scholarly journals Transforming Community Cancer Care: The Ottawa Regional Cancer Foundation’s Cancer Coaching Practice

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Linda Eagen ◽  
Johanne Levesque
Keyword(s):  
Health Outcomes ◽  
Cancer Care ◽  
Positive Impact ◽  
Community Services ◽  
Annual Number ◽  
Community Based ◽  
Cancer Statistics ◽  
Landscape Services ◽  
Cancer Services ◽  
Per Capita

Community services are an increasingly important part of the healthcare landscape. Services that work to empower patients and their caregivers are having a positive impact on health outcomes and helping to reduce per capita costs of healthcare. According to the 2015 Canadian Cancer Statistics Report, by 2030 the annual number of new cancer cases in Canada is expected to increase by 79% [1]. Community-based cancer services, in particular, are urgently required to meet the growing demand for care as the complexity of the disease and its treatment continues to grow. RÉSUMÉ Les services communautaires jouent un rôle de plus en plus important dans les soins de santé. Les services qui veillent à habiliter les patients et leurs proches aidants ont un effet positif sur les résultats en matière de santé et aident à réduire les coûts par personne des soins de santé. D’ici 2030, le nombre annuel de nouveaux cas de cancer au Canada devrait augmenter de 79 % selon le rapport Statistiques canadiennes sur le cancer 2015 [1]. Des services communautaires pour le traitement du cancer, notamment, sont requis de toute urgence afin de répondre à la demande croissante de soins, alors que la complexité de la maladie et de son traitement ne cesse de croître. 

scholarly journals “The support has been brilliant”: experiences of Aboriginal and Torres Strait Islander patients attending two high performing cancer services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emma V. Taylor ◽  
Marilyn Lyford ◽  
Michele Holloway ◽  
Lorraine Parsons ◽  
Toni Mason ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Cancer Patients ◽  
Indigenous People ◽  
Cancer Care ◽  
Family Members ◽  
Hospital Staff ◽  
Cultural Safety ◽  
National Study ◽  
High Performing ◽  
Cancer Services

Abstract Background Improving health outcomes for Indigenous people by providing person-centred, culturally safe care is a crucial challenge for the health sector, both in Australia and internationally. Many cancer providers and support services are committed to providing high quality care, yet struggle with providing accessible, culturally safe cancer care to Indigenous Australians. Two Australian cancer services, one urban and one regional, were identified as particularly focused on providing culturally safe cancer care for Indigenous cancer patients and their families. The article explores the experiences of Indigenous cancer patients and their families within the cancer services and ascertains how their experiences of care matches with the cancer services’ strategies to improve care. Methods Services were identified as part of a national study designed to identify and assess innovative services for Indigenous cancer patients and their families. Case studies were conducted with a small number of identified services. In-depth interviews were conducted with Indigenous people affected by cancer and hospital staff. The interviews from two services, which stood out as particularly high performing, were analysed through the lens of the patient experience. Results Eight Indigenous people affected by cancer and 23 hospital staff (Indigenous and non-Indigenous) were interviewed. Three experiences were shared by the majority of Indigenous cancer patients and family members interviewed in this study: a positive experience while receiving treatment at the cancer service; a challenging time between receiving diagnosis and reaching the cancer centre; and the importance of family support, while acknowledging the burden on family and carers. Conclusions This article is significant because it demonstrates that with a culturally appropriate and person-centred approach, involving patients, family members, Indigenous and non-Indigenous staff, it is possible for Indigenous people to have positive experiences of cancer care in mainstream, tertiary health services. If we are to improve health outcomes for Indigenous people it is vital more cancer services and hospitals follow the lead of these two services and make a sustained and ongoing commitment to strengthening the cultural safety of their service.

scholarly journals The Robust Efficiency Estimation in Lower Secondary Education: Cross-Country Evidence

Mathematics ◽  
2021 ◽  
Vol 9 (24) ◽  
pp. 3249
Author(s):  
Darya Dancaková ◽  
Jozef Glova ◽  
Alena Andrejovská
Keyword(s):  
Secondary Education ◽  
Parental Education ◽  
Positive Impact ◽  
Gdp Per Capita ◽  
Annual Number ◽  
Data Envelopment ◽  
Efficiency Estimation ◽  
Per Capita ◽  
Positive Effect ◽  
Lower Secondary Education

In this study, we assessed the efficiency of compulsory lower secondary education. We selected three variables that may significantly affect students’ performance in a particular country. First, we assumed that student scores achieved in PISA testing determine the number of monetary funds spent on these three variables, specifically student–teacher ratio, class size, and the annual number of hours spent in school. Second, we evaluated the efficiency of education in a sample of 24 different OECD countries, comparing the students’ performance in PISA 2018. Third, we used the two-stage data envelopment analysis with a bootstrapping procedure for estimating technical efficiency scores. Finally, we applied OLS and quantile regression, where our regression estimates in both models showed a positive effect of GDP per capita on students’ achievement across countries. The positive impact of GDP per capita was significant only for the least efficient countries. Conversely, the level of impact of parental education was much stronger and more positive for the inefficient countries and proved to be negative for more efficient countries.

