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Cancer care reform in South Africa: A case for cancer care coordination: A narrative review

Published online by Cambridge University Press:  06 May 2021

Buhle Lubuzo Open the ORCID record for Buhle Lubuzo [Opens in a new window] ,
Khumbulani Hlongwana  and
Themba Ginindza
Buhle Lubuzo*
Affiliation:
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
Khumbulani Hlongwana
Affiliation:
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
Themba Ginindza
Affiliation:
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
*
Author for correspondence: Buhle Lubuzo, Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban4041, South Africa. E-mail: LubuzoB@ukzn.ac.za
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Abstract

Objective

This review provides an overview of the existing literature on the importance of care coordination for lung cancer care and other cancers in general. The review is inclusive of the burden of cancer, with a special reference to lung cancer, as well as challenges and achievements relating to cancer care coordination.

Method

We conducted a search of online databases of peer-reviewed studies published in the English language. The analysis for this review has been packaged into themes in order to generate results that can inform researchers and cancer health professionals, on the existing gaps necessary for developing appropriate intervention strategies and policy guidelines.

Results

Cancer is a complex condition that often requires multiple interventions provided by a variety of health professionals within the healthcare continuum. This paper reviewed research studies that explored the supportive care needs of cancer patients. The results are presented in three superordinate themes, namely (a) cancer as a healthcare priority in South Africa (SA), (b) making a case for coordinated cancer care in SA, and (c) care coordination: a poorly defined, yet complex concept. One major need identified was the requirement of informational support. Other essential needs included referral, emotional, and financial support.

Significance of results

The identification of current obstacles has the potential to guide the development of a model to improve quality coordinated cancer health care. It remains that limited research exists around cancer services and cancer care in the South African region. This narrative review identified common elements and barriers to care for lung cancer patients and survivors, and offers recommendations for developing clinical care models.

Keywords

Cancer careCoordinationLung cancerNarrative reviewSouth Africa
Type
Review Article
Information
Palliative & Supportive Care , Volume 20 , Issue 1 , February 2022 , pp. 129 - 137
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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