Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum

(1) Background: While inequalities in the prevalence of cancer, access to care, and survival have been well documented, less research has focused on inequalities in the uptake of supportive oncology care. Given its contribution to improving the quality of life of people affected by cancer, access to...

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Main Authors: Jade Gourret Baumgart, Hélène Kane, Sylvie Pelletier, Karine André, Catherine Barbe, Thierry Lecomte, Yacine Sam, Nizar Messai, Emmanuel Rusch, Frédéric Denis
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/24/6053
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author Jade Gourret Baumgart
Hélène Kane
Sylvie Pelletier
Karine André
Catherine Barbe
Thierry Lecomte
Yacine Sam
Nizar Messai
Emmanuel Rusch
Frédéric Denis
author_facet Jade Gourret Baumgart
Hélène Kane
Sylvie Pelletier
Karine André
Catherine Barbe
Thierry Lecomte
Yacine Sam
Nizar Messai
Emmanuel Rusch
Frédéric Denis
author_sort Jade Gourret Baumgart
collection DOAJ
description (1) Background: While inequalities in the prevalence of cancer, access to care, and survival have been well documented, less research has focused on inequalities in the uptake of supportive oncology care. Given its contribution to improving the quality of life of people affected by cancer, access to such care is a major public health issue. The present study focuses on the access and uptake of those supportive oncology care services. (2) Methods: This study is based on qualitative research methodology, using a thematic analysis tree on NVivo© analysis software. First, an exploratory survey was conducted with users of oncology services, and professionals from these services and supportive oncology care. Then, individual interviews were conducted in June 2022 among people who are currently being treated or have been treated for cancer. (3) Results: The experiences of the 33 respondents revealed that significant variations in the uptake of supportive oncology care are underpinned by identifiable disparities in their healthcare pathways: in their assimilation of information, difficulties in accessing oncology care, personal reluctance and motivations, perceived needs and benefits, and use of other medicines. (4) Conclusion: This study aims to gain some insight into disparities in the uptake of supportive care in the Centre-Val de Loire region (France). Thus, it provides a better understanding of the complex ways in which these inequalities in supportive oncology care uptake are constructed.
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spelling doaj.art-1ccb27678c3748e892e6203c3cc58b4f2023-11-24T13:45:23ZengMDPI AGCancers2072-66942022-12-011424605310.3390/cancers14246053Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care ContinuumJade Gourret Baumgart0Hélène Kane1Sylvie Pelletier2Karine André3Catherine Barbe4Thierry Lecomte5Yacine Sam6Nizar Messai7Emmanuel Rusch8Frédéric Denis9EA 7505 Laboratory of Education, Ethics, Health, Faculty of Medicine, François-Rabelais University, 37 000 Tours, FranceEA 7505 Laboratory of Education, Ethics, Health, Faculty of Medicine, François-Rabelais University, 37 000 Tours, FranceOncology Network Centre-Val de Loire (OncoCentre), 37 000 Tours, FranceLeague Against Cancer Departmental Committee of Indre-et-Loire, 37 000 Tours, FranceOncology Network Centre-Val de Loire (OncoCentre), 37 000 Tours, FranceOncology Network Centre-Val de Loire (OncoCentre), 37 000 Tours, FranceEA 6300 Fundamental and Applied Computer Sciences, Polytechnic School of the University of Tours, 37 000 Tours, FranceEA 6300 Fundamental and Applied Computer Sciences, Polytechnic School of the University of Tours, 37 000 Tours, FranceEA 7505 Laboratory of Education, Ethics, Health, Faculty of Medicine, François-Rabelais University, 37 000 Tours, FranceEA 7505 Laboratory of Education, Ethics, Health, Faculty of Medicine, François-Rabelais University, 37 000 Tours, France(1) Background: While inequalities in the prevalence of cancer, access to care, and survival have been well documented, less research has focused on inequalities in the uptake of supportive oncology care. Given its contribution to improving the quality of life of people affected by cancer, access to such care is a major public health issue. The present study focuses on the access and uptake of those supportive oncology care services. (2) Methods: This study is based on qualitative research methodology, using a thematic analysis tree on NVivo© analysis software. First, an exploratory survey was conducted with users of oncology services, and professionals from these services and supportive oncology care. Then, individual interviews were conducted in June 2022 among people who are currently being treated or have been treated for cancer. (3) Results: The experiences of the 33 respondents revealed that significant variations in the uptake of supportive oncology care are underpinned by identifiable disparities in their healthcare pathways: in their assimilation of information, difficulties in accessing oncology care, personal reluctance and motivations, perceived needs and benefits, and use of other medicines. (4) Conclusion: This study aims to gain some insight into disparities in the uptake of supportive care in the Centre-Val de Loire region (France). Thus, it provides a better understanding of the complex ways in which these inequalities in supportive oncology care uptake are constructed.https://www.mdpi.com/2072-6694/14/24/6053cancersupportive oncology carehealth inequalitieshealth pathwaysdisease pathwaysaccess to care
spellingShingle Jade Gourret Baumgart
Hélène Kane
Sylvie Pelletier
Karine André
Catherine Barbe
Thierry Lecomte
Yacine Sam
Nizar Messai
Emmanuel Rusch
Frédéric Denis
Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum
Cancers
cancer
supportive oncology care
health inequalities
health pathways
disease pathways
access to care
title Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum
title_full Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum
title_fullStr Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum
title_full_unstemmed Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum
title_short Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum
title_sort understanding inequalities in the uptake of supportive care to improve practices in the cancer care continuum
topic cancer
supportive oncology care
health inequalities
health pathways
disease pathways
access to care
url https://www.mdpi.com/2072-6694/14/24/6053
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