scholarly journals Equity-Oriented Healthcare: What It Is and Why We Need It in Oncology

2022 ◽  
Vol 29 (1) ◽  
pp. 186-192
Author(s):  
Tara C. Horrill ◽  
Annette J. Browne ◽  
Kelli I. Stajduhar
Keyword(s):  
Health Outcomes ◽  
Access To Care ◽  
Health Equity ◽  
Cancer Care ◽  
Socially Disadvantaged ◽  
Cancer Services ◽  
Social Inequities ◽  
Cancer Trajectory ◽  
Taking Action ◽  
Related Mortality

Alarming differences exist in cancer outcomes for people most impacted by persistent and widening health and social inequities. People who are socially disadvantaged often have higher cancer-related mortality and are diagnosed with advanced cancers more often than other people. Such outcomes are linked to the compounding effects of stigma, discrimination, and other barriers, which create persistent inequities in access to care at all points in the cancer trajectory, preventing timely diagnosis and treatment, and further widening the health equity gap. In this commentary, we discuss how growing evidence suggests that people who are considered marginalized are not well-served by the cancer care sector and how the design and structure of services can often impose profound barriers to populations considered socially disadvantaged. We highlight equity-oriented healthcare as one strategy that can begin to address inequities in health outcomes and access to care by taking action to transform organizational cultures and approaches to the design and delivery of cancer services.

Delay in head and neck cancer care during the COVID-19 pandemic and its impact on health outcomes

2020 ◽  
Vol 34 ◽  
Author(s):  
Claudiane MAHL ◽  
Luís Ricardo Santos de MELO ◽  
Maria Helena Andrade ALMEIDA ◽  
Catarina Sampaio CARVALHO ◽  
Lois Lene Silva SANTOS ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Health Outcomes ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cancer Care

Preventative health screening community events, a mechanism to target minority ethnic populations in improving primary care utilisation to improve health outcomes

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711005
Author(s):  
Raza Naqvi ◽  
Octavia Gale
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Outcomes ◽  
Ethnic Minority ◽  
Access To Health Care ◽  
Health Screening ◽  
Service Utilisation ◽  
Community Based ◽  
Access To Health ◽  
Minority Ethnic

BackgroundPreventative medicine has become a central focus in primary care provision, with greater emphasis on education and access to health care screening. The Department of Health reports existing health inequalities and inequalities in access within ethnic minority groups. Studies assessing the value of community engagement in primary care have reported variable outcomes in term of subsequent service utilisation.AimTo consider the benefit of community-based health screening checks to improve access and health outcomes in minority ethnic groups.MethodAn open community health screening event (n = 43), to allow targeted screening within an ethnic minority population. Screening included BP, BMI, BM and cholesterol. Results were interpreted by a healthcare professional and counselling was provided regarding relevant risk factors. Post-event feedback was gathered to collate participant opinion and views.ResultsSeventy-nine per cent of participants were from ethnic minority backgrounds: 64% were overweight or obese and 53% of participants were referred to primary care for urgent review following abnormal findings. All those referred would not have accessed healthcare without the event referral. All (100%) participants believed it improved health education and access to health care.ConclusionThis study clearly demonstrates the value of targeted community-led screening and education events in public health promotion. There was a significant benefit in providing community-based screening. There is a need for a longitudinal analysis to determine the impact on health outcomes and long-term access to healthcare provision.

scholarly journals Triaging and adaptations of surveillance of cancer services in the COVID pandemic

2020 ◽  
pp. 1-3
Author(s):  
Shirley Lewis ◽  
Lavanya Gurram ◽  
Umesh Velu ◽  
Krishna Sharan
Keyword(s):  
Cancer Patients ◽  
Clinical Examination ◽  
Cancer Care ◽  
Middle Income ◽  
Face To Face ◽  
Middle Income Countries ◽  
Cancer Services ◽  
Low Middle Income Countries

Abstract Introduction: Coronavirus disease (COVID-19) has significantly challenged the access to cancer care and follow-up for a patient with cancer. Methods: Based on published literature and our experiences, it is reasonable to presume that clinical examination and follow-up visits have been significantly curtailed worldwide in order to adhere to the new norms during the pandemic. Although telephonic and telemedicine consultations may help bridge a few gaps, completely dispensing with in-person consultation has its challenges, especially in low middle-income countries. Telephonic consultations could facilitate triaging of ambulatory cancer patients and allocation of face-to-face consultations for high priority patients. Conclusions: We propose a telephonic consultation-based triaging approach for ambulatory cancer patients in order to identify those needing in-hospital consultations.

