Health and healthcare equity within the Canadian cancer care sector: a rapid scoping review

International Journal for Equity in Health

Review

Tara C. Horrill¹  Shannon Cheng²  Scott M. Beck³  Leah K. Lambert⁴  Jagbir Kaur⁴  Amber Bourgeois⁵  Michael McKenzie⁶  Annette J. Browne⁷  Sally Thorne⁷  A. Fuchsia Howard⁷  Kelli I. Stajduhar⁸ 

[1] College of Nursing, University of Manitoba, Winnipeg, Canada;Library Services, BC Cancer, Vancouver, Canada;Nursing and Allied Health Research and Knowledge Translation, BC Cancer, Suite 500, 686 West Broadway, V5Z 1G1, Vancouver, BC, Canada;Nursing and Allied Health Research and Knowledge Translation, BC Cancer, Suite 500, 686 West Broadway, V5Z 1G1, Vancouver, BC, Canada;School of Nursing, University of British Columbia, Vancouver, Canada;Nursing and Allied Health Research and Knowledge Translation, BC Cancer, Suite 500, 686 West Broadway, V5Z 1G1, Vancouver, BC, Canada;School of Nursing, University of Victoria, Victoria, Canada;Radiation Therapy Program, BC Cancer, Vancouver, Canada;Division of Radiation Oncology and Developmental Radiotherapeutics, University of British Columbia, Vancouver, Canada;School of Nursing, University of British Columbia, Vancouver, Canada;School of Nursing, University of Victoria, Victoria, Canada;

关键词: Health equity;    Healthcare accessibility;    Cancer;    Oncology;    Health systems research;    Health services research;    Marginalized populations;    Scoping review;   

DOI  :  10.1186/s12939-023-01829-2

 received in 2022-08-29, accepted in 2023-01-11,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDespite a publicly-funded healthcare system, alarming cancer-related health and healthcare inequities persist in Canada. However, it remains unclear how equity is being understood and taken up within the Canadian cancer context. Our objective was to identify how health and healthcare equity are being discussed as goals or aims within the cancer care sector in Canada.MethodsA rapid scoping review was conducted; five biomedical databases, 30 multidisciplinary websites, and Google were searched. We included English-language documents published between 2008 and 2021 that discussed health or healthcare equity in the Canadian cancer context.ResultsOf 3860 identified documents, 83 were included for full-text analysis. The prevalence of published and grey equity-oriented literature has increased over time (2008-2014 [n = 20]; 2015-2021 [n = 62]). Only 25% of documents (n = 21) included a definition of health equity. Concepts such as inequity, inequality and disparity were frequently used interchangeably, resulting in conceptual muddling. Only 43% of documents (n = 36) included an explicit health equity goal. Although a suite of actions were described across the cancer control continuum to address equity goals, most were framed as recommendations rather than direct interventions.ConclusionHealth and healthcare equity is a growing priority in the cancer care sector; however, conceptual clarity is needed to guide the development of robust equity goals, and the development of sustainable, measurable actions that redress inequities across the cancer control continuum. If we are to advance health and healthcare equity in the cancer care sector, a coordinated and integrated approach will be required to enact transformative and meaningful change.

【 授权许可】

CC BY   
© The Author(s) 2023

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