Global unmet psychosocial needs in cancer care: health policy.
Autor: | Bergerot C; Oncoclinicas&Co - Medica Scientia Innovation Research (MEDSIR), Sao Paulo, Brazil., Jacobsen PB; Department of Psychology, University of South Florida, Tampa, FL, USA., Rosa WE; Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Lam WWT; LKS Faculty of Medicine, School of Public Health, Centre for Psycho-Oncology Research and Training, The University of Hong Kong, Hong Kong, Hong Kong SAR, China., Dunn J; Centre for Health Research University of Southern Queensland, Australia., Fernández-González L; Instituto Oncológico Fundación Arturo López Pérez, Santiago, Chile., Mehnert-Theuerkauf A; Department of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center Leipzig, Leipzig, Germany., Veeraiah S; Department of Psycho-Oncology & Resource Centre for Tobacco Control. Cancer Institute, Adyar, Chennai, India., Li M; Department of Supportive Care, Princess Margaret Cancer Center, University of Toronto, Toronto, Canada. |
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Jazyk: | angličtina |
Zdroj: | EClinicalMedicine [EClinicalMedicine] 2024 Nov 16; Vol. 78, pp. 102942. Date of Electronic Publication: 2024 Nov 16 (Print Publication: 2024). |
DOI: | 10.1016/j.eclinm.2024.102942 |
Abstrakt: | Preventable psychosocial suffering is an unmet need in patients with cancer around the world, significantly compromising quality of life and impairing cancer health outcomes. This narrative review overviews the global prevalence of emotional distress and cancer-related needs and the access barriers to psychosocial care. The COVID-19 pandemic has served only to amplify the need for psychosocial care, exacerbating the inadequacy of available psychosocial resources, particularly in low- and middle-income countries. Proposed solutions include implementing routine screening for emotional distress, addressing stigma related to mental health needs, and increased attention to the psychosocial dimensions of cancer care in oncology training and interprofessional models of care. There is an urgent need to address health policy issues such as resource allocation in cancer control plans and to embrace technological innovation in order to fill the universal gaps to providing more equitable psychosocial cancer care. Funding: None. Competing Interests: WR has grant funding from the NCI/NIH Comprehensive Cancer Center and Robert Wood Johnson Foundation Harold Amos Medical Faculty Development Program. WL is the President of the International Psycho-oncology Society. ML the Medical Director for the Canadian Association of Psychosocial Oncology and has received travel support from the Lancet Oncology Commission on the Human Crisis of Cancer.1 All other authors declare no competing interests. (© 2024 The Author(s).) |
Databáze: | MEDLINE |
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