Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador

Objective. To explore healthcare stakeholders' experiences of care coordination during cancer diagnosis in Chile, Colombia, and Ecuador, including how these experiences are influenced by factors related to the countries' public subsystems. Methods. A qualitative study was conducted based o...

Descripción completa

Detalles Bibliográficos
Autores: Oturai O, Mogollón-Pérez AS, Eguiguren P, Torres Castillo AL, Peralta-Chiriboga AA, Rubio-Valera M, Dias S, Jervelund SS
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p29719
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29719
Access Level:acceso abierto
Palabra clave:Health care coordination and monitoring
health services research
early detection of cancer
Chile
Colombia
Ecuador
id ES_cdb1ea10afc19c875eb1a4754c281394
oai_identifier_str oai:fsjd.fundanetsuite.com:p29719
network_acronym_str ES
network_name_str España
repository_id_str
spelling Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and EcuadorOturai OMogollón-Pérez ASEguiguren PTorres Castillo ALPeralta-Chiriboga AARubio-Valera MDias SJervelund SSHealth care coordination and monitoringhealth services researchearly detection of cancerChileColombiaEcuadorObjective. To explore healthcare stakeholders' experiences of care coordination during cancer diagnosis in Chile, Colombia, and Ecuador, including how these experiences are influenced by factors related to the countries' public subsystems. Methods. A qualitative study was conducted based on 115 semi-structured interviews with healthcare professionals and administrative personnel in both primary care (n = 40) and secondary/tertiary care (n = 46) as well as managers and policymakers (n = 29). Thematic analysis, guided by a care coordination framework, was performed first per country and then across countries. Results. The analysis points to limited transfer of clinical information causing repeated tests as well as poor clinical management coordination in terms of delayed referrals from primary care and restricted access to specialized care, altogether contributing to diagnostic delays. Self-reinforcing loops of barriers for care coordination included fragmented clinical information systems, poor skills and training among healthcare professionals, as well as insufficient diagnostic equipment in all three study countries, scarcity of specialized healthcare professionals and functioning of the prioritization system for certain cancers in Chile, and working conditions and insurance companies' management of care in Colombia. Informal communication strategies and personal networks emerged as adaptive responses to these challenges, facilitating coordination in some cases but also risking data security and consistency in care. Conclusions. The study highlights the urgent need for political prioritization of cancer care coordination, including investments in unified clinical record systems, training of healthcare professionals, and diagnostic infrastructure. It also emphasizes the importance of recognizing healthcare stakeholders' responses to barriers.PAN AMER HEALTH ORGANIZATION2026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29719REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTHISSN: 10204989ISSNe: 16805348reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuEspañolinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p297192026-05-27T12:37:41Z
dc.title.none.fl_str_mv Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador
title Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador
spellingShingle Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador
Oturai O
Health care coordination and monitoring
health services research
early detection of cancer
Chile
Colombia
Ecuador
title_short Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador
title_full Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador
title_fullStr Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador
title_full_unstemmed Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador
title_sort Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador
dc.creator.none.fl_str_mv Oturai O
Mogollón-Pérez AS
Eguiguren P
Torres Castillo AL
Peralta-Chiriboga AA
Rubio-Valera M
Dias S
Jervelund SS
author Oturai O
author_facet Oturai O
Mogollón-Pérez AS
Eguiguren P
Torres Castillo AL
Peralta-Chiriboga AA
Rubio-Valera M
Dias S
Jervelund SS
author_role author
author2 Mogollón-Pérez AS
Eguiguren P
Torres Castillo AL
Peralta-Chiriboga AA
Rubio-Valera M
Dias S
Jervelund SS
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Health care coordination and monitoring
health services research
early detection of cancer
Chile
Colombia
Ecuador
topic Health care coordination and monitoring
health services research
early detection of cancer
Chile
Colombia
Ecuador
description Objective. To explore healthcare stakeholders' experiences of care coordination during cancer diagnosis in Chile, Colombia, and Ecuador, including how these experiences are influenced by factors related to the countries' public subsystems. Methods. A qualitative study was conducted based on 115 semi-structured interviews with healthcare professionals and administrative personnel in both primary care (n = 40) and secondary/tertiary care (n = 46) as well as managers and policymakers (n = 29). Thematic analysis, guided by a care coordination framework, was performed first per country and then across countries. Results. The analysis points to limited transfer of clinical information causing repeated tests as well as poor clinical management coordination in terms of delayed referrals from primary care and restricted access to specialized care, altogether contributing to diagnostic delays. Self-reinforcing loops of barriers for care coordination included fragmented clinical information systems, poor skills and training among healthcare professionals, as well as insufficient diagnostic equipment in all three study countries, scarcity of specialized healthcare professionals and functioning of the prioritization system for certain cancers in Chile, and working conditions and insurance companies' management of care in Colombia. Informal communication strategies and personal networks emerged as adaptive responses to these challenges, facilitating coordination in some cases but also risking data security and consistency in care. Conclusions. The study highlights the urgent need for political prioritization of cancer care coordination, including investments in unified clinical record systems, training of healthcare professionals, and diagnostic infrastructure. It also emphasizes the importance of recognizing healthcare stakeholders' responses to barriers.
publishDate 2026
dc.date.none.fl_str_mv 2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29719
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29719
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv PAN AMER HEALTH ORGANIZATION
publisher.none.fl_str_mv PAN AMER HEALTH ORGANIZATION
dc.source.none.fl_str_mv REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH
ISSN: 10204989
ISSNe: 16805348
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869419877849104384
score 15.811543

Similares en LA Referencia