Adapting an Adolescent and Young Adult Program Housed in a Quaternary Cancer Centre to a Regional Cancer Centre: Creating Equitable Access to Developmentally Tailored Support.

Adolescents and young adults (AYAs) with cancer, representing those between 15 and 39 years of age, face distinctive challenges balancing their life stage with the physical, emotional, and social impacts of a cancer diagnosis. These challenges include fertility concerns, disruptions to educational a...

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Publicado en:Current Oncology Vol. 31; no. 3; pp. 1266 - 1278
Autores principales: Smith, Marlie, Kurup, Simone, Devaraja, Kaviya, Shanawaz, Shaayini, Reynolds, Lorrie, Ross, Jill, Bezjak, Andrea, Gupta, Abha A., Kassam, Alisha
Formato: Journal Article
Publicado: MDPI Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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      pub: MDPI
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        atl: Adapting an Adolescent and Young Adult Program Housed in a Quaternary Cancer Centre to a Regional Cancer Centre: Creating Equitable Access to Developmentally Tailored Support.
      aug:
        au:
          Smith, Marlie
          Kurup, Simone
          Devaraja, Kaviya
          Shanawaz, Shaayini
          Reynolds, Lorrie
          Ross, Jill
          Bezjak, Andrea
          Gupta, Abha A.
          Kassam, Alisha
        affil: Adolescent and Young Adult Program, Department of Supportive Care, Princess Margaret Cancer Centre, University of Toronto, Toronto, ON M5G 2C4, Canada
      sug:
      ab: Adolescents and young adults (AYAs) with cancer, representing those between 15 and 39 years of age, face distinctive challenges balancing their life stage with the physical, emotional, and social impacts of a cancer diagnosis. These challenges include fertility concerns, disruptions to educational and occupational pursuits, issues related to body image and sexual health, and the need for age-appropriate psychosocial support within their communities. The Princess Margaret Cancer Centre (PM), a quaternary care center, established a specialized AYA program in 2014, offering holistic and developmentally tailored psychosocial support and currently, efforts are underway to expand this to other regions in the province to address the need for equitable access. The establishment process involves securing funding, conducting an environmental scan, identifying service gaps, developing clinical pathways, and implementing AYA supportive care. An accessible AYA program should also consider social determinants of health, social location, intersectionality, and an interdisciplinary health approach in understanding health inequities in AYA oncology care. This paper describes the processes implemented and challenges faced in creating a community-based AYA program beyond major resource-rich cities and efforts to address intersectionality.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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