Access to diagnostic facilities in children with cancer in Colombia : Spotting opportunity and distance from a sample

Uribe Parra, Daniel; Pulido Rodriguez, Constanza; De vries, Esther

dc.rights.licence	Atribución-NoComercial 4.0 Internacional	*
dc.contributor.author	Uribe Parra, Daniel
dc.contributor.author	Pulido Rodriguez, Constanza
dc.contributor.author	De vries, Esther
dc.date.accessioned	2020-09-10T20:26:17Z
dc.date.available	2020-09-10T20:26:17Z
dc.date.created	2020-02
dc.identifier	https://www.sciencedirect.com/science/article/pii/S1877782119301559	spa
dc.identifier.issn	1877-7821	spa
dc.identifier.uri	http://hdl.handle.net/10554/51035
dc.format	PDF	spa
dc.format.mimetype	application/pdf	spa
dc.language	Inglés	spa
dc.rights.uri	http://creativecommons.org/licenses/by-nc/4.0/	*
dc.source	Cancer Epidemiology; Vol. 64 (2020)	spa
dc.title	Access to diagnostic facilities in children with cancer in Colombia : Spotting opportunity and distance from a sample	spa
dc.type	info:eu-repo/semantics/article
dc.type.hasversion	http://purl.org/coar/version/c_ab4af688f83e57aa
dc.description.quartilewos	Q4	spa
dc.description.quartilescopus	Q2	spa
dc.identifier.doi	https://doi.org/10.1016/j.canep.2019.101645	spa
dc.description.tipoarticulo	Completo	spa
dc.description.paginas	1-7	spa
dc.format.soporte	Electrónico	spa
dc.subject.keyword	Childhood cancer	spa
dc.subject.keyword	Cancer access	spa
dc.subject.keyword	Cancer-care network	spa
dc.subject.keyword	Health systems	spa
dc.subject.keyword	Cancer epidemiology	spa
dc.subject.keyword	Cancer surveillance	spa
dc.subject.keyword	Cancer inequities	spa
dc.description.abstractenglish	Objectives: Delivering health care timely and geographically accessible are determining factors for the prognosis of children with cancer. This study analyzed geographic access and timeliness to diagnostic services in Colombia. Methods: In this Colombian national childhood cancer database-based study, patients and their diagnostic facilities were individually and separately space positioned. Distances between the household to the diagnostic facility, and between the clinical date of suspicion and diagnosis were determined. Using exploratory data analysis, we obtained a probability density function (lambda), which expressed a correlation percentage between the residential location of the patient and either travel time or timeliness of treatment. Results: 27 % of the sample of 731 patients had access to diagnostic centres in less than 30 min. The traveldistance to diagnostic centres was lowest in the Caribe and Andina Regions (43 % and 32 % distances up to 30 km respectively). However, in Amazonía and Orinoquía Regions, 87 % and 81 % had to travel more than 90 km – representing very long travel times. For more than 23 % of patients, time to diagnosis was more than 90 days, in Orinoquía, this was above 90 days for 1/3 of patients. Despite relatively short travel distances in the Caribe-Region, for 61 % time to diagnosis exceeded 30 days. Conclusions: This study identified clear shortcomings in the Colombian Health System related to the quality of childhood cancer-related health care in terms of timeliness, cancer networks, and geographic access. These inequities not only depend on sociodemographic-characteristics and should be intervened upon.	spa
dc.type.local	Artículo de revista	spa
dc.contributor.corporatename	Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística