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Radiation Oncology in India: Challenges and Opportunities.
Grover, Surbhi; Gudi, Shivakumar; Gandhi, Ajeet Kumar; Puri, Priya M; Olson, Adam C; Rodin, Danielle; Balogun, Onyi; Dhillon, Preet K; Sharma, Daya Nand; Rath, Goura Kishor; Shrivastava, Shyam Kishore; Viswanathan, Akila N; Mahantshetty, Umesh.
Afiliación
  • Grover S; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA. Electronic address: Surbhi.grover@uphs.upenn.edu.
  • Gudi S; Tata Memorial Hospital, Mumbai, India.
  • Gandhi AK; Department of Radiation Oncology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
  • Puri PM; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
  • Olson AC; Department of Radiation Oncology, Duke University Medical Center, Durham, NC; Hubert Yeargan Center for Global Health, Duke University, Durham, NC.
  • Rodin D; Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada.
  • Balogun O; Department of Radiation Oncology, Weill Cornell Medical College, NY.
  • Dhillon PK; Public Health Foundation of India, National Capital Region, India.
  • Sharma DN; All India Institute of Medical Sciences, New Delhi, India.
  • Rath GK; All India Institute of Medical Sciences, New Delhi, India.
  • Shrivastava SK; Tata Memorial Hospital, Mumbai, India.
  • Viswanathan AN; Johns Hopkins Radiation Oncology and Molecular Radiation Sciences, Baltimore, MD.
  • Mahantshetty U; Tata Memorial Hospital, Mumbai, India.
Semin Radiat Oncol ; 27(2): 158-163, 2017 04.
Article en En | MEDLINE | ID: mdl-28325242
Rising cancer incidence and mortality in India emphasize the need to address the increasing burden of this disease and the stark inequities in access to radiotherapy and other essential medical treatments. State-of-the-art technology is available within the private sector and a few hospitals in the public sector, but 75% of patients in the public sector in India do not have access to timely radiotherapy. This inequity in access to radiotherapy in the public sector is amplified in rural areas, where most of India׳s population lives. A long-term government commitment to machine purchase and human resource development in the public sector is needed to improve access. A number of innovative initiatives to improve cancer treatment and access have emerged that could support such an investment. These include local production of equipment, twinning programs between institutions in high- and low-income countries to exchange knowledge and expertise, and nongovernmental and state-sponsored schemes to sponsor and support patients in their cancer journey. Strengthening of cancer registries and regulatory bodies with authority to enforce minimum standards is also required to improve care. The more uniform and frequent availability of high-quality radiotherapy can improve cancer outcomes and may be regarded as a marker of a comprehensive and equitable system of health care delivery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Oncología por Radiación / Accesibilidad a los Servicios de Salud / Neoplasias Tipo de estudio: Guideline Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Semin Radiat Oncol Asunto de la revista: NEOPLASIAS / RADIOLOGIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Oncología por Radiación / Accesibilidad a los Servicios de Salud / Neoplasias Tipo de estudio: Guideline Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Semin Radiat Oncol Asunto de la revista: NEOPLASIAS / RADIOLOGIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos