Leveraging National and Global Political Determinants of Health to Promote Equity in Cancer Care

Health and politics are deeply intertwined. In the context of national and global cancer care delivery, political forces-the political determinants of health-influence every level of the cancer care continuum. We explore the "3-I" framework, which structures the upstream political forces t...

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Main Authors: Dee, Edward Christopher, Eala, Michelle Ann B., Robredo, Janine Patricia G., Ramiah, Duvern, Hubbard, Anne, Ho, Frances Dominique V., Sullivan, Richard, Aggarwal, Ajay, Booth, Christopher M., Legaspi, Gerardo D., Nguyen, Paul L., Pramesh, C. S., Grover, Surbhi
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Published: Archīum Ateneo 2023
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Online Access:https://archium.ateneo.edu/asmph-pubs/126
https://archium.ateneo.edu/context/asmph-pubs/article/1130/viewcontent/djad123.pdf
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spelling ph-ateneo-arc.asmph-pubs-11302024-02-12T07:04:35Z Leveraging National and Global Political Determinants of Health to Promote Equity in Cancer Care Dee, Edward Christopher Eala, Michelle Ann B. Robredo, Janine Patricia G. Ramiah, Duvern Hubbard, Anne Ho, Frances Dominique V. Sullivan, Richard Aggarwal, Ajay Booth, Christopher M. Legaspi, Gerardo D. Nguyen, Paul L. Pramesh, C. S. Grover, Surbhi Health and politics are deeply intertwined. In the context of national and global cancer care delivery, political forces-the political determinants of health-influence every level of the cancer care continuum. We explore the "3-I" framework, which structures the upstream political forces that affect policy choices in the context of actors' interests, ideas, and institutions, to examine how political determinants of health underlie cancer disparities. Borrowing from the work of PA Hall, M-P Pomey, CJ Ho, and other thinkers, interests are the agendas of individuals and groups in power. Ideas represent beliefs or knowledge about what is or what should be. Institutions define the rules of play. We provide examples from around the world: Political interests have helped fuel the establishment of cancer centers in India and have galvanized the 2022 Cancer Moonshot in the United States. The politics of ideas underlie global disparities in cancer clinical trials-that is, in the distribution of epistemic power. Finally, historical institutions have helped perpetuate disparities related to racist and colonialist legacies. Present institutions have also been used to improve access for those in greatest need, as exemplified by the Butaro Cancer Center of Excellence in Rwanda. In providing these global examples, we demonstrate how interests, ideas, and institutions influence access to cancer care across the breadth of the cancer continuum. We argue that these forces can be leveraged to promote cancer care equity nationally and globally. 2023-10-09T07:00:00Z text application/pdf https://archium.ateneo.edu/asmph-pubs/126 https://archium.ateneo.edu/context/asmph-pubs/article/1130/viewcontent/djad123.pdf Ateneo School of Medicine and Public Health Publications Archīum Ateneo Medicine and Health Sciences Oncology Public Health
institution Ateneo De Manila University
building Ateneo De Manila University Library
continent Asia
country Philippines
Philippines
content_provider Ateneo De Manila University Library
collection archium.Ateneo Institutional Repository
topic Medicine and Health Sciences
Oncology
Public Health
spellingShingle Medicine and Health Sciences
Oncology
Public Health
Dee, Edward Christopher
Eala, Michelle Ann B.
Robredo, Janine Patricia G.
Ramiah, Duvern
Hubbard, Anne
Ho, Frances Dominique V.
Sullivan, Richard
Aggarwal, Ajay
Booth, Christopher M.
Legaspi, Gerardo D.
Nguyen, Paul L.
Pramesh, C. S.
Grover, Surbhi
Leveraging National and Global Political Determinants of Health to Promote Equity in Cancer Care
description Health and politics are deeply intertwined. In the context of national and global cancer care delivery, political forces-the political determinants of health-influence every level of the cancer care continuum. We explore the "3-I" framework, which structures the upstream political forces that affect policy choices in the context of actors' interests, ideas, and institutions, to examine how political determinants of health underlie cancer disparities. Borrowing from the work of PA Hall, M-P Pomey, CJ Ho, and other thinkers, interests are the agendas of individuals and groups in power. Ideas represent beliefs or knowledge about what is or what should be. Institutions define the rules of play. We provide examples from around the world: Political interests have helped fuel the establishment of cancer centers in India and have galvanized the 2022 Cancer Moonshot in the United States. The politics of ideas underlie global disparities in cancer clinical trials-that is, in the distribution of epistemic power. Finally, historical institutions have helped perpetuate disparities related to racist and colonialist legacies. Present institutions have also been used to improve access for those in greatest need, as exemplified by the Butaro Cancer Center of Excellence in Rwanda. In providing these global examples, we demonstrate how interests, ideas, and institutions influence access to cancer care across the breadth of the cancer continuum. We argue that these forces can be leveraged to promote cancer care equity nationally and globally.
format text
author Dee, Edward Christopher
Eala, Michelle Ann B.
Robredo, Janine Patricia G.
Ramiah, Duvern
Hubbard, Anne
Ho, Frances Dominique V.
Sullivan, Richard
Aggarwal, Ajay
Booth, Christopher M.
Legaspi, Gerardo D.
Nguyen, Paul L.
Pramesh, C. S.
Grover, Surbhi
author_facet Dee, Edward Christopher
Eala, Michelle Ann B.
Robredo, Janine Patricia G.
Ramiah, Duvern
Hubbard, Anne
Ho, Frances Dominique V.
Sullivan, Richard
Aggarwal, Ajay
Booth, Christopher M.
Legaspi, Gerardo D.
Nguyen, Paul L.
Pramesh, C. S.
Grover, Surbhi
author_sort Dee, Edward Christopher
title Leveraging National and Global Political Determinants of Health to Promote Equity in Cancer Care
title_short Leveraging National and Global Political Determinants of Health to Promote Equity in Cancer Care
title_full Leveraging National and Global Political Determinants of Health to Promote Equity in Cancer Care
title_fullStr Leveraging National and Global Political Determinants of Health to Promote Equity in Cancer Care
title_full_unstemmed Leveraging National and Global Political Determinants of Health to Promote Equity in Cancer Care
title_sort leveraging national and global political determinants of health to promote equity in cancer care
publisher Archīum Ateneo
publishDate 2023
url https://archium.ateneo.edu/asmph-pubs/126
https://archium.ateneo.edu/context/asmph-pubs/article/1130/viewcontent/djad123.pdf
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