Communication in view of limited resources: international perspective

Low socioeconomic status is associated with several risk factors for cancer, including a higher risk of presentation with advanced and often incurable disease. Treating patients in areas with limited resources requires not only the goal of saving or prolonging life, but also to alleviate suffering, including physical, emotional, and social components. Because complete coverage of all costs for modern cancer management by local institutions or governments is not possible in most (if not all) areas, most patients with cancer have to contribute toward the costs of their treatment. However, the demand for financially sustainable health care leads to restrictions in the spectrum of available treatments and often results in the creation of waiting lists for people requiring treatment. Communication between patients and providers in such circumstances is often challenging, especially when coupled with patients who have limited or no health care insurance and/or lack any ability to pay for services. Ultimately, any treatment plan should take into account the risks, benefits, personal goals, and beliefs of the individual with cancer. In areas of limited resources, the financial burden of treatment placed on the patient and his or her family must also be a part of the conversation and decisions regarding therapy. Within these parameters, sharing information and options becomes an indispensable condition for communication and the foundation of trust in the doctor-patient relationship.