Mental health care for Filipino patients with cancer

Eala, Michelle Ann B; Manlongat, Katherine Donatela; Dee, Edward Christopher; Baticulon, Ronnie E.; Cañal, Johanna Patricia A.

doi:10.1016/s1470-2045(21)00570-2

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…Other essential members of a cancer care team include pathologists, nurses, radiation therapists, medical physicists, and even mental health professionals, given the growing recognition that mental illness is a significant comorbidity among patients with cancer. 46 Patients with cancer also interact with other health care providers, including pharmacists, nutritionist-dieticians, and medical and radiologic technologists. Social workers and health insurance officers assist patients in mitigating the financial toxicities that often accompany cancer diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

“…44 In addition, the Doktor Para Sa Bayan Act of 2020 aims to establish a medical scholarship and return service program so that students who wish to pursue a medical degree may receive financial assistance, and in return, they shall render medical services in government facilities in underserved municipalities. 45 Local health systems across the country must also be capacitated to serve a greater number of Filipino patients with cancer and to provide cancer care providers with a conducive place to establish their medical practice. It is critical that public cancer centers outside of NCR be developed to avoid increasing the out-of-pocket costs of cancer care.…”

Section: Oncology Training Opportunities In the Philippinesmentioning

confidence: 99%

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Geographic Distribution of Cancer Care Providers in the Philippines

Eala

Maslog

Dee

et al. 2022

JCO Global Oncology

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PURPOSE In the Philippines, a lower middle-income country in Southeast Asia, 6 of 10 Filipinos die without seeing a doctor. To ensure universal access to cancer care, providers must be equitably distributed. Therefore, we evaluated the distribution of oncologists across all 17 regions in the Philippines. METHODS We gathered data from the official websites of national medical societies on their members' regional area of practice: Philippine Society of Medical Oncology, Philippine Radiation Oncology Society, Surgical Oncology Society of the Philippines, Society of Gynecologic Oncologists of the Philippines, and Philippine Society of Hospice and Palliative Medicine. We compared this with the regional census to determine the number of board-certified oncologists per 100,000 Filipinos. RESULTS For a population of almost 110 million, the Philippines has a total of 348 medical oncologists, 164 surgical oncologists, 99 radiation oncologists, 142 gynecologic oncologists, and 35 hospice and palliative medicine (HPM) specialists. This translates to