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Tears, Suffering and System Failure: What My Father's Pain Revealed About the Canadian Healthcare System
1Assistant Professor, Faculty of Nursing, University of Windsor, Windsor, ON.
Background:
Despite universal healthcare, Canadian cancer patients continue to face preventable suffering linked to diagnostic delays, fragmented care and unmet symptom needs.
Objective:
To analyze one patient's cancer journey through established quality frameworks and translate findings into evidence-informed policy reforms.
Methods:
A narrative of advanced cancer care was examined using five intersecting frameworks: (1) high-reliability organizations; (2) patient-centred care; (3) value-based care; (4) quality improvement; and (5) systems thinking. These frameworks were applied to identify system-level failures and policy gaps.
Results:
Analysis revealed system failures linked to diagnosis communication, care coordination, symptom response and access.
Conclusions:
Four reforms are proposed to strengthen reliability and compassion in cancer care by treating suffering as a clinical emergency.
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