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"Healthcare should be the same for everyone": perceived inequities in therapeutic trajectories of adult patients with lung cancer in Chile, a qualitative study

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dc.contributor.authorCabieses, Báltica
dc.contributor.authorObach, Alexandra
dc.contributor.authorCampaña, Carla
dc.contributor.authorVezzani, Francisca
dc.date.accessioned2024-02-27T19:52:33Z
dc.date.available2024-02-27T19:52:33Z
dc.date.issued2023
dc.description.abstractBackground: Globally, it has been reported that different social determinants of health affect health outcomes in lung cancer (LC). Research on the therapeutic trajectories of patients (TTP) is a novel field for identifying barriers and facilitators in health. The objective of this study was to reveal perceived differences in TTP with LC in Chile according to selected social determinants of health (SDH) and the experiences of patients, health professionals, and civil society leaders. Methods: This is a qualitative paradigm, one case-study design. Online semi-structured interviews were conducted with patients with LC, health professionals, and civil society leaders. The strategies for the recruitment process included social networks, civil society organizations, health professionals, and the snowball technique. A thematic analysis was carried out. Results: Selected SDH impact LC's TTP in Chile, particularly concerning health system access, health services, information, and patient navigation experiences. The analysis of the experiences of the participants allowed us to identify barriers related to the selected SDH in three stages of the TTP: initiation, examinations, and diagnosis and treatment. Individuals with limited education, those residing outside the capital, women, and those in the public health system encountered more barriers throughout their TTP. Discussion: Study findings suggest that being a woman with low education, from the public health system, and not from the capital might represent one of the most powerful intersections for experiencing barriers to effective healthcare in LC in Chile. It is necessary to monitor the TTP from an SDH perspective to guarantee the rights of access, opportunity, quality, and financial protection.
dc.description.versionPublicada
dc.identifier.citationCampaña C, Cabieses B, Obach A, Vezzani F. "Healthcare should be the same for everyone": perceived inequities in therapeutic trajectories of adult patients with lung cancer in Chile, a qualitative study. Front Public Health. 2023 Aug 16;11:1228304. doi: 10.3389/fpubh.2023.1228304
dc.identifier.doihttps://doi.org/10.3389/fpubh.2023.1228304
dc.identifier.urihttps://hdl.handle.net/11447/8436
dc.language.isoen
dc.subjectInequity
dc.subjectLung cancer
dc.subjectSocial determinants of health
dc.subjectTherapeutic trajectory
dc.subjectVoice of patients
dc.title"Healthcare should be the same for everyone": perceived inequities in therapeutic trajectories of adult patients with lung cancer in Chile, a qualitative study
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceFrontiers in public health
dspace.entity.typePublication
relation.isAuthorOfPublication3a282efd-ab86-4038-a2f5-b07ba013fb51
relation.isAuthorOfPublicationc8f522fa-58db-4828-a863-5320824be3c6
relation.isAuthorOfPublication.latestForDiscovery3a282efd-ab86-4038-a2f5-b07ba013fb51

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