Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool
Purpose: Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result f...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American Society of Clinical Oncology
2018-12-01
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| Series: | Journal of Global Oncology |
| Online Access: | http://ascopubs.org/doi/10.1200/JGO.18.00125 |
| _version_ | 1818850471855521792 |
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| author | Chika R. Nwachukwu Omobola Mudasiru Lynn Million Shruti Sheth Hope Qamoos Joseph O. Onah Anita Okemini Mojisola Rhodes Michele Barry Adekunbiola A. Banjo Muhameed Habeebu Tajudeen A. Olasinde Ami S. Bhatt |
| author_facet | Chika R. Nwachukwu Omobola Mudasiru Lynn Million Shruti Sheth Hope Qamoos Joseph O. Onah Anita Okemini Mojisola Rhodes Michele Barry Adekunbiola A. Banjo Muhameed Habeebu Tajudeen A. Olasinde Ami S. Bhatt |
| author_sort | Chika R. Nwachukwu |
| collection | DOAJ |
| description | Purpose: Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation. Methods: Using a comprehensive NAQ, in-depth interviews were conducted with 17 hospital staff involved in cancer care at two teaching hospitals in Nigeria. Data were analyzed using content analysis and organized into a framework with preset codes and emergent codes, where applicable. Results: Data from the interviews were organized into six broad themes: staff, stuff, system, space, lack of palliative care, and provider bias, with key barriers within themes including: financial, infrastructural, lack of awareness, limited human capacity resources, lack of palliative care, and provider perspective on patient-related barriers to cancer care. Specific solutions based on ability to reasonably implement were subcategorized into short-, medium-, and long-term goals. Conclusion: This study provides a framework for a streamlined initial needs assessment and a unique discussion on the barriers to high-quality oncology care that are prevalent in resource-constrained settings. We report the feasibility of collecting and organizing data using a streamlined NAQ and provide a thorough and in-depth understanding of the challenges in this setting. Knowledge gained from the assessments will inform steps to improve oncology cancer in these settings. |
| first_indexed | 2024-12-19T06:49:40Z |
| format | Article |
| id | doaj.art-3e46bf65b02e43afb0314bb28679f86c |
| institution | Directory Open Access Journal |
| issn | 2378-9506 |
| language | English |
| last_indexed | 2024-12-19T06:49:40Z |
| publishDate | 2018-12-01 |
| publisher | American Society of Clinical Oncology |
| record_format | Article |
| series | Journal of Global Oncology |
| spelling | doaj.art-3e46bf65b02e43afb0314bb28679f86c2022-12-21T20:31:48ZengAmerican Society of Clinical OncologyJournal of Global Oncology2378-95062018-12-0141910.1200/JGO.18.001251Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment ToolChika R. NwachukwuOmobola MudasiruLynn MillionShruti ShethHope QamoosJoseph O. OnahAnita OkeminiMojisola RhodesMichele BarryAdekunbiola A. BanjoMuhameed HabeebuTajudeen A. OlasindeAmi S. BhattPurpose: Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation. Methods: Using a comprehensive NAQ, in-depth interviews were conducted with 17 hospital staff involved in cancer care at two teaching hospitals in Nigeria. Data were analyzed using content analysis and organized into a framework with preset codes and emergent codes, where applicable. Results: Data from the interviews were organized into six broad themes: staff, stuff, system, space, lack of palliative care, and provider bias, with key barriers within themes including: financial, infrastructural, lack of awareness, limited human capacity resources, lack of palliative care, and provider perspective on patient-related barriers to cancer care. Specific solutions based on ability to reasonably implement were subcategorized into short-, medium-, and long-term goals. Conclusion: This study provides a framework for a streamlined initial needs assessment and a unique discussion on the barriers to high-quality oncology care that are prevalent in resource-constrained settings. We report the feasibility of collecting and organizing data using a streamlined NAQ and provide a thorough and in-depth understanding of the challenges in this setting. Knowledge gained from the assessments will inform steps to improve oncology cancer in these settings.http://ascopubs.org/doi/10.1200/JGO.18.00125 |
| spellingShingle | Chika R. Nwachukwu Omobola Mudasiru Lynn Million Shruti Sheth Hope Qamoos Joseph O. Onah Anita Okemini Mojisola Rhodes Michele Barry Adekunbiola A. Banjo Muhameed Habeebu Tajudeen A. Olasinde Ami S. Bhatt Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool Journal of Global Oncology |
| title | Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool |
| title_full | Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool |
| title_fullStr | Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool |
| title_full_unstemmed | Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool |
| title_short | Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool |
| title_sort | evaluating barriers and opportunities in delivering high quality oncology care in a resource limited setting using a comprehensive needs assessment tool |
| url | http://ascopubs.org/doi/10.1200/JGO.18.00125 |
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