BC Cancer Vancouver, Vancouver, BC V5Z 4E6, Canada.
Department of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Curr Oncol. 2023 Aug 1;30(8):7263-7274. doi: 10.3390/curroncol30080527.
Recent exciting advances in the diagnosis and management of breast cancer have improved outcomes for Canadians diagnosed and living with breast cancer. However, the reach of this progress has been uneven; disparities in accessing care across Canada are increasingly being recognized and are at risk of broadening. Members of racial minority groups, economically disadvantaged individuals, or those who live in rural or remote communities have consistently been shown to experience greater challenges in accessing 'state of the art' cancer care. The Canadian context also presents unique challenges-vast geography and provincial jurisdiction of the delivery of cancer care and drug funding create significant interprovincial differences in the patient experience. In this commentary, we review the core concepts of health equity, barriers to equitable delivery of breast cancer care, populations at risk, and recommendations for the advancement of health equity in the Canadian cancer system.
近年来，乳腺癌的诊断和治疗方面取得了令人振奋的进展，改善了加拿大乳腺癌患者的预后。然而，这一进展的覆盖面并不均衡；在加拿大，人们越来越认识到在获得护理方面存在差异，而且这种差异有可能进一步扩大。一直以来，少数族裔群体成员、经济弱势群体成员或居住在农村或偏远社区的人在获得“最先进”癌症护理方面都面临着更大的挑战。加拿大的情况也带来了独特的挑战——广阔的地理范围和癌症护理及药物资金的省级管辖权，导致患者体验在各省内存在显著差异。在这篇评论中，我们回顾了卫生公平的核心概念、乳腺癌护理公平提供的障碍、面临风险的人群，以及在加拿大癌症系统中推进卫生公平的建议。
