Health service provider responses to indigenous peoples with cancer: An integrative review

Eur J Cancer Care (Engl). 2019 Mar;28(2):e12975. doi: 10.1111/ecc.12975. Epub 2018 Dec 9.

Abstract

Indigenous populations around the world have a higher burden of cancer incidence, severity and mortality. This integrative review aims to identify and appraise the evidence of health providers' responses to the issue of indigenous peoples with cancer. A surprisingly small number of studies were found (n = 9) that reported on programmes and interventions for indigenous people with cancer, the majority of which were from the USA. Our review shows that a service delivery approach that is focused on the indigenous population and includes culturally appropriate activities, resources and environments resulted in an increase in cancer knowledge, reduction in treatment interruption, improved access to cancer care and enrolment in clinical cancer trials, and increased satisfaction with health care. However, the question of why there are so few published studies needs further consideration.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Aged
  • Caregivers
  • Delivery of Health Care / standards
  • Health Services, Indigenous / standards*
  • Healthcare Disparities
  • Humans
  • Middle Aged
  • Neoplasms / ethnology
  • Neoplasms / therapy*
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / statistics & numerical data
  • Population Groups
  • Telemedicine
  • Young Adult

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