Proposal for development of a guideline in maintaining quality cancer care during and post-COVID-19 in an upper middle-income country with universal health coverage

Teoh, Soo-Peng and Bustamam, Ros Suzanna and Mustapha, Feisul Idzwan and Yip, Cheng-Har and Saad, Marniza and Somasundaram, Saunthari and Ramli, Puteri Norliza Megat and Farid, Nik Daliana Nik and Bhoo-Pathy, Nirmala (2021) Proposal for development of a guideline in maintaining quality cancer care during and post-COVID-19 in an upper middle-income country with universal health coverage. Journal of Cancer Policy, 30. ISSN 2213-5383, DOI https://doi.org/10.1016/j.jcpo.2021.100300.

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Abstract

During periods of high community transmission of COVID-19, the public hospitals in Malaysia, an upper middle-income country, have been forced to scale down elective surgeries, prioritize cancer treatments based on treatment benefits, and postpone non-emergency imaging procedures. These inevitably led to disruptions in cancer care delivery within the public health care system. This study aims to explore the facilitators and barriers faced by healthcare providers and cancer survivors in cancer care, and to co-design a guideline to maintain the delivery of cancer care amid the disaster situations. Method: In-depth interviews (IDIs) will be conducted with Malaysian healthcare providers and cancer survivors and findings will be analysed thematically. The insights will be used in a subsequent phase to co-design a guideline to maintain the delivery of quality cancer care in Malaysia via a three-round modified Delphi survey with a broad range of cancer stakeholders. Expected results: Findings derived from IDIs and existing literature will be included for rating across three rounds by the expert panel. Feedback provided will be refined until consensus on the best practises for cancer care continuity during crises is achieved. Conclusion: The output of the present study is not only expected to ensure the continuity of delivery of highquality cancer care in Malaysia during the ongoing pandemic but also to be adapted during unforeseen crises in the near future. Policy summary statement: Collaborative work between policy makers, public health physicians, members of the multidisciplinary oncology team as well as cancer survivors is vital in developing an evidenced- based contingency plan for maintaining access to cancer care.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Cancer care;COVID-19;Upper middle-income country;Guideline
Subjects: R Medicine
R Medicine > RC Internal medicine
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 08 Sep 2022 04:10
Last Modified: 08 Sep 2022 04:10
URI: http://eprints.um.edu.my/id/eprint/35000

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