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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Cancer Vaccines01:30

Cancer Vaccines

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Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
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What is Cancer?02:12

What is Cancer?

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Cells and tissues must meticulously coordinate their activities for the normal functioning of the human body. Therefore, they exhibit socially responsible behavior - resting, growing, dividing, differentiating, or dying - for the organism’s benefit. Cancer arises when cells divide uncontrollably and invade other tissues or organs.
Although people have known about cancer for centuries, it was only in 1761 that Giovanni Morgagni of Padua performed a detailed autopsy of...
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Treatment Resistant Cancers02:56

Treatment Resistant Cancers

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Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Related Experiment Video

Updated: Sep 12, 2025

A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
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Global Cancer Care: An Unfinished Promise.

Saroj Niraula1

  • 1Saroj Niraula (saroj.niraula@bccancer.bc.ca) is a clinical associate professor at the Department of Medicine, University of British Columbia, and a medical oncologist at BC Cancer, in Kelowna, British Columbia, Canada. Pseudonyms, Dr. Anuja and Dr. Aakash, are used to protect the physicians' privacy. To access the authors' disclosures, click on the Details tab of the article online.

Health Affairs (Project Hope)
|August 4, 2025
PubMed
Summary

Global cancer care delivery shows limited progress. True advancement requires a focus on equitable access and sustainable solutions for all patients worldwide.

Keywords:
Donor dependencyGlobal healthGlobal oncologyHealth equityLMICMedical migrationNepalPostcolonial health systems

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Area of Science:

  • Oncology
  • Global Health
  • Health Equity

Background:

  • The current state of global cancer care delivery is critically evaluated.
  • Significant disparities in cancer treatment access persist worldwide.

Purpose of the Study:

  • To reflect on the stagnation in global cancer care progress.
  • To define the essential components of genuine advancement in cancer treatment accessibility.

Main Methods:

  • Qualitative reflection and critical analysis.
  • Review of existing global health and oncology delivery models.

Main Results:

  • Identified a lack of substantial progress in equitable cancer care delivery.
  • Outlined key areas for improvement, emphasizing systemic changes.

Conclusions:

  • Real progress in global cancer care necessitates a shift towards equitable access and sustainable, patient-centered strategies.
  • Urgent need for innovative approaches to overcome barriers in cancer treatment worldwide.