Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review
Abstract Introduction To better understand the SDOH‐health equity landscape within a community oncology setting to answer the research question, “Which SDOH can have the highest impact in community oncology to advance patient care equity and improve health outcomes?” Methods Arksey and O'Malley...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-09-01
|
| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.70160 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1825206480217833472 |
|---|---|
| author | Kayleigh R. Majercak Emily F. Gorman Nicholas J. Robert Barbara Palmer Henry Asante Antwi C. Daniel Mullins |
| author_facet | Kayleigh R. Majercak Emily F. Gorman Nicholas J. Robert Barbara Palmer Henry Asante Antwi C. Daniel Mullins |
| author_sort | Kayleigh R. Majercak |
| collection | DOAJ |
| description | Abstract Introduction To better understand the SDOH‐health equity landscape within a community oncology setting to answer the research question, “Which SDOH can have the highest impact in community oncology to advance patient care equity and improve health outcomes?” Methods Arksey and O'Malley's scoping review framework was used to identify evidence related to SDOH and health equity in community oncology. The study was guided by the “10‐Step Framework for Continuous Patient Engagement” and a Community Advisory Board to assure relevance to patients and community providers. Literature was retrieved from literary databases and oncology organizations' websites. Eligible studies included discussion of SDOH and health equity as outlined by the World Health Organization and Centers for Disease Control and Prevention, respectively, and involved community oncology/cancer care in outpatient settings. Studies were excluded if the SDOH‐health equity relationship was not discussed. Results The review resulted in 61 exploratory and 17 confirmatory “intervention” studies addressing the impact of SDOH on health equity in community oncology settings. The most frequently SDOH‐health equity pairs identified were the SDOH categories, social inclusion and non‐discrimination, income and social protection, and structural conflict, all paired with the health equity category, access to care/treatment. Confirmatory studies focused on income and social protection (SDOH) and access to care/treatment (health equity); the SDOH categories, social inclusion and non‐discrimination and health/general literacy–patient, paired with the health equity category, and adherence/compliance. Conclusions Literature highlights the SDOH and health equity relationship within the realm of oncology. Most studies on SDOH/health inequities in the community oncology setting are exploratory. There is the need to shift from documentation of cancer inequities to implementing solutions. |
| format | Article |
| id | doaj-art-637eb370ece14e32b9c6e32bc2b4457d |
| institution | Kabale University |
| issn | 2045-7634 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj-art-637eb370ece14e32b9c6e32bc2b4457d2025-02-07T09:08:08ZengWileyCancer Medicine2045-76342024-09-011317n/an/a10.1002/cam4.70160Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping reviewKayleigh R. Majercak0Emily F. Gorman1Nicholas J. Robert2Barbara Palmer3Henry Asante Antwi4C. Daniel Mullins5School of Pharmacy University of Maryland Baltimore Baltimore Maryland USAHealth Sciences and Human Services Library University of Maryland Baltimore Baltimore Maryland USAOntada Boston Massachusetts USAThe PATIENTS Program University of Maryland Baltimore Baltimore Maryland USASchool of Pharmacy University of Maryland Baltimore Baltimore Maryland USASchool of Pharmacy University of Maryland Baltimore Baltimore Maryland USAAbstract Introduction To better understand the SDOH‐health equity landscape within a community oncology setting to answer the research question, “Which SDOH can have the highest impact in community oncology to advance patient care equity and improve health outcomes?” Methods Arksey and O'Malley's scoping review framework was used to identify evidence related to SDOH and health equity in community oncology. The study was guided by the “10‐Step Framework for Continuous Patient Engagement” and a Community Advisory Board to assure relevance to patients and community providers. Literature was retrieved from literary databases and oncology organizations' websites. Eligible studies included discussion of SDOH and health equity as outlined by the World Health Organization and Centers for Disease Control and Prevention, respectively, and involved community oncology/cancer care in outpatient settings. Studies were excluded if the SDOH‐health equity relationship was not discussed. Results The review resulted in 61 exploratory and 17 confirmatory “intervention” studies addressing the impact of SDOH on health equity in community oncology settings. The most frequently SDOH‐health equity pairs identified were the SDOH categories, social inclusion and non‐discrimination, income and social protection, and structural conflict, all paired with the health equity category, access to care/treatment. Confirmatory studies focused on income and social protection (SDOH) and access to care/treatment (health equity); the SDOH categories, social inclusion and non‐discrimination and health/general literacy–patient, paired with the health equity category, and adherence/compliance. Conclusions Literature highlights the SDOH and health equity relationship within the realm of oncology. Most studies on SDOH/health inequities in the community oncology setting are exploratory. There is the need to shift from documentation of cancer inequities to implementing solutions.https://doi.org/10.1002/cam4.70160cancercommunity oncologyhealth disparitieshealth equityhealthcare outcomesintersectionality |
| spellingShingle | Kayleigh R. Majercak Emily F. Gorman Nicholas J. Robert Barbara Palmer Henry Asante Antwi C. Daniel Mullins Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review Cancer Medicine cancer community oncology health disparities health equity healthcare outcomes intersectionality |
| title | Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review |
| title_full | Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review |
| title_fullStr | Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review |
| title_full_unstemmed | Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review |
| title_short | Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review |
| title_sort | which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes a scoping review |
| topic | cancer community oncology health disparities health equity healthcare outcomes intersectionality |
| url | https://doi.org/10.1002/cam4.70160 |
| work_keys_str_mv | AT kayleighrmajercak whichsocialdeterminantsofhealthhavethehighestimpactincommunityoncologytoadvancepatientcareequityandimprovehealthoutcomesascopingreview AT emilyfgorman whichsocialdeterminantsofhealthhavethehighestimpactincommunityoncologytoadvancepatientcareequityandimprovehealthoutcomesascopingreview AT nicholasjrobert whichsocialdeterminantsofhealthhavethehighestimpactincommunityoncologytoadvancepatientcareequityandimprovehealthoutcomesascopingreview AT barbarapalmer whichsocialdeterminantsofhealthhavethehighestimpactincommunityoncologytoadvancepatientcareequityandimprovehealthoutcomesascopingreview AT henryasanteantwi whichsocialdeterminantsofhealthhavethehighestimpactincommunityoncologytoadvancepatientcareequityandimprovehealthoutcomesascopingreview AT cdanielmullins whichsocialdeterminantsofhealthhavethehighestimpactincommunityoncologytoadvancepatientcareequityandimprovehealthoutcomesascopingreview |