IDEAS home Printed from https://ideas.repec.org/a/pal/palcom/v12y2025i1d10.1057_s41599-024-04259-9.html
   My bibliography  Save this article

Perceived barriers to reaching equity in effective access to diagnosis and treatment for women with breast cancer in Chile

Author

Listed:
  • Carla Campaña

    (Facultad de Psicología Universidad del Desarrollo
    Programa de Doctorado en Ciencias e Innovación en Medicina (DCIM); Universidad del Desarrollo
    Centre for Cancer Prevention and Control (CECAN))

  • Báltica Cabieses

    (Facultad de Psicología Universidad del Desarrollo
    Centre for Cancer Prevention and Control (CECAN))

  • Alexandra Obach

    (Facultad de Psicología Universidad del Desarrollo
    Centre for Cancer Prevention and Control (CECAN))

  • Francisca Vezzani

    (Facultad de Psicología Universidad del Desarrollo
    Centre for Cancer Prevention and Control (CECAN))

Abstract

Globally, it has been reported inequities in breast cancer effective access to health care. The objective of this study was to explore perceived inequities in access to effective diagnosis and treatment in women with breast cancer according to Tanahashi model and social determinants of health model. An exploratory case study, under a qualitative paradigm, was conducted. Theoretical sampling guided the selection of diverse participant profiles, comprising breast cancer patients, healthcare professionals and a civil society leader. The strategies for the recruitment process included social networks, civil society organizations, health professionals, and the snowball technique. Online semi-structured interviews were conducted. Interviews were transcribed, anonymized, and coded using ATLAS.Ti for deductive thematic analysis. Barriers to effective healthcare access were identified in all components of Tanahashi model. Accessibility and acceptability were the components with most perceived barriers. From the determinants of health model, a woman from the public health system, with low income, under 30 or over 40, and residing in a different region from the metropolitan region faces more barriers to access to an effective healthcare. The main barriers were for the high centralisation of healthcare in Chile, not integrated health system network, misinformation to the patient, and non-humanized healthcare. The results of this study offer a comprehensive exploration of perceived barriers to effective breast cancer diagnosis and treatment in Chile, using a qualitative approach incorporating diverse perspectives. Findings underscore significant systemic challenges across Tanahashi’s model components, impacting the overall care experience. The study reveals structural inequities hindering healthcare access, reflecting global patterns in fragmented health systems.

Suggested Citation

  • Carla Campaña & Báltica Cabieses & Alexandra Obach & Francisca Vezzani, 2025. "Perceived barriers to reaching equity in effective access to diagnosis and treatment for women with breast cancer in Chile," Palgrave Communications, Palgrave Macmillan, vol. 12(1), pages 1-10, December.
    • Handle: RePEc:pal:palcom:v:12:y:2025:i:1:d:10.1057_s41599-024-04259-9
    DOI: 10.1057/s41599-024-04259-9
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1057/s41599-024-04259-9
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1057/s41599-024-04259-9?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Veenstra, Gerry, 2013. "Race, gender, class, sexuality (RGCS) and hypertension," Social Science & Medicine, Elsevier, vol. 89(C), pages 16-24.
    2. Susana Mondschein & Maria Quinteros & Natalia Yankovic, 2020. "Gender bias in the Chilean public health system: Do we all wait the same?," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-16, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Alvarez, Camila H. & Evans, Clare Rosenfeld, 2021. "Intersectional environmental justice and population health inequalities: A novel approach," Social Science & Medicine, Elsevier, vol. 269(C).
    2. Evans, Clare R., 2019. "Adding interactions to models of intersectional health inequalities: Comparing multilevel and conventional methods," Social Science & Medicine, Elsevier, vol. 221(C), pages 95-105.
    3. Justin Denney & Bridget Gorman, 2014. "Introduction: Population Perspectives on Sexual Minorities," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(4), pages 479-484, August.
    4. Billy A Caceres & Abraham Brody & Deborah Chyun, 2016. "Recommendations for cardiovascular disease research with lesbian, gay and bisexual adults," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3728-3742, December.
    5. Kiana Wilkins, 2022. "Intersectional Immunity? Examining How Race/Ethnicity and Sexual Orientation Combine to Shape Influenza Vaccination Among US Adults," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(6), pages 2585-2612, December.
    6. Bridget Gorman & Justin Denney & Hilary Dowdy & Rose Medeiros, 2015. "A New Piece of the Puzzle: Sexual Orientation, Gender, and Physical Health Status," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1357-1382, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pal:palcom:v:12:y:2025:i:1:d:10.1057_s41599-024-04259-9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: https://www.nature.com/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.