Current Opinion in Oncology
Volume 30, Issue 4, 2018, Pages 205-211

Are we ready for intercultural cancer care? (Review)

Crombez P. , Michiels S.* , Bron D.
  • a Department of Hematology/Oncology, Jules Bordet Institute, Belgium
  • b Department of Hematology/Oncology, Jules Bordet Institute, Belgium, Center for Research in Epidemiology Biostatistics, and Clinical Research, Belgium, Center for Research in Social Approaches to Health, School of Public Health, Brussels Free University (ULB), Brussels, Belgium
  • c Department of Hematology/Oncology, Jules Bordet Institute, Belgium

Abstract

Purpose of review Migration is increasing worldwide, with accumulating evidence of health disparities. At the same time, oncology faces new challenges within a fast-changing care landscape. These two developments raise the question of integration of migrants and ethnic minorities (MEMs) and cultural influences in oncology. Recent findings Perceptions of health and disease differ substantially across and within societies and cultures. However, health needs of MEMs and cultural influences seem often out of the scope of cancer care. The purpose of this thematic review is to consider three major challenges of current and future oncology through the prism of culture and ethnicity: enrollment in cancer clinical trials, therapeutic adherence, and new models and paradigms of care. We found inconsistent literature highlighting gaps in knowledge, research, and clinical practice. This confirms unequal situations for MEMs in cancer and asserts interactions between culture influences and therapeutic transactions. Summary To eliminate the burden of health disparities and ensure the best outcomes in MEM's cancer patients, a collaborative approach from research and clinical practice is necessary. Only robust research from all countries exploring unmet needs of MEMs and striving for functional understanding can inform and innovate clinical practice. © 2018 Wolters Kluwer Health, Inc. All rights reserved.

Author Keywords

culture migrants and ethnic minorities adherence cancer clinical trial enrollment patient-centered care

Index Keywords

Cultural Diversity cancer patient cancer research clinical research cancer center Human Migration neoplasm health disparity Health Status Disparities Neoplasms human ethnic group priority journal clinical practice ethnology procedures knowledge Humans migrant psychology Review standards organization and management patient compliance migration Culturally Competent Care ethnicity transcultural care Healthcare Disparities health care disparity malignant neoplasm

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050205408&doi=10.1097%2fCCO.0000000000000449&partnerID=40&md5=48290d0d3dd52bc954724a1fb6de40c8

DOI: 10.1097/CCO.0000000000000449
ISSN: 10408746
Original Language: English