New paper on cross-level coordination during cancer diagnosis in Chile, Colombia, and Ecuador
The Pan American Journal of Public Health has published the paper Healthcare stakeholders’ perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador that analyses the results of qualitative study of the base line of EquityCancer-LA. It explored the cross-level care coordination during cancer diagnosis from the perspective of healthcare stakeholders in the study networks of Chile, Colombia, and Ecuador. Semi-structured interviews were conducted with a sample of primary and secondary/tertiary care professionals, managers and policy makers.
The results, based on thematic analysis, reveal an overall perception of poor cross-level coordination during cancer diagnosis. Coordination is impeded by several common barriers but also with differences across countries: such as lack of unified clinical records, inadequate skills and training, insufficient diagnostic equipment, a scarcity of doctors in Chile and Colombia, and poor working conditions and insurance companies’ authorization procedures and health service purchasing in Colombia. The results also reveal how healthcare stakeholders respond to these barriers, including the adoption of informal communication strategies.
In conclusion, the results offered insights into how cancer care coordination unfolds in practice and how barriers are addressed in the study networks of all three countries. They highlight the urgent need to introduce strategies to improve care coordination during cancer diagnosis, such as improving professionals diagnostic capacity or the introduction of coordination mechanisms (improved referral pathways, and shared clinical records).
The article is signed by Olivia Oturai (UCPH), Amparo-Susana Mogollón-Pérez (URosario), Pamela Eguiguren (UChile), Ana-Lucía Torres Castillo (PUCE), Alejandro Andrés Peralta-Chiriboga (PUCE), Maria Rubio-Valera (FSJD), Sónia Dias (UNL), and Signe S. Jervelund (UCPH).
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