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Why Cancer Care Systems are Insufficient for People with Disabilities? A Middle Eastern Perspective
Mohammad Amin Akbarzadeh1, Hossein Jabbari Beyrami2, Alireza Rahimi-Mamaghani3
1Research Center for Evidence-Based Medicine, Iranian EBM Center: A JBI Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran; Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Seminars in Oncology Nursing
|April 22, 2025
Summary
People with disabilities in the Middle East face significant barriers to equitable cancer care due to physical, personal, and healthcare system challenges. Addressing these requires multisectoral collaboration and policy reform for inclusive oncology services.
Area of Science:
- Health Services Research
- Oncology
- Disability Studies
Background:
- Cancer care systems in the Middle East present substantial challenges, disproportionately affecting people with disabilities.
- Existing oncology advancements often overlook the specific needs of individuals with disabilities in the region.
- This study critically examines the drawbacks and challenges within Middle Eastern cancer care for people with disabilities.
Purpose of the Study:
- To identify and analyze the barriers hindering equitable cancer care for people with disabilities in the Middle East.
- To provide actionable recommendations for improving the quality of cancer care for this vulnerable population.
- To inform policy and practice for more inclusive healthcare strategies in oncology.
Main Methods:
- A critical discussion based on current literature, policy documents, and expert opinions.
- Utilized a conceptual framework derived from the Model of Healthcare Disparities and Disability.
- Analysis focused on environmental, personal, and healthcare access factors.
Main Results:
- Significant healthcare accessibility inadequacies were identified, including physical infrastructure barriers and a lack of disability-sensitive services and training.
- Personal factors like low health literacy and sociocultural stigmas exacerbate access issues, particularly for women.
- Environmental factors such as financial difficulties and policy gaps impede the implementation of inclusive cancer care strategies.
Conclusions:
- A coordinated, multisectoral approach is essential to overcome cancer care barriers for people with disabilities in the Middle East.
- Recommendations include policy reforms for accessibility standards, infrastructure investment, financial support expansion, and integrated disability-sensitive training in medical education.
- Nurses play a crucial role in advocating for and providing disability-sensitive, equitable cancer care through specialized training and promoting accessibility.
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