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Implementing and Sustaining Early Cancer Diagnosis Initiatives in Canada: An Exploratory Qualitative Study.

Christine Fahim1, Larkin Davenport Huyer1, Tom Taehoon Lee1

  • 1Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health, Toronto, ON M5B 1W8, Canada.

Current Oncology (Toronto, Ont.)
|December 13, 2021
PubMed
Summary

Implementing early cancer diagnosis initiatives in Canada faces challenges like limited resources and stakeholder buy-in. Addressing these barriers is key to improving timely cancer detection for symptomatic patients.

Keywords:
cancer diagnosisearly cancer diagnosis initiativesevaluationhealth services researchimplementation

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Area of Science:

  • Oncology
  • Health Services Research
  • Qualitative Research

Background:

  • Fragmented care pathways between suspected cancer and diagnosis delay patient care.
  • Symptomatic patients experience increased stress due to prolonged diagnosis intervals.
  • Optimizing early cancer diagnosis is crucial for improving patient outcomes.

Purpose of the Study:

  • To explore barriers and facilitators for implementing and sustaining early cancer diagnosis initiatives in Canada.
  • To identify opportunities for enhancing the effectiveness of cancer diagnostic pathways.
  • To provide insights for policymakers and funders to optimize early diagnosis programs.

Main Methods:

  • An exploratory qualitative study design was employed.
  • Data collection involved a document review and key informant interviews with 22 participants across eight provinces.
  • Descriptive statistics and thematic analysis were used for data analysis.

Main Results:

  • Seventeen early cancer diagnosis initiatives were reported, with 88% in early implementation phases.
  • Key barriers included lack of stakeholder buy-in and limited resources.
  • Facilitators and opportunities for improvement were identified, including stakeholder engagement and tailored approaches for diverse populations.

Conclusions:

  • Early cancer diagnosis initiatives in Canada are nascent and face sustainability challenges.
  • Addressing barriers like resource limitations and stakeholder engagement is vital.
  • Recommendations are provided for optimizing the impact of these initiatives through strategic planning and policy.