Instituto Nacional de Cancerologa - Mxico ! L. Suchil, G. Mesa, L. - - PowerPoint PPT Presentation

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Dec 28, 2023 547 likes •593 views

BARRIERS TO QUALITY CARE IN CANCER PATIENTS. EXPERIENCE OF THE PATIENT NAVIGATION PROGRAM IN MEXICO. Instituto Nacional de Cancerologa - Mxico ! L. Suchil, G. Mesa, L. Rueda. Background: A!variety!of!barriers!prevent!appropriate!and!(mely!

SLIDE 1

BARRIERS TO QUALITY CARE IN CANCER PATIENTS. EXPERIENCE OF THE PATIENT NAVIGATION PROGRAM IN MEXICO.

L. Suchil, G. Mesa, L. Rueda.

Instituto Nacional de Cancerología - México!

Objectives: To!iden(fy!the!

barriers!faced!by!pa(ents!and!their! families!to!receive!(mely!quality! treatment.!

Background: A!variety!of!barriers!prevent!appropriate!and!(mely!

treatment!among!the!disadvantaged!popula(on!in!Mexico.!In!2007!the! Na(onal!Cancer!Ins(tute!implemented!a!Pa(ent!Naviga(on!Program! (PNP),!with!the!support!of!the!American!Cancer!Society,!as!an!approach! to!reduce!barriers!to!care.!

Methods:""PNP!records!

2008J2011!were!reviewed.!

SLIDE 2

81%!were!women! 70%!were!single!with!2!or!3!children! 76%!has!no!full!(me!jobs! 57%!uninsured! 24%!low!income!(<!3!dollars!per!day)! 41%!!low!educa(onal!level!(<!6!years)! 70%!residents!of!suburban!and!rural!areas!

Results: Patient Demographics

0! 500! 1000! 1500! 2000! 2500! 2008! 2009! 2010! 2011! 674" 1106" 1629" 2024"

Over!four!years,! 5,333!persons!or! family!members! were!supported!by! the!PNP.!

SLIDE 3

Financial! Logis(cal! Social!and!cultural!

Barriers to Treatment

!To!buy!chemotherapy!and!pain!

drugs!40%!

!To!pay!out!of!pocket!!6%!
!To!purchase!medical!equipment!

and!devices!24%!

!!Lack!of!

transporta(on!6%!

!!Child!care!

commitments!1%!!

!!Specialists!and!test!

appointments!5%!

!!Lodging!5%.!
!!To!understand!medical!informa(on!8%!
!!Religious!beliefs!2%!
!!Fear!to!receive!treatment!!1%!
!!Lack!of!caregivers!2%.!

Conclusions: Vulnerable!popula(on!face!a!spectrum!of!barriers!to!care.!Social!

support,!underinsurance!and!communica(on!with!health!care!providers!are!the!most! important!ones.!Our!results!increase!the!understanding!of!barriers!faced!by!pa(ents!and! how!they!interfere!with!cancer!care!in!Mexico.!The!design!of!interven(ons!to!address! barriers!using!innova(ve!strategies!is!necessary!to!improve!quality!cancer!care!.! 70%" 13%" 17%"