Challenges oncologists face when caring for hispanics living in puerto rico with colorectal cancer and multiple chronic conditions

Background Colorectal cancer (CRC) is the leading cause of cancer-related death in Puerto Rico, posing significant challenges for patients with multiple chronic conditions (MCC). This qualitative study aimed to explore oncologists’ perspectives regarding the care of patients with CRC and MCC in Puer...

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Vydáno v:BMC cancer Ročník 25; číslo 1; s. 898 - 12
Hlavní autoři: Castañeda-Avila, Maira A., Latoni-Guillermety, Daniela, Sabatino, Meagan, Ortiz-Ortiz, Karen J., Lapane, Kate L.
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 20.05.2025
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Adult
Aged
Analysis
Attitude of Health Personnel
Biomedical and Life Sciences
Biomedicine
Cancer
Cancer Research
Care and treatment
Chronic illnesses
Codes
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - therapy
Comorbidity
Demographics
Diabetes
Diagnosis
Female
Females
Health aspects
Health Promotion and Disease Prevention
Hispanic Americans
Hispanic or Latino
Humans
Hypertension
Interviews
Male
Medicine/Public Health
Middle Aged
Multiple Chronic Conditions - epidemiology
Multiple Chronic Conditions - therapy
Older people
Oncologists
Oncologists - psychology
Oncology
Palliative care
Patient compliance
Patients
Physicians
Population
Practice
Puerto Rico - epidemiology
Qualitative Research
Risk factors
Social aspects
Social determinants of health
Social interactions
Social organization
Social Support
Surgical Oncology
Survival
Terminal Care
Young adults
Puerto Rico
United States > US
ISSN:1471-2407, 1471-2407
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Shrnutí:Background Colorectal cancer (CRC) is the leading cause of cancer-related death in Puerto Rico, posing significant challenges for patients with multiple chronic conditions (MCC). This qualitative study aimed to explore oncologists’ perspectives regarding the care of patients with CRC and MCC in Puerto Rico. Methods We conducted semi-structured interviews in Spanish with nine oncologists providing care for patients with CRC in Puerto Rico. We reached data saturation. We performed thematic analysis to identify key patterns and themes within the interview data. The coding scheme evolved through team discussions, with discrepancies addressed for consistency. Quotes were translated from Spanish to English. Results Five key themes were: (1) social determinants of health, (2) diagnosis pathways, (3) factors influencing treatment decisions, (4) survivorship and end-of-life care, and (5) care coordination and communication. Oncologists treating patients with CRC and MCC identified the lack of a social support network as a notable care coordination challenge. The health insurance system’s pre-authorization requirements for procedures and treatments further complicated care delivery, particularly for older adults, who faced challenges navigating these administrative processes without sufficient support. A lack of transportation and local specialized care services was a noted barrier to comprehensive patient care. Communication between patients, physician and caregivers proved challenging when multiple physicians and procedures were involved with patient’s care, often requiring patients to schedule appointments with different specialists themselves. Inter-provider communication primarily relied on phone calls or notes sent with the patient. Conclusions Oncologists caring for Hispanic older adults with CRC and MCC encounter complex challenges influenced by unmet social needs and the presence of comorbidities. Tailored approaches, culturally sensitive care, and improved coordination among physicians are vital to enhance the quality of care for this patient population.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1471-2407
1471-2407
DOI:10.1186/s12885-025-14271-0