Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4001, South Africa.
Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa.
Int J Environ Res Public Health. 2022 Jun 28;19(13):7906. doi: 10.3390/ijerph19137906.
The coordination of cancer care among multiple providers is vital to improve care quality and ensure desirable health outcomes across the cancer continuum, yet evidence is scarce of this being optimally achieved in low- and middle-income countries (LMICs).
Through this scoping review, our objective was to understand the scope of cancer care coordination interventions and services employed in LMICs, in order to synthesise the existing evidence and identify key models and their elements used to manage and/or improve cancer care coordination in these settings.
A detailed search strategy was conducted, aligned with the framework of Arksey and O'Malley. Articles were examined for evidence of coordination interventions used in cancer care in LMICs. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension Guidelines for Scoping Reviews, which included a checklist and explanation. The PRISMA flow diagram was utilised to report the screening of results. Data were extracted, categorised and coded to allow for a thematic analysis of the results.
Fourteen studies reported on coordination interventions in cancer care in LMICs. All studies reported a positive impact of cancer coordination interventions on the primary outcome measured. Most studies reported on a patient navigation model at different points along the cancer care continuum.
An evidence-based and culturally sensitive plan of care that aims to promote coordinated and efficient multidisciplinary care for patients with suspicion or diagnosis of cancer in LMICs is feasible and might improve the quality of care and efficiency.
在多提供者之间协调癌症护理对于改善护理质量和确保癌症连续体中的理想健康结果至关重要，但在中低收入国家（LMICs）中，证据表明这一点尚未得到最佳实现。
通过本次范围综述，我们的目的是了解在 LMICs 中使用的癌症护理协调干预措施和服务的范围，以便综合现有证据并确定用于管理和/或改善这些环境中的癌症护理协调的关键模型及其要素。
我们采用了与 Arksey 和 O'Malley 框架一致的详细搜索策略。文章被检查了在 LMICs 中用于癌症护理的协调干预措施的证据。我们遵循了用于范围综述的系统评价和荟萃分析（PRISMA）扩展指南的优先报告项目，其中包括检查表和说明。利用 PRISMA 流程图报告结果筛选。提取、分类和编码数据，以便对结果进行主题分析。
有 14 项研究报告了 LMICs 中癌症护理协调干预措施。所有研究都报告了癌症协调干预措施对主要测量结果的积极影响。大多数研究报告了在癌症护理连续体的不同点上的患者导航模型。
在 LMICs 中，针对疑似或诊断为癌症的患者，制定基于证据和文化敏感的护理计划，旨在促进协调和高效的多学科护理是可行的，并且可能提高护理质量和效率。
