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Factors influencing the delivery of cancer pathways: A summary of the literature

Factors influencing the delivery of cancer pathways: A summary of the literature
Factors influencing the delivery of cancer pathways: A summary of the literature
Purpose: Issues on timely access to diagnosis and treatment for cancer patients are still common. Many countries developed cancer care pathways to standardise and improve the outcomes of the services. Despite the existence of the cancer pathways, health services are still struggling to deliver timely cancer care. The study aims to summarise the literature on cancer care pathways at the diagnostic and treatment phases. The objectives are to find factors influencing the delivery of cancer care pathways; to highlight any interrelating factors; to find gaps in the literature concerning areas of research; to summarise the strategies and recommendations implemented in the studies.

Design/methodology/approach: The study used a qualitative approach and developed a causal loop diagram to summarise the current literature on cancer care pathways, from screening and diagnosis to treatment. A total of 46 papers was finally included in the analysis, which highlights the recurring themes in the literature.

Findings: The study highlights the myriad areas of research applied to cancer care pathways. Factors influencing the delivery of cancer pathways were classified into different albeit interrelated themes. These include access barriers to care, hospital emergency admissions, fast track diagnostics, delay in diagnosis, waiting time to treatment, and strategies to increase system efficiency.

Originality/value: As far as the authors know, this is the first study to present a visual representation of the complex relationship between factors influencing the delivery of cancer care pathways.
Access barriers, Cancer care pathways, Diagnostics, Literature review, Qualitative mapping, Treatment
1477-7266
121-139
Brice, Syaribah
699628ba-6555-4bf8-a17d-8c0ee83c6d98
Harper, Paul R
8cba8a2d-4088-4112-abc9-da6100e414b9
Crosby, Tom
82fd6364-ad6d-4e24-bb81-e1868258c4e6
Gartner, Daniel
fbe94ad1-bea5-441c-89aa-c5327e450f4b
Arruda, Edilson F.
8eb3bd83-e883-4bf3-bfbc-7887c5daa911
England, Tracey
8f99b32a-1670-4e20-b6c6-30ae96940ca2
Aspland, Emma
3320c1f8-2e36-4b7c-87b4-59026cce9806
Foley, Kieran
ba5b6b0c-35de-4b9f-8bcf-aafd42603504
Brice, Syaribah
699628ba-6555-4bf8-a17d-8c0ee83c6d98
Harper, Paul R
8cba8a2d-4088-4112-abc9-da6100e414b9
Crosby, Tom
82fd6364-ad6d-4e24-bb81-e1868258c4e6
Gartner, Daniel
fbe94ad1-bea5-441c-89aa-c5327e450f4b
Arruda, Edilson F.
8eb3bd83-e883-4bf3-bfbc-7887c5daa911
England, Tracey
8f99b32a-1670-4e20-b6c6-30ae96940ca2
Aspland, Emma
3320c1f8-2e36-4b7c-87b4-59026cce9806
Foley, Kieran
ba5b6b0c-35de-4b9f-8bcf-aafd42603504

Brice, Syaribah, Harper, Paul R, Crosby, Tom, Gartner, Daniel, Arruda, Edilson F., England, Tracey, Aspland, Emma and Foley, Kieran (2021) Factors influencing the delivery of cancer pathways: A summary of the literature. Journal of Health Organization and Management, 35 (9), 121-139. (doi:10.1108/JHOM-05-2020-0192). (In Press)

Record type: Article

Abstract

Purpose: Issues on timely access to diagnosis and treatment for cancer patients are still common. Many countries developed cancer care pathways to standardise and improve the outcomes of the services. Despite the existence of the cancer pathways, health services are still struggling to deliver timely cancer care. The study aims to summarise the literature on cancer care pathways at the diagnostic and treatment phases. The objectives are to find factors influencing the delivery of cancer care pathways; to highlight any interrelating factors; to find gaps in the literature concerning areas of research; to summarise the strategies and recommendations implemented in the studies.

Design/methodology/approach: The study used a qualitative approach and developed a causal loop diagram to summarise the current literature on cancer care pathways, from screening and diagnosis to treatment. A total of 46 papers was finally included in the analysis, which highlights the recurring themes in the literature.

Findings: The study highlights the myriad areas of research applied to cancer care pathways. Factors influencing the delivery of cancer pathways were classified into different albeit interrelated themes. These include access barriers to care, hospital emergency admissions, fast track diagnostics, delay in diagnosis, waiting time to treatment, and strategies to increase system efficiency.

Originality/value: As far as the authors know, this is the first study to present a visual representation of the complex relationship between factors influencing the delivery of cancer care pathways.

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10-1108_JHOM-05-2020-0192
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10-1108_JHOM-05-2020-0192
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More information

Accepted/In Press date: 27 January 2021
Keywords: Access barriers, Cancer care pathways, Diagnostics, Literature review, Qualitative mapping, Treatment

Identifiers

Local EPrints ID: 446720
URI: http://eprints.soton.ac.uk/id/eprint/446720
ISSN: 1477-7266
PURE UUID: ccc116cc-66fa-4d78-86f0-dfb6ebf067a0
ORCID for Edilson F. Arruda: ORCID iD orcid.org/0000-0002-9835-352X

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Date deposited: 19 Feb 2021 17:30
Last modified: 28 Apr 2022 02:31

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Contributors

Author: Syaribah Brice
Author: Paul R Harper
Author: Tom Crosby
Author: Daniel Gartner
Author: Tracey England
Author: Emma Aspland
Author: Kieran Foley

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