Equitable access to cancer patient pathways in Norway – a national registry-based study

Abstract Background In 2015, cancer patient pathways (CPP) were implemented in Norway to reduce unnecessary non-medical delay in the diagnostic process and start of treatment. The main aim of this study was to investigate the equality in access to CPPs for patients with either lung, colorectal, brea...

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Autores principales:	Frank Olsen, Bjarne K. Jacobsen, Ivar Heuch, Kjell M. Tveit, Lise Balteskard
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Norway Critical pathways Universal health care Cancer Socioeconomic factors Small-area analysis Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/cc60299836fe42ee95c7f40f3d2df88d
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spelling	oai:doaj.org-article:cc60299836fe42ee95c7f40f3d2df88d2021-11-28T12:07:43ZEquitable access to cancer patient pathways in Norway – a national registry-based study10.1186/s12913-021-07250-11472-6963https://doaj.org/article/cc60299836fe42ee95c7f40f3d2df88d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07250-1https://doaj.org/toc/1472-6963Abstract Background In 2015, cancer patient pathways (CPP) were implemented in Norway to reduce unnecessary non-medical delay in the diagnostic process and start of treatment. The main aim of this study was to investigate the equality in access to CPPs for patients with either lung, colorectal, breast or prostate cancer in Norway. Methods National population-based data on individual level from 2015 to 2017 were used to study two proportions; i) patients in CPPs without the cancer diagnosis, and ii) cancer patients included in CPPs. Logistic regression was applied to examine the associations between these proportions and place of residence (hospital referral area), age, education, income, comorbidity and travel time to hospital. Results Age and place of residence were the two most important factors for describing the variation in proportions. For the CPP patients, inconsistent differences were found for income and education, while for the cancer patients the probability of being included in a CPP increased with income. Conclusions The age effect can be related to both the increasing risk of cancer and increasing number of GP and hospital contacts with age. The non-systematic results for CPP patients according to income and education can be interpreted as equitable access, as opposed to the systematic differences found among cancer patients in different income groups. The inequalities between income groups among cancer patients and the inequalities based on the patients’ place of residence, for both CPP and cancer patients, are unwarranted and need to be addressed.Frank OlsenBjarne K. JacobsenIvar HeuchKjell M. TveitLise BalteskardBMCarticleNorwayCritical pathwaysUniversal health careCancerSocioeconomic factorsSmall-area analysisPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Norway Critical pathways Universal health care Cancer Socioeconomic factors Small-area analysis Public aspects of medicine RA1-1270
spellingShingle	Norway Critical pathways Universal health care Cancer Socioeconomic factors Small-area analysis Public aspects of medicine RA1-1270 Frank Olsen Bjarne K. Jacobsen Ivar Heuch Kjell M. Tveit Lise Balteskard Equitable access to cancer patient pathways in Norway – a national registry-based study
description	Abstract Background In 2015, cancer patient pathways (CPP) were implemented in Norway to reduce unnecessary non-medical delay in the diagnostic process and start of treatment. The main aim of this study was to investigate the equality in access to CPPs for patients with either lung, colorectal, breast or prostate cancer in Norway. Methods National population-based data on individual level from 2015 to 2017 were used to study two proportions; i) patients in CPPs without the cancer diagnosis, and ii) cancer patients included in CPPs. Logistic regression was applied to examine the associations between these proportions and place of residence (hospital referral area), age, education, income, comorbidity and travel time to hospital. Results Age and place of residence were the two most important factors for describing the variation in proportions. For the CPP patients, inconsistent differences were found for income and education, while for the cancer patients the probability of being included in a CPP increased with income. Conclusions The age effect can be related to both the increasing risk of cancer and increasing number of GP and hospital contacts with age. The non-systematic results for CPP patients according to income and education can be interpreted as equitable access, as opposed to the systematic differences found among cancer patients in different income groups. The inequalities between income groups among cancer patients and the inequalities based on the patients’ place of residence, for both CPP and cancer patients, are unwarranted and need to be addressed.
format	article
author	Frank Olsen Bjarne K. Jacobsen Ivar Heuch Kjell M. Tveit Lise Balteskard
author_facet	Frank Olsen Bjarne K. Jacobsen Ivar Heuch Kjell M. Tveit Lise Balteskard
author_sort	Frank Olsen
title	Equitable access to cancer patient pathways in Norway – a national registry-based study
title_short	Equitable access to cancer patient pathways in Norway – a national registry-based study
title_full	Equitable access to cancer patient pathways in Norway – a national registry-based study
title_fullStr	Equitable access to cancer patient pathways in Norway – a national registry-based study
title_full_unstemmed	Equitable access to cancer patient pathways in Norway – a national registry-based study
title_sort	equitable access to cancer patient pathways in norway – a national registry-based study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/cc60299836fe42ee95c7f40f3d2df88d
work_keys_str_mv	AT frankolsen equitableaccesstocancerpatientpathwaysinnorwayanationalregistrybasedstudy AT bjarnekjacobsen equitableaccesstocancerpatientpathwaysinnorwayanationalregistrybasedstudy AT ivarheuch equitableaccesstocancerpatientpathwaysinnorwayanationalregistrybasedstudy AT kjellmtveit equitableaccesstocancerpatientpathwaysinnorwayanationalregistrybasedstudy AT lisebalteskard equitableaccesstocancerpatientpathwaysinnorwayanationalregistrybasedstudy
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Equitable access to cancer patient pathways in Norway – a national registry-based study

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