دورية أكاديمية
أعرض في EDS

Resilient health care in global pediatric oncology during the COVID-19 pandemic.

التفاصيل البيبلوغرافية
العنوان: Resilient health care in global pediatric oncology during the COVID-19 pandemic.
المؤلفون: Graetz DE; St. Jude Children's Research Hospital, Memphis, Tennessee., Sniderman E; St. Jude Children's Research Hospital, Memphis, Tennessee., Villegas CA; St. Jude Children's Research Hospital, Memphis, Tennessee., Kaye EC; St. Jude Children's Research Hospital, Memphis, Tennessee., Ragab I; Hematology-Oncology Unit, Ain Shams University, Children's Hospital, Cairo, Egypt., Laptsevich A; Belarusian Research Center for Pediatric Oncology Hematology and Immunology, Minsk, Belarus., Maliti B; Cancer Diseases Hospital, Lusaka, Zambia., Naidu G; Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa., Huang H; Guangzhou Women and Children's Medical Center, Guangzhou, China., Gassant PY; Hospital Saint-Damien, Port-au-Prince, Haiti., Nunes Silva L; Hospital Martagao Gesteira, Salvador, Brazil., Arce D; Hospital Pediatrico de Sinaloa, Culiacan, Mexico., Montoya Vasquez J; Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru., Arora RS; Max Super Specialty Hospital, New Delhi, India., Alcasabas AP; University of the Philippines, Philippine General Hospital, Manila, Philippines., Rusmawatiningtyas D; Sardjito General Hospital, Yogyakarta, Indonesia., Raza MR; The Indus Hospital, Karachi, Pakistan., Velasco P; Pediatric Oncology and Hematology Department, Vall d'Hebron Hospital, Barcelona, Spain., Kambugu J; Uganda Cancer Institute, Kampala, Uganda., Vinitsky A; St. Jude Children's Research Hospital, Memphis, Tennessee., Rodriguez-Galindo C; St. Jude Children's Research Hospital, Memphis, Tennessee., Agulnik A; St. Jude Children's Research Hospital, Memphis, Tennessee., Moreira DC; St. Jude Children's Research Hospital, Memphis, Tennessee.
مؤلفون مشاركون: COVIMPACT Study Group
المصدر: Cancer [Cancer] 2022 Feb 15; Vol. 128 (4), pp. 797-807. Date of Electronic Publication: 2021 Nov 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 0374236 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0142 (Electronic) Linking ISSN: 0008543X NLM ISO Abbreviation: Cancer Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005- >: Hoboken, NJ : Wiley
Original Publication: New York [etc.] Published for the American Cancer Society by J. Wiley [etc.]
مواضيع طبية MeSH: COVID-19* , Neoplasms*/epidemiology , Neoplasms*/therapy, Child ; Delivery of Health Care ; Humans ; Pandemics ; SARS-CoV-2
مستخلص: Background: In the face of unprecedented challenges because of coronavirus disease 2019, interdisciplinary pediatric oncology teams have developed strategies to continue providing high-quality cancer care. This study explored factors contributing to health care resilience as perceived by childhood cancer providers in all resource level settings.
Methods: This qualitative study consisted of 19 focus groups conducted in 16 countries in 8 languages. Seven factors have been previously defined as important for resilient health care including: 1) in situ practical experience, 2) system design, 3) exposure to diverse views on the patient's situation, 4) protocols and checklists, 5) teamwork, 6) workarounds, and 7) trade-offs. Rapid turn-around analysis focused on these factors.
Results: All factors of health care resilience were relevant to groups representing all resource settings. Focus group participants emphasized the importance of teamwork and a flexible and coordinated approach to care. Participants described collaboration within and among institutions, as well as partnerships with governmental, private, and nonprofit organizations. Hierarchies were advantageous to decision-making and information dissemination. Clinicians were inspired by their patients and explained creative trade-offs and workarounds used to maintain high-quality care.
Conclusions: Factors previously described as contributing to resilient health care manifested differently in each institution but were described in all resource settings. These insights can guide pediatric oncology teams worldwide as they provide cancer care during the next phases of the pandemic. Understanding these elements of resilience will also help providers respond to inevitable future stressors on health care systems.
(© 2021 American Cancer Society.)
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معلومات مُعتمدة: American Lebanese Syrian Associated Charities
فهرسة مساهمة: Keywords: COVID-19; global; pediatric oncology; qualitative research
تواريخ الأحداث: Date Created: 20211112 Date Completed: 20220131 Latest Revision: 20221005
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8653316
DOI: 10.1002/cncr.34007
PMID: 34767629
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-0142
DOI:10.1002/cncr.34007