Feasibility of an environmental scan-based approach to collecting information about factors impacting cancer genetics services in Latin American countries.

Autor: Bednar EM; Cancer Prevention and Control Platform, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. embednar@mdanderson.org.; Clinical Cancer Genetics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. embednar@mdanderson.org., Nitecki Wilke R; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Jorgensen K; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Walsh MT Jr; Cancer Prevention and Control Platform, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Nutt S; Cancer Prevention and Control Platform, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Lu KH; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.; Department of Gynecological Oncology, H. Lee Moffitt Cancer Center, Tampa, Florida, USA., Nóbrega L; Department of Gynecologic Oncology, Barretos Cancer Hospital, Barretos, São Paulo, Brazil., De Souza APSD; Department of Gynecologic Oncology, Barretos Cancer Hospital, Barretos, São Paulo, Brazil., da Silva Oliveira G; Department of Gynecologic Oncology, Barretos Cancer Hospital, Barretos, São Paulo, Brazil., da Cunha Andrade CEM; Department of Gynecologic Oncology, Barretos Cancer Hospital, Barretos, São Paulo, Brazil., Purizaca-Rosillo N; Equipo Funcional de Genética y Biología Molecular, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru., Mora P; Equipo Funcional de Genética y Biología Molecular, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru., López Blanco A; Departamento de Cirugía Ginecológica, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru., Gallardo-Alvarado LN; Clinical Research, Instituto Nacional de Cancerologia, Mexico City, Mexico., Cantú-de León D; Clinical Research, Instituto Nacional de Cancerologia, Mexico City, Mexico., Rauh-Hain JA; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jazyk: angličtina
Zdroj: Journal of community genetics [J Community Genet] 2024 Oct 14. Date of Electronic Publication: 2024 Oct 14.
DOI: 10.1007/s12687-024-00744-5
Abstrakt: Objective: Clinical cancer genetics services are expanding globally, but national policy and health care systems influence availability and implementation. Understanding the environmental factors within a country is required to appropriately implement, adapt, and evaluate cancer genetics service delivery models. An environmental scan (ES) is an approach used in business, public health, health care and other sectors to collect information about an environment or system for strategic decision making and program planning. An ES has been previously used to assess cancer genetics clinic-level factors to inform quality improvement efforts in the United States. We assessed the feasibility of using an ES to collect information about factors that may influence cancer genetics service delivery in the outer-most socio-ecological model environmental levels (policy, national agencies, healthcare systems, cultural considerations) in three Latin American countries.
Methods: Oncology and Genetics care team members at three participating sites used publicly available sources and personal experiences to complete a data collection form (DCF) that included questions about subtopics: laws and policies, relevant agencies and regulations, health care systems and insurance, and cultural considerations. Time to complete the DCF and DCF completeness were used to measure ES feasibility.
Results: Participating sites completed the DCF in 3 months, and most questions (average, 87.0%) were answered. Questions in the cultural considerations subtopic had the fewest answers (average, 77.8%).
Conclusions: Overall, the ES was feasible and identified a lack of published literature related to cultural considerations impacting health care and genetics services uptake in Latin America. Environmental factors impact cancer genetics services, and identification of these factors will facilitate future collaborative research and genetics service delivery dissemination efforts.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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