Extent of Inclusion of “Rural” in Comprehensive Cancer Control Plans in the United States

Murphy, Cathryn; Evans, Sydney; Askelson, Natoshia M.; Eberth, Jan M.; Zahnd, Whitney E.

doi:10.5888/pcd18.210091

Cited by 2 publications

(2 citation statements)

References 14 publications

(26 reference statements)

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“…In 2019, the CDC National Comprehensive Cancer Control Program began asking state, territorial, and tribal health departments to consider rural populations in their local cancer control plans. 20 Unfortunately, as of early 2023, less than one-third of all state, territorial, or tribal comprehensive cancer control plans incorporate a dedicated strategy for addressing the needs of rural populations. This represents a significant failure in policy development and a loss of opportunity.…”

Section: Rural Area Of Residence and Policymentioning

confidence: 99%

Health Care Policy and Disparities in Health

Lansey,

Ramalingam,

Brawley

2023

Cancer J

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The United States has seen a 33% decline in age-adjusted cancer mortality since 1991. Despite this achievement, the United States has some of the greatest health disparities of any developed nation. US government policies are increasingly directed toward reducing health disparities and promoting health equity. These policies govern the conduct of research, cancer prevention, access, and payment for care. Although implementation of policies has played a significant role in the successes of cancer control, inconsistent implementation of policy has resulted in divergent outcomes; poorly designed or inadequately implemented policies have hindered progress in reducing cancer death rates and, in certain cases, exacerbated existing disparities. Examining policies affecting cancer control in the United States and realizing their unintended consequences are crucial in addressing cancer inequities.

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Section: Rural Area Of Residence and Policymentioning

confidence: 99%

Health Care Policy and Disparities in Health

Lansey,

Ramalingam,

Brawley

2023

Cancer J

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“…One recommendation was for the CDC to require state jurisdictions to assess rural cancer mortality burden and develop goals, objectives, and strategies to address disparities through their CCC plans [ 13 ]. A recent assessment of state CCC plans found that over two-thirds included the term “rural,” but only about a third included rural-specific goals, objectives, or strategies [ 14 ]. Engaging rural partners in the planning process may facilitate the inclusion of data on rural cancer burden and corresponding goals and objectives to reduce disparities, in accordance with recommendations from NACRHHS and the CDC’s Self-Assessment Tool [ 2 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Prioritizing rural populations in state comprehensive cancer control plans: a qualitative assessment

Hirschey

Rohweder

Zahnd

et al. 2023

Cancer Causes Control

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Purpose The Centers for Disease Control and Prevention’s National Comprehensive Cancer Control Program (NCCCP) requires that states develop comprehensive cancer control (CCC) plans and recommends that disparities related to rural residence are addressed in these plans. The objective of this study was to explore rural partner engagement and describe effective strategies for incorporating a rural focus in CCC plans. Methods States were selected for inclusion using stratified sampling based on state rurality and region. State cancer control leaders were interviewed about facilitators and barriers to engaging rural partners and strategies for prioritizing rural populations. Content analysis was conducted to identify themes across states. Results Interviews (n = 30) revealed themes in three domains related to rural inclusion in CCC plans. The first domain (barriers) included (1) designing CCC plans to be broad, (2) defining “rural populations,” and (3) geographic distance. The second domain (successful strategies) included (1) collaborating with rural healthcare systems, (2) recruiting rural constituents, (3) leveraging rural community–academic partnerships, and (4) working jointly with Native nations. The third domain (strategies for future plan development) included (1) building relationships with rural communities, (2) engaging rural constituents in planning, (3) developing a better understanding of rural needs, and (4) considering resources for addressing rural disparities. Conclusion Significant relationship building with rural communities, resource provision, and successful strategies used by others may improve inclusion of rural needs in state comprehensive cancer control plans and ultimately help plan developers directly address rural cancer health disparities.

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Extent of Inclusion of “Rural” in Comprehensive Cancer Control Plans in the United States

Cited by 2 publications

References 14 publications

Health Care Policy and Disparities in Health

Health Care Policy and Disparities in Health

Prioritizing rural populations in state comprehensive cancer control plans: a qualitative assessment

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