2026-04-17T11:31:31Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/137682025-10-04T05:20:19Zcom_2072_378070com_2072_378040col_2072_378092

00925njm 22002777a 4500 dc Benitez Fuentes, Javier David author Lastra del Prado, Rodrigo author Borregón, Miguel author De Luna, Alicia author Lázaro Sánchez, Antonio David author Ferrández Arias, Asia author Iranzo, Patricia author 2025-10-03T09:44:41Z 2025-10-03T09:44:41Z 2025-09 Alma Ata; Cancer; Disparities Alma Ata; Cáncer; Disparidades Alma Ata; Càncer; Disparitats Despite significant advances in oncology, cancer care globally continues to face critical challenges, including stark disparities in access, insufficient preventive focus, fragmented primary health care (PHC) integration, unsustainable financing models, workforce shortages, and inadequate community involvement. This paper revisits the Alma Ata Declaration’s principles—health equity, universal access, preventive care, and community participation—as a conceptual framework to address these persistent issues in cancer care. We highlight opportunities to strategically integrate oncology services within strengthened PHC systems, balancing centralized specialist resources with decentralized community-based care. Evidence from diverse settings illustrates how reinforcing PHC infrastructures enhances preventive measures, early detection, and survivorship care, thus mitigating geographic and socioeconomic disparities. Sustainable financing mechanisms and targeted workforce strategies, including task-shifting and multidisciplinary training, are proposed as essential components. Effective community engagement models demonstrate improved care relevance, acceptance, and outcomes. Additionally, we emphasize the critical role of health policy alignment with universal health coverage objectives, robust pharmacoeconomic evaluations, and evidence-based national cancer control plans. Integrating Alma Ata’s principles into contemporary oncology provides a viable, scalable model to advance equitable, accessible, and sustainable cancer care globally, laying the theoretical groundwork for future research initiatives and informed policy development. http://hdl.handle.net/11351/13768 Càncer - Tractament Oncologia Política sanitària Prestació integrada de l'atenció sanitària Assistència sanitària DISCIPLINES AND OCCUPATIONS::Health Occupations::Medicine::Internal Medicine::Medical Oncology DISEASES::Neoplasms Other subheadings::Other subheadings::/therapy HEALTH CARE::Health Services Administration::Patient Care Management::Delivery of Health Care::Health Services Accessibility HEALTH CARE::Health Care Economics and Organizations::Policy::Social Control Policies::Public Policy::Health Policy DISCIPLINAS Y OCUPACIONES::profesiones sanitarias::medicina::medicina interna::oncología médica ENFERMEDADES::neoplasias Otros calificadores::Otros calificadores::/terapia ATENCIÓN DE SALUD::administración de los servicios de salud::gestión de la atención al paciente::prestación sanitaria::accesibilidad a los servicios de salud ATENCIÓN DE SALUD::economía y organizaciones para la atención de la salud::políticas::políticas de control social::política pública::política sanitaria Revisiting Alma Ata: A Blueprint for Cancer Care