Applying a "medical deserts" lens to cancer care services in the North-West region of Romania from 2009 to 2022 - a mixed-methods analysis.

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Monica Georgiana Brînzac, Marius Ionuț Ungureanu, Cătălin Ovidiu Baba
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引用次数: 0

Abstract

Background: Medical deserts pose significant challenges to healthcare systems worldwide, leading to unmet healthcare needs and exacerbated health issues, particularly in underserved regions.

Methods: This study aims to characterise cancer care services in the North-West region of Romania through the lens of medical desertification, employing a mixed-methods approach. Quantitative analysis - descriptive statistics - of secondary data from the Activity of Healthcare Units reports from 2009 to 2022, along with qualitative data - thematic analysis - from interviews with cancer patients and healthcare professionals, were employed to uncover the current state of cancer care in Romania.

Results: The qualitative analysis highlighted the prevalence of medical deserts in oncology, with inadequate human resources, facility deficiencies, prolonged waiting times, high costs, and socio-cultural barriers hindering access to cancer care. Opportunities for action include revising treatment protocols, enhancing palliative care, implementing prevention strategies, promoting collaboration among healthcare professionals, and digitalising the healthcare system. However, challenges persist, including a shortage of oncology specialists, geographical disparities in cancer prevalence, and limited access to advanced treatment modalities in rural areas.

Conclusions: Addressing medical deserts in cancer care requires comprehensive approaches, including strategic resource allocation, workforce development, infrastructure investments, access to innovative treatments, and digital health technologies. Collaboration among policymakers, healthcare providers, and communities is crucial to mitigating medical deserts and improving cancer outcomes. Despite limitations, this study provides valuable insights into cancer care services and underscores the need for concerted efforts to overcome medical desertification and ensure equitable access to high-quality cancer care.

将 "医疗荒漠 "视角应用于 2009 年至 2022 年罗马尼亚西北部地区的癌症治疗服务--混合方法分析。
背景:医疗沙漠给全球医疗系统带来了巨大挑战,导致医疗需求得不到满足,健康问题加剧,尤其是在医疗服务不足的地区:本研究采用混合方法,旨在从医疗荒漠化的角度来描述罗马尼亚西北部地区癌症治疗服务的特点。通过对 2009 年至 2022 年医疗单位活动报告中的二手数据进行定量分析(描述性统计),以及对癌症患者和医疗专业人员进行访谈得出的定性数据(主题分析),揭示了罗马尼亚的癌症治疗现状:结果:定性分析强调了肿瘤学领域医疗荒漠的普遍性,人力资源不足、设施缺陷、等待时间长、成本高以及社会文化障碍阻碍了癌症治疗的获得。行动机会包括修订治疗方案、加强姑息治疗、实施预防战略、促进医疗保健专业人员之间的合作以及实现医疗保健系统的数字化。然而,挑战依然存在,包括肿瘤专科医生短缺、癌症发病率的地域差异以及农村地区获得先进治疗模式的机会有限:解决癌症护理中的医疗荒漠问题需要采取综合方法,包括战略资源分配、劳动力发展、基础设施投资、获得创新治疗和数字医疗技术。决策者、医疗服务提供者和社区之间的合作对于缓解医疗荒漠和改善癌症治疗效果至关重要。尽管存在局限性,但这项研究为癌症治疗服务提供了宝贵的见解,并强调了共同努力克服医疗荒漠化、确保公平获得高质量癌症治疗的必要性。
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来源期刊
Archives of Public Health
Archives of Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
3.00%
发文量
244
审稿时长
16 weeks
期刊介绍: rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.
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