scholarly journals Weathering the storm: A qualitative study of social prescribing in urban and rural Scotland during the COVID-19 pandemic

2021 ◽  
Vol 9 ◽  
pp. 205031212110291
Author(s):  
Alison Fixsen ◽  
Simon Barrett ◽  
Michal Shimonovich
Keyword(s):  
Urban Areas ◽  
Third Sector ◽  
Community Services ◽  
Clinical Approach ◽  
Community Based ◽  
Online Delivery ◽  
Social Distancing ◽  
Social Prescribing ◽  
And Shifts

Objectives: The non-clinical approach known as social prescribing aims to tackle multi-morbidity, reduce general practitioner (GP) workload and promote wellbeing by directing patients to community services. Usual in-person modes of delivery of social prescribing have been virtually impossible under social distancing rules. This study qualitatively examined and compared the responses of three social prescribing schemes in Scotland to the COVID-19 pandemic. Methods: We interviewed a theoretical sample of 23 stakeholders in urban and rural social prescribing schemes at the start of COVID-19 pandemic. Follow-up interviews with a representative sample were conducted around 10 months later. Interviewees included social prescribing coordinators (SPCs) GPs, managers, researchers and representatives of third sector organizations. Interview transcripts were analysed in stages and an inductive approach to coding was supported by NVivo. Results: Findings revealed a complex social prescribing landscape in Scotland with schemes funded, structured and delivering services in diverse ways. Across all schemes, working effectively during the pandemic and shifting to online delivery had been challenging and demanding; however, their priorities in response to the pandemic had differed. With GP time and services stretched to limits, GP practice-attached ‘Link Workers’ had taken on counselling and advocacy roles, sometimes for serious mental health cases. Community-based SPCs had mostly assumed a health education role, and those on the Western Isles of Scotland a digital support role. In both rural or urban areas, combatting loneliness and isolation – especially given social distancing – remained a pivotal aspect of the SPC role. Conclusion: This study highlights significant challenges and shifts in focus in social prescribing in response to the pandemic. The use of multiple digital technologies has assumed a central role in social prescribing, and this situation seems likely to remain. With statutory and non-statutory services stretched to their limits, there is a danger of SPCs assuming new tasks without adequate training or support.

scholarly journals Impact of COVID-19 pandemic on the oncologic care continuum: urgent need to restore patients care to pre-COVID-19 era

2021 ◽  
pp. 1-11
Author(s):  
Ernest Osei ◽  
Ruth Francis ◽  
Ayan Mohamed ◽  
Lyba Sheraz ◽  
Fariba Soltani-Mayvan
Keyword(s):  
Cancer Care ◽  
Healthcare Professionals ◽  
Negative Impact ◽  
System Level ◽  
Care Continuum ◽  
Cancer Services ◽  
Number Of Patients ◽  
Prevention Programmes ◽  
Screening And Prevention ◽  
The Impact

Abstract Background: Globally, cancer is the second leading cause of death, and it is estimated that over 18·1 million new cases are diagnosed annually. The COVID-19 pandemic has significantly impacted almost every aspect of the provision and management of cancer care worldwide. The time-critical nature of COVID-19 diagnosis and the large number of patients requiring hospitalisation necessitated the rerouting of already limited resources available for cancer services and programmes to the care of COVID-19 patients. Furthermore, the stringent social distancing, restricted in-hospital visits and lockdown measures instituted by various governments resulted in the disruption of the oncologic continuum including screening, diagnostic and prevention programmes, treatments and follow-up services as well as research and clinical trial programmes. Materials and Methods: We searched several databases from October 2020 to January 2021 for relevant studies published in English between 2020 and 2021 and reporting on the impact of COVID-19 on the cancer care continuum. This narrative review paper describes the impact of the COVID-19 pandemic on the cancer patient care continuum from screening and prevention to treatments and ongoing management of patients. Conclusions: The COVID-19 pandemic has profoundly impacted cancer care and the management of cancer services and patients. Nevertheless, the oncology healthcare communities worldwide have done phenomenal work with joint and collaborative efforts, utilising best available evidence-based guidelines to continue to give safe and effective treatments for cancer patients while maintaining the safety of patients, healthcare professionals and the general population. Nevertheless, several healthcare centres are now faced with significant challenges with the management of the backlog of screening, diagnosis and treatment cases. It is imperative that governments, leaders of healthcare centres and healthcare professionals take all necessary actions and policies focused on minimising further system-level delays to cancer screening, diagnosis, treatment initiation and clearing of all backlogs cases from the COVID-19 pandemic in order to mitigate the negative impact on cancer outcomes.

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