CRIS
Permanent URI for this communityhttps://investigadores.udd.cl/handle/123456789/1
Browse
9 results
Search Results
Now showing 1 - 9 of 9
- Some of the metrics are blocked by yourconsent settings
Item type:Publication, Barriers and opportunities for participation in health policy decision-making by civil society groups organized for cancer in Chile: a qualitative study(Springer Science and Business Media LLC, 2026-03-18) ;Francisca Vezzani ;Antonia Roberts; ; 3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Informal Caregivers in Pediatric and Adolescent Oncology in Chile: Unmet Supportive Care Needs and the Role of Oncology Health Navigators(SAGE Publications, 2026-02) ;Francisca Vezzani ;Antonia Roberts; ; Manuel A. Espinoza<jats:p>Informal caregivers of children and adolescents with cancer, predominantly women, frequently manage complex treatment and care demands with minimal support. This study explores the unmet supportive care needs of informal caregivers of children and adolescents with cancer, as well as their experiences and relationships with oncology health navigators, who have recently been incorporated into the Chilean public healthcare system. A qualitative multiple-case study was employed, with macro-regions (north, center, and south) defined as cases and caregivers as embedded units, selected to capture regional variability in carers’ experiences. Twenty-three in-depth interviews were conducted with female caregivers. Based on conventional content analysis, four unmet supportive care needs were identified: the need for humanized treatment, clear and timely information, adequate psychosocial support, and sufficient social protection. It was also observed that participants’ limited knowledge of the role of oncology health navigators in healthcare services limits the potential of these navigators to reduce inequities. These findings reveal substantial gaps in caregiver support, emphasizing the importance of enhancing oncology health navigator programs and integrating the role of civil society organizations within the care system. Integrating caregivers’ unmet supportive care needs in the design of pediatric oncology services, with a gender perspective, is essential to ensure a more equitable health system.</jats:p>1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Unmet supportive care needs of young women with breast cancer in Chile during follow-up stage after treatment: A qualitative study(Public Library of Science (PLoS), 2025-08-13) ;Francisca Vezzani; ; ;Sonia TorrealbaIderta Carvajal<jats:sec id="sec001"> <jats:title>Background</jats:title> <jats:p>Breast cancer is a significant public health issue, with a rising incidence in young women who have more aggressive tumors and a poorer prognosis. In 2022, breast cancer accounted for 20.8% of all cancers in women in Chile, highlighting the urgent need for targeted research and support for young survivors. This study aims to explore the unmet supportive care needs of these young women during their follow-up period post-treatment, addressing gaps in existing literature and healthcare responses.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Methods</jats:title> <jats:p>Qualitative case study using semi-structured online interviews with 20 women who had a cancer diagnosis under 45 years of age. A thematic content analysis was conducted. Study approved by the Scientific Ethics Committee of the Universidad del Desarrollo, Chile.</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Results</jats:title> <jats:p>Three primary areas of concern and unmet supportive care needs were identified during follow-up period: access to information, rehabilitation and integration, and mental health. These areas are deeply interconnected, and the absence of validation of these young women’s needs leads to a lack of adequate and comprehensive support from health professionals, deepening women’s sense of abandonment by the health system.</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Discussion and conclusion</jats:title> <jats:p>The findings align with international literature, revealing that young women face unique challenges related to their life course. The lack of adequate support from healthcare professionals highlights the need for a multidisciplinary, person- and family-centred approach to care. It should address interlinked needs and advocate the involvement of patient organisations. This would enhance support and education regarding the needs of young women and their overall well-being during recovery process.</jats:p> </jats:sec>Scopus© Citations 3 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Barriers to accessing formal cancer care from the perspective of informal caregivers: a qualitative study(Springer Science and Business Media LLC, 2025-04-21); ; ; ;Francisca VezzaniAngela Estay5 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Exploring the characteristics of cancer-centred civil society organisations in Chile: A qualitative study(Public Library of Science (PLoS), 2025-05-16) ;Antonia Roberts ;Francisca Vezzani; ; In Chile, civil society organisations in health have been historically active in population health and specifically in cancer; they have had an important role in addressing patients’ and families’ necessities. Although they occupy a central role, there is no clarity about who they are, how they are organised, the goals that guide their performance and how they materialize social participation in health. Based on that, this study aimed to explore the characteristics of civil society organisations that work in cancer in Chile and to identify the networks they build with other actors to achieve their goals. Materials and methods Qualitative case study using semi-structured online interviews with organisation representatives, politicians, decision-makers and academics related to cancer in Chile. Content analysis was performed, admitting emerging categories from the participants’ narratives.