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Review

Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review

by
Buhle Lubuzo
1,2,*,
Khumbulani W. Hlongwana
1,2,
Mbuzeleni Hlongwa
1,3 and
Themba G. Ginindza
1,2
1
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4001, South Africa
2
Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa
3
Burden of Disease Research Unit, South African Medical Research Council, Cape Town 7505, South Africa
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(13), 7906; https://doi.org/10.3390/ijerph19137906
Submission received: 19 May 2022 / Revised: 20 June 2022 / Accepted: 21 June 2022 / Published: 28 June 2022
(This article belongs to the Special Issue Cancer Care: Challenges and Opportunities)

Abstract

Background: 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). Objective: 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. Methods: 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. 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. Conclusions: 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.
Keywords: care coordination; cancer care management; fragmented care; LMICs; review care coordination; cancer care management; fragmented care; LMICs; review

Share and Cite

MDPI and ACS Style

Lubuzo, B.; Hlongwana, K.W.; Hlongwa, M.; Ginindza, T.G. Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review. Int. J. Environ. Res. Public Health 2022, 19, 7906. https://doi.org/10.3390/ijerph19137906

AMA Style

Lubuzo B, Hlongwana KW, Hlongwa M, Ginindza TG. Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review. International Journal of Environmental Research and Public Health. 2022; 19(13):7906. https://doi.org/10.3390/ijerph19137906

Chicago/Turabian Style

Lubuzo, Buhle, Khumbulani W. Hlongwana, Mbuzeleni Hlongwa, and Themba G. Ginindza. 2022. "Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review" International Journal of Environmental Research and Public Health 19, no. 13: 7906. https://doi.org/10.3390/ijerph19137906

APA Style

Lubuzo, B., Hlongwana, K. W., Hlongwa, M., & Ginindza, T. G. (2022). Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review. International Journal of Environmental Research and Public Health, 19(13), 7906. https://doi.org/10.3390/ijerph19137906

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