Advancing More Equitable Care Through the Development of a Health Equity Report Card.
J Natl Compr Canc Netw
; 21(2): 117-124.e3, 2023 02.
Article
in En
| MEDLINE
| ID: mdl-36791757
ABSTRACT
The root causes of racial disparities in access to optimal cancer care and related cancer outcomes are complex, multifactorial, and not rooted in biology. Contributing factors to racial disparities in care delivery include implicit and explicit bias, lack of representation of people of color in the oncology care and research workforce, and homogenous research participants that are not representative of the larger community. Systemic and structural barriers include policies leading to lack of insurance and underinsurance, costs of cancer treatment and associated ancillary costs of care, disparate access to clinical trials, and social determinants of health, including exposure to environmental hazards, access to housing, childcare, and economic injustices. To address these issues, ACS CAN, NCCN, and NMQF convened the Elevating Cancer Equity (ECE) initiative. The ECE Working Group developed the Health Equity Report Card (HERC). In this manuscript, we describe the process taken by the ECE Working Group to develop the HERC recommendations, the strategies employed by NCCN to develop an implementation plan and scoring methodology for the HERC, and next steps to pilot the HERC tool in practice settings.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Health Equity
/
Neoplasms
Type of study:
Guideline
/
Prognostic_studies
Aspects:
Determinantes_sociais_saude
/
Equity_inequality
Limits:
Humans
Language:
En
Journal:
J Natl Compr Canc Netw
Journal subject:
NEOPLASIAS
Year:
2023
Document type:
Article