2026-04-19T11:34:24Zhttps://recercat.cat/oai/requestoai:recercat.cat:11351/137682025-10-04T05:20:19Zcom_2072_378070com_2072_378040col_2072_378092
RECERCAT
author
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
2025-10-04T05:20:19Z
2025-10-04T05:20:19Z
2025-10-03T09:44:41Z2025-10-03T09:44:41Z2025-09
http://hdl.handle.net/11351/13768
Alma Ata; Cancer; DisparitiesAlma Ata; Cáncer; DisparidadesAlma Ata; Càncer; DisparitatsDespite 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.
Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess
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
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion