Geographic Distribution of Cancer Care Providers in the Philippines

PURPOSEIn the Philippines, a lower middle-income country in Southeast Asia, 6 of 10 Filipinos die without seeing a doctor. To ensure universal access to cancer care, providers must be equitably distributed. Therefore, we evaluated the distribution of oncologists across all 17 regions in the Philippi...

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Main Authors: Michelle Ann B. Eala, Ethan Angelo S. Maslog, Edward Christopher Dee, Frederic Ivan L. Ting, Jean Anne B. Toral, Rodney B. Dofitas, Henri Cartier S. Co, Johanna Patricia A. Cañal
Format: Article
Language:English
Published: American Society of Clinical Oncology 2022-11-01
Series:JCO Global Oncology
Online Access:https://ascopubs.org/doi/10.1200/GO.22.00138
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author Michelle Ann B. Eala
Ethan Angelo S. Maslog
Edward Christopher Dee
Frederic Ivan L. Ting
Jean Anne B. Toral
Rodney B. Dofitas
Henri Cartier S. Co
Johanna Patricia A. Cañal
author_facet Michelle Ann B. Eala
Ethan Angelo S. Maslog
Edward Christopher Dee
Frederic Ivan L. Ting
Jean Anne B. Toral
Rodney B. Dofitas
Henri Cartier S. Co
Johanna Patricia A. Cañal
author_sort Michelle Ann B. Eala
collection DOAJ
description PURPOSEIn the Philippines, a lower middle-income country in Southeast Asia, 6 of 10 Filipinos die without seeing a doctor. To ensure universal access to cancer care, providers must be equitably distributed. Therefore, we evaluated the distribution of oncologists across all 17 regions in the Philippines.METHODSWe gathered data from the official websites of national medical societies on their members' regional area of practice: Philippine Society of Medical Oncology, Philippine Radiation Oncology Society, Surgical Oncology Society of the Philippines, Society of Gynecologic Oncologists of the Philippines, and Philippine Society of Hospice and Palliative Medicine. We compared this with the regional census to determine the number of board-certified oncologists per 100,000 Filipinos.RESULTSFor a population of almost 110 million, the Philippines has a total of 348 medical oncologists, 164 surgical oncologists, 99 radiation oncologists, 142 gynecologic oncologists, and 35 hospice and palliative medicine (HPM) specialists. This translates to 0.32 medical oncologists, 0.15 surgical oncologists, 0.09 radiation oncologists, 0.13 gynecologic oncologists, and 0.03 HPM specialists for every 100,000 Filipinos. The number of oncologists is highest in the National Capital Region in Luzon and lowest in the Bangsamoro Autonomous Region in Muslim Mindanao. All regions have at least one medical and gynecologic oncologist. Two regions (12%) have no surgical oncologists, five regions (29%) have no radiation oncologists, and eight regions (47%) have no HPM specialists.CONCLUSIONEfforts are needed to increase the number of oncologists and improve equity in their distribution to ensure universal access to cancer care in the Philippines.
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spelling doaj.art-6e9bd15aa34d42c79f4673422e892f0c2022-12-22T04:37:46ZengAmerican Society of Clinical OncologyJCO Global Oncology2687-89412022-11-01810.1200/GO.22.00138Geographic Distribution of Cancer Care Providers in the PhilippinesMichelle Ann B. Eala0Ethan Angelo S. Maslog1Edward Christopher Dee2Frederic Ivan L. Ting3Jean Anne B. Toral4Rodney B. Dofitas5Henri Cartier S. Co6Johanna Patricia A. Cañal7College of Medicine, University of the Philippines, Manila, PhilippinesCollege of Medicine, University of the Philippines, Manila, PhilippinesDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Clinical Sciences, College of Medicine, University of St La Salle, Bacolod, PhilippinesDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of the Philippines, Philippine General Hospital, Manila, PhilippinesDivision of Surgical Oncology, Department of Surgery, University of the Philippines, Philippine General Hospital, Manila, PhilippinesDivision of Radiation Oncology, Department of Radiology, University of the Philippines, Philippine General Hospital, Manila, PhilippinesDivision of Radiation Oncology, Department of Radiology, University of the Philippines, Philippine General Hospital, Manila, PhilippinesPURPOSEIn the Philippines, a lower middle-income country in Southeast Asia, 6 of 10 Filipinos die without seeing a doctor. To ensure universal access to cancer care, providers must be equitably distributed. Therefore, we evaluated the distribution of oncologists across all 17 regions in the Philippines.METHODSWe gathered data from the official websites of national medical societies on their members' regional area of practice: Philippine Society of Medical Oncology, Philippine Radiation Oncology Society, Surgical Oncology Society of the Philippines, Society of Gynecologic Oncologists of the Philippines, and Philippine Society of Hospice and Palliative Medicine. We compared this with the regional census to determine the number of board-certified oncologists per 100,000 Filipinos.RESULTSFor a population of almost 110 million, the Philippines has a total of 348 medical oncologists, 164 surgical oncologists, 99 radiation oncologists, 142 gynecologic oncologists, and 35 hospice and palliative medicine (HPM) specialists. This translates to 0.32 medical oncologists, 0.15 surgical oncologists, 0.09 radiation oncologists, 0.13 gynecologic oncologists, and 0.03 HPM specialists for every 100,000 Filipinos. The number of oncologists is highest in the National Capital Region in Luzon and lowest in the Bangsamoro Autonomous Region in Muslim Mindanao. All regions have at least one medical and gynecologic oncologist. Two regions (12%) have no surgical oncologists, five regions (29%) have no radiation oncologists, and eight regions (47%) have no HPM specialists.CONCLUSIONEfforts are needed to increase the number of oncologists and improve equity in their distribution to ensure universal access to cancer care in the Philippines.https://ascopubs.org/doi/10.1200/GO.22.00138
spellingShingle Michelle Ann B. Eala
Ethan Angelo S. Maslog
Edward Christopher Dee
Frederic Ivan L. Ting
Jean Anne B. Toral
Rodney B. Dofitas
Henri Cartier S. Co
Johanna Patricia A. Cañal
Geographic Distribution of Cancer Care Providers in the Philippines
JCO Global Oncology
title Geographic Distribution of Cancer Care Providers in the Philippines
title_full Geographic Distribution of Cancer Care Providers in the Philippines
title_fullStr Geographic Distribution of Cancer Care Providers in the Philippines
title_full_unstemmed Geographic Distribution of Cancer Care Providers in the Philippines
title_short Geographic Distribution of Cancer Care Providers in the Philippines
title_sort geographic distribution of cancer care providers in the philippines
url https://ascopubs.org/doi/10.1200/GO.22.00138
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