</jats:p> Results Three main profiles of organisations were identified: (i) Long-established organisations focused on influencing public policy and decision-making in cancer, (ii) Growing organisations focused on informing and supporting families and patients, (iii) Newly established organisations focused on patient well-being, such as sports activities. Relationships between groups and other actors involve perceived benefits like the growth of the organisations and funding for activities. However, perceived barriers and inequities are also identified, mainly lack of financial resources, competition between organisations and insufficient information. Discussion The objectives of civil society organisations in cancer are diverse and reflect multiple ways of practising social participation in health. Tensions generate unequal participation and missed opportunities to promote public health in cancer in Chile. The study highlights the importance of recognising cancer social organisations as essential actors in public health. It is crucial to involve them in formulating and implementing comprehensive responses to maximise the opportunities for progress in this field.4 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Perceived barriers to reaching equity in effective access to diagnosis and treatment for women with breast cancer in Chile(Springer Science and Business Media LLC, 2025-02-05); ; ; Francisca VezzaniScopus© Citations 1 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, “Healthcare should be the same for everyone”: perceived inequities in therapeutic trajectories of adult patients with lung cancer in Chile, a qualitative study(2023); ; ; Francisca Vezzani<jats:sec><jats:title>Background</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Discussion</jats:title><jats:p>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.</jats:p></jats:sec>Scopus© Citations 4 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Perceived barriers and facilitators for adhering to COVID-19 preventive measures in Chile: a qualitative study in three large cities(2023); ; ;Francisca Vezzani ;Consuelo RobledoAlice Blukacz<jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Globally, it has been reported that different social determinants of health -structural, sociodemographic, economic, living conditions and cultural factors- may affect opportunities to adhere to prevention measures against SARS-CoV-2. The objective of this study was to explore the perceptions around barriers and facilitators for adherence to COVID-19 prevention measures among the adult population residing in three large cities in Chile from a social determinants of health perspective.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>Qualitative paradigm, multiple case-study design. Online semi-structured interviews were conducted with men and women aged 18 and over from different socioeconomic groups residing in three large cities. For participant recruitment and selection, purposive contacts were made based on community and social media networks, followed by snowball sampling. Saturation was reached at 61 participants, after which a thematic analysis was carried out with the support of AtlasTi software. The Ethics Committee of the Universidad del Desarrollo in Chile approved this study.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>The main perceived barriers to adherence to COVID-19 preventive measures are linked to structural social determinants of health such as income, occupation, gender, access to basic supplies, and housing. Perceived facilitators are the fear of contagion and the incorporation of measures into daily habits. The social communication of preventive measures by health authorities is perceived as punitive, affecting adherence once the fear of contagion decreased in the country. It is also perceived that the recommended preventive measures are disconnected from communities’ cultural practices and people´s identity, as well as affected by gender inequities and socioeconomic conditions that stakeholders in the country do not sufficiently address.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Study findings suggest that adherence to preventive measures, such as social distancing, mask use, and hand washing, could be promoted through their incorporation into the daily life habits of people and communities. These measures should consider the structural social determinants that generate multiple barriers to adherence, like poverty, occupational risks, and overcrowding. Socio-cultural dimensions of health and everyday risks need further understanding among the different communities in the country, allowing for differences in viewpoints and practices based on gender, age, place, and social identity.</jats:p> </jats:sec>Scopus© Citations 2 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 2Scopus© Citations 4