“Healthcare should be the same for everyone”: perceived inequities in therapeutic trajectories of adult patients with lung cancer in Chile, a qualitative study
Journal
Frontiers in Public Health
ISSN
2296-2565
Date Issued
2023
Author(s)
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<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>
Cite this document
Campaña, C., Cabieses, B., Obach, A., & Vezzani, F. (2023). “Healthcare should be the same for everyone”: Perceived inequities in therapeutic trajectories of adult patients with lung cancer in Chile, a qualitative study. Frontiers in Public Health, 11, 1228304. https://doi.org/10.3389/fpubh.2023.1228304
Subjects
inequity
;
lung cancer
;
social determinants of health
;
therapeutic trajectory
;
voice of patients
;
adult
;
chile
;
delivery of health care
;
educational status
;
female
;
humans
;
lung neoplasms
;
qualitative research
;
adult
;
chile
;
educational status
;
female
;
health care delivery
;
human
;
lung tumor
;
qualitative research