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Exploring Barriers and Inequalities in Access to Comprehensive Care for Pediatric Oncology Patients: A Systematic

Aycan Kucukkaya1, Polat Goktas2, Remziye Semerci Şahin3

  • 1Istanbul University-Cerrahpasa, Institute of Graduate Studies, Istanbul, Turkey.

Seminars in Oncology Nursing
|April 1, 2025
PubMed

Insights

Access to pediatric oncology care is hindered by infrastructure, workforce, and financial barriers. Socioeconomic, geographic, and racial inequities worsen outcomes, requiring systemic, patient-centered solutions for equitable healthcare.

Area of Science:

  • Pediatric Oncology
  • Health Services Research
  • Health Equity

Background:

  • Inequities in healthcare access significantly impact pediatric oncology patients.
  • Comprehensive care is crucial for managing complex pediatric cancer cases.

Purpose of the Study:

  • To systematically review and synthesize research on barriers and inequalities in accessing comprehensive care for pediatric oncology patients.
  • To identify factors contributing to disparities in pediatric cancer care.

Main Methods:

  • A systematic literature search was conducted across five major databases (PubMed, Scopus, Web of Science, CINAHL, APA PsycINFO) up to December 2024.
  • The review adhered to PRISMA guidelines, and study quality was assessed using established criteria.

Main Results:

  • Key barriers include inadequate infrastructure, workforce shortages, and financial constraints.
  • Socioeconomic, geographic, racial, and ethnic disparities exacerbate access challenges, leading to worse patient outcomes.
  • Lower income, cross-border residency, clinical trial underrepresentation, and insufficient training contribute to inequities.

Conclusions:

  • Complex, multifaceted barriers affect equitable access to pediatric oncology care.
  • Interconnected social, economic, and systemic factors drive disparities.
  • A comprehensive, structural, and patient-centered approach is essential for promoting equitable healthcare access.
Abstract

Keywords:
BarriersCareHealth equityPediatric oncology

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