Evidence map›Paper›PMID 39232788›Full record

ArticleArchives of public health = Archives belges de sante publique2024

Applying a "medical deserts" lens to cancer care services in the North-West region of Romania from 2009 to 2022 - a mixed-methods analysis.

Monica Georgiana Brînzac, Marius Ionuț Ungureanu, Cătălin Ovidiu Baba

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Monica Georgiana BrînzacDepartment of Public Health, Faculty of Political, Administrative, and Communication Sciences, Babeș-Bolyai University, Universitas Building, No. 7 Pandurilor Street 9 Floor, 400095, Cluj-Napoca-Napoca, Romania. monica.brinzac@publichealth.ro.
Marius Ionuț UngureanuDepartment of Public Health, Faculty of Political, Administrative, and Communication Sciences, Babeș-Bolyai University, Universitas Building, No. 7 Pandurilor Street 9 Floor, 400095, Cluj-Napoca-Napoca, Romania.
Cătălin Ovidiu BabaDepartment of Public Health, Faculty of Political, Administrative, and Communication Sciences, Babeș-Bolyai University, Universitas Building, No. 7 Pandurilor Street 9 Floor, 400095, Cluj-Napoca-Napoca, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical deserts pose significant challenges to healthcare systems worldwide, leading to unmet healthcare needs and exacerbated health issues, particularly in underserved regions.

methodsThis study aims to characterise cancer care services in the North-West region of Romania through the lens of medical desertification, employing a mixed-methods approach. Quantitative analysis - descriptive statistics - of secondary data from the Activity of Healthcare Units reports from 2009 to 2022, along with qualitative data - thematic analysis - from interviews with cancer patients and healthcare professionals, were employed to uncover the current state of cancer care in Romania.

resultsThe qualitative analysis highlighted the prevalence of medical deserts in oncology, with inadequate human resources, facility deficiencies, prolonged waiting times, high costs, and socio-cultural barriers hindering access to cancer care. Opportunities for action include revising treatment protocols, enhancing palliative care, implementing prevention strategies, promoting collaboration among healthcare professionals, and digitalising the healthcare system. However, challenges persist, including a shortage of oncology specialists, geographical disparities in cancer prevalence, and limited access to advanced treatment modalities in rural areas.

conclusionsAddressing medical deserts in cancer care requires comprehensive approaches, including strategic resource allocation, workforce development, infrastructure investments, access to innovative treatments, and digital health technologies. Collaboration among policymakers, healthcare providers, and communities is crucial to mitigating medical deserts and improving cancer outcomes. Despite limitations, this study provides valuable insights into cancer care services and underscores the need for concerted efforts to overcome medical desertification and ensure equitable access to high-quality cancer care.

Indexed as

Access to healthcareCancer careHealth systemsHuman resources in healthMedical desertsMixed-methodsOncologyQuality of care

Identifiers

PMID39232788
PMCPMC11375932

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.