countries is essential to face the COVID-19 pandemic.

Cancer Care and Control as a Human Right: Recognizing Global Oncology as an Academic Field

2017 ◽  
pp. 409-415
Author(s):  
Alexandru E. Eniu ◽  
Yehoda M. Martei ◽  
Edward L. Trimble ◽  
Lawrence N. Shulman
Keyword(s):  
Developing Countries ◽  
Cancer Care ◽  
Local Governments ◽  
Critical Role ◽  
Developed Countries ◽  
Team Approach ◽  
Human Right ◽  
Academic Field ◽  
Incidence And Mortality ◽  
And Control

The global burden of cancer incidence and mortality is on the rise. There are major differences in cancer fatality rates due to profound disparities in the burden and resource allocation for cancer care and control in developed compared with developing countries. The right to cancer care and control should be a human right accessible to all patients with cancer, regardless of geographic or economic region, to avoid unnecessary deaths and suffering from cancer. National cancer planning should include an integrated approach that incorporates a continuum of education, prevention, cancer diagnostics, treatment, survivorship, and palliative care. Global oncology as an academic field should offer the knowledge and skills needed to efficiently assess situations and work on solutions, in close partnership. We need medical oncologists, surgical oncologists, pediatric oncologists, gynecologic oncologists, radiologists, and pathologists trained to think about well-tailored resource-stratified solutions to cancer care in the developing world. Moreover, the multidisciplinary fundamental team approach needed to treat most neoplastic diseases requires coordinated investment in several areas. Current innovative approaches have relied on partnerships between academic institutions in developed countries and local governments and ministries of health in developing countries to provide the expertise needed to implement effective cancer control programs. Global oncology is a viable and necessary field that needs to be emphasized because of its critical role in proposing not only solutions in developing countries, but also solutions that can be applied to similar challenges of access to cancer care and control faced by underserved populations in developed countries.

My child matters program: A UICC-sanofi-aventis partnership to improve pediatric cancer care in developing countries

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 9526-9526 ◽  
Author(s):  
R. C. Ribeiro ◽  
T. Eden ◽  
J. Hartford ◽  
J. Lemerle ◽  
I. Magrath ◽  
...  
Keyword(s):  
Developing Countries ◽  
Access To Care ◽  
Childhood Cancer ◽  
Low Income ◽  
Professional Education ◽  
Cancer Care ◽  
Developed Countries ◽  
Political Support ◽  
Outcome Analysis ◽  
Children With Cancer

9526 Background: Despite dramatic advances in curing childhood cancer in developed countries, most children with cancer live in low-income countries, where misdiagnosis, late diagnosis, lack of access to treatment and abandonment of treatment hinder progress. Methods: In 2004 the International Union against Cancer and sanofi-aventis initiated a campaign to improve childhood cancer care in developing countries through grants for local projects (up to 50,000 euros/year each), a survey of childhood cancer care (conducted by the public health consulting firm Sanisphere), and lobbying to increase political support. The projects focus on professional education, improved access to care, pain management, and psychosocial/educational support. Results: During 2006, 14 pilot projects in Bangladesh, Egypt, Honduras, Morocco, Philippines, Senegal, Tanzania, Ukraine, Venezuela, and Vietnam were selected on the basis of feasibility, expected benefit, sustainability, and potential to serve as models. Only eight countries had pediatric hematology/oncology units, ranging from 20 (Tanzania) to 350 (Egypt) beds. These units manage 100 (Senegal) to 1,000 (Bangladesh) children with cancer per year (a small fraction of actual cases in these countries). One-year outcome analysis showed that various short-term objectives were met, including improved patient care infrastructure, public and professional education, earlier detection, improved access to care, the introduction of psychosocial support, decreased abandonment and better follow up. On the basis of these results, 12 additional projects have been funded in Bolivia, Indonesia, Kenya, Mali, Peru and Romania. Conclusions: Relatively small investments, accompanied by external mentoring, can help build sustainable capacity for the diagnosis and care of children with cancer in selected institutions in developing countries. No significant financial relationships to disclose.

Breast Cancer Care in Developing Countries

2009 ◽  
Vol 33 (10) ◽  
pp. 2069-2076 ◽  
Author(s):  
Gaurav Agarwal ◽  
Pooja Ramakant ◽  
Ernesto R. Sánchez Forgach ◽  
Jorge Carrasco Rendón ◽  
Juan Manuel Chaparro ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Developing Countries ◽  
Cancer Care ◽  
Breast Cancer Care

scholarly journals Improving Cancer Outcomes Through International Collaboration in Developing Countries: King Hussein Cancer Center As a Unique Experience

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 161s-161s
Author(s):  
J. Khader
Keyword(s):  
Developing Countries ◽  
Clinical Research ◽  
Cancer Treatment ◽  
International Collaboration ◽  
Cancer Care ◽  
Research Work ◽  
Cancer Center ◽  
Cancer Centers ◽  
Regional Collaboration ◽  
Tumor Boards

Background and context: The need for international and regional collaboration in cancer care has grown stronger as we have made progress in both cancer treatment and screening. We sought to share our unique and successful experience at King Hussein Cancer Center (KHCC) in Jordan and to identify those efforts already underway, which facilitate such collaboration and lead to raise up the cancer care in Jordan to highest levels. Aim: To strengthen cancer care in Jordan. Strategy/Tactics: Over 15 years, KHCC succeeded in binding with well reputed international cancer centers, like MD Anderson Cancer Center, Princess Margret Hospital, St June Cancer Center, Sick Hospital Cancer Center and Moffit Cancer Center, through twinning programs and collaborative agreements to improve capacity building, holding joint scientific activities like joint telemedicine tumor boards, symposia, workshops, and clinical research. Outcomes: Through such international collaboration, KHCC could reach a highest level of cancer care and considered as a hub in the region for cancer treatment, training and research. This great achievement was not possible without this effective collaboration with these international cancer centers. Many clinical programs have been initiated at KHCC because of this collaboration, which lead to joint clinical research work and publication. What was learned: International collaboration between cancer centers in developing countries and developed countries is very beneficial and can reduce the gap in cancer care. The successful experience of KHCC in this regard should admire cancer centers in developing countries to consider it and adopt it.

scholarly journals Implementation of country-wide pharmacoeconomic principles in cancer care in developing countries: Expert-based recommendations

2019 ◽  
Vol 2 (4) ◽  
pp. 109
Author(s):  
AbdulRahman Jazieh ◽  
Elena Pizzo ◽  
Laszlo Gulacsi ◽  
Faris Eldahiyat ◽  
Munir Abu-Helalah ◽  
...  
Keyword(s):  
Developing Countries ◽  
Cancer Care

scholarly journals An Empirical Study on the Influence of the Basic Medical Insurance for Urban and Rural Residents on Family Financial Asset Allocation

2021 ◽  
Vol 9 ◽  
Author(s):  
Shenglin Li ◽  
Yifei Yang
Keyword(s):  
Developing Countries ◽  
Asset Allocation ◽  
Medical Insurance ◽  
Mediating Effect ◽  
Financial Asset ◽  
Rural Residents ◽  
Measurement Models ◽  
Basic Medical Insurance ◽  
Urban And Rural Residents ◽  
Basic Medical

This paper empirically examined whether participation in the Basic Medical Insurance for Urban and Rural Residents impacted families' allocation to risk assets and risk-free assets using the Heckman two-step method, which is based on the China Household Finance Survey micro data of 2013, 2015, and 2017. The results showed that participation in the Basic Medical Insurance for Urban and Rural Residents can promote families' reasonable choice between risk assets and risk-free assets to a certain extent. To be specific, the risk asset investments are squeezed out for the originally risk-seeking families, while the risk-free asset investments are squeezed out for the originally risk-adverse families. We tested the robustness of the benchmark model and the mediating effect model with different definitions of risk assets and risk-free assets. Also, the analysis of the mechanism showed that this increases families' risk perception—turning their risk attitude more cautious and their investment attitude more rational. To further consolidate the social security attributes of the Basic Medical Insurance for Urban and Rural Residents, behind its high coverage, we should also pay attention to its influence on the investment preferences of families with different social and economic statuses, thereby giving full play to its role in promoting the development of China's financial market. In future research, we can also try to use measurement models such as PSM-DID models, and find the connections and progressive relations between different models, in order to obtain the inquiry results of different dimensions. For the direction of further research in the future, we believe that can be used to test whether the conclusion whose data configuration of the basic medical insurance for family financial assets choice influence is a universal in developing countries, to explore the developing countries to promote the health security system for the influence of its national household financial asset allocation and the corresponding policy recommendations.JEL Classification: D14, G11, H55, I18.

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