Global Workforce and Access: Demand, Education, Quality.

Autor: Grover S; Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Botswana-University of Pennsylvania Partnership, Gaborone, Botswana. Electronic address: Surbhi.Grover@pennmedicine.upenn.edu., Court L; Department of Radiation Physics, The University of Texas MD Anderson Cancer Center., Amoo-Mitchual S; Botswana-University of Pennsylvania Partnership, Gaborone, Botswana; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA., Longo J; Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI., Rodin D; Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada; Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada; Global Cancer Program, Princess Margaret Cancer Centre, Toronto, ON, Canada., Scott AA; Korle Bu Teaching Hospital, Accra, Ghana., Lievens Y; Department of Radiation Oncology, Ghent University Hospital, Belgium; Ghent University, Ghent, Belgium., Yap ML; Liverpool and Macarthur Cancer Therapy Centres, Western Sydney University, Campbelltown, New South Wales, Australia; The George Institute for Global Health, UNSW Sydney, Barangaroo, NSW, Australia; Collaboration for Cancer Outcomes, Research and Evaluation (CCORE), Ingham Institute, UNSW Sydney, Liverpool, NSW, Australia., Abdel-Wahab M; Division of Human Health, International Atomic Energy Agency, Vienna, Austria., Lee P; Division of Human Health, International Atomic Energy Agency, Vienna, Austria., Harsdorf E; Division of Human Health, International Atomic Energy Agency, Vienna, Austria., Khader J; Radiation Oncology Department, King Hussein Cancer Center, Amman, Jordan., Jia X; Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, MD., Dosanjh M; ICEC, CERN, Geneva, Switzerland; University of Oxford, Oxford, UK., Elzawawy A; Department of Clinical Oncology, Suez Canal University, Ismailia, Egypt; Alsoliman Clinical and Radiation Oncology Center, Port Said, Egypt., Ige T; University of Abuja, Abuja. Nigeria., Pomper M; James Martin Center for Nonproliferation Studies, Washington, DC; ICEC, International Cancer Expert Corps, Washington, DC., Pistenmaa D; ICEC, International Cancer Expert Corps, Washington, DC., Hardenbergh P; Department of Radiation Oncology, Vail Health, Edwards, CO., Petereit DG; Monument Health Cancer Care Institute Rapid City, South Dakota; Avera Research Institute, Sioux Falls, SD., Sargent M; Avera Research Institute, Sioux Falls, SD., Cina K; Avera Research Institute, Sioux Falls, SD., Li B; University of Washington, Seattle, WA; Fred Hutch Cancer Center, Seattle, WA., Anacak Y; Department of Radiation Oncology, Ege University, Faculty of Medicine, Izmir, Turkey., Mayo C; Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan., Prattipati S; Chobanian & Avedisian School of Medicine, Boston University, Boston, MA., Lasebikan N; Department of Radiation and Clinical Oncology, University of Nigeria Teaching Hospital, Enugu, Nigeria., Rendle K; Department of Family Medicine & Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia., O'Brien D; ICEC, International Cancer Expert Corps, Washington, DC., Wendling E; ICEC, International Cancer Expert Corps, Washington, DC., Coleman CN; ICEC, International Cancer Expert Corps, Washington, DC; Radiation Research Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Jazyk: angličtina
Zdroj: Seminars in radiation oncology [Semin Radiat Oncol] 2024 Oct; Vol. 34 (4), pp. 477-493.
DOI: 10.1016/j.semradonc.2024.07.003
Abstrakt: There has long existed a substantial disparity in access to radiotherapy globally. This issue has only been exacerbated as the growing disparity of cancer incidence between high-income countries (HIC) and low and middle-income countries (LMICs) widens, with a pronounced increase in cancer cases in LMICs. Even within HICs, iniquities within local communities may lead to a lack of access to care. Due to these trends, it is imperative to find solutions to narrow global disparities. This requires the engagement of a diverse cohort of stakeholders, including working professionals, non-governmental organizations, nonprofits, professional societies, academic and training institutions, and industry. This review brings together a diverse group of experts to highlight critical areas that could help reduce the current global disparities in radiation oncology. Advancements in technology and treatment, such as artificial intelligence, brachytherapy, hypofractionation, and digital networks, in combination with implementation science and novel funding mechanisms, offer means for increasing access to care and education globally. Common themes across sections reveal how utilizing these new innovations and strengthening collaborative efforts among stakeholders can help improve access to care globally while setting the framework for the next generation of innovations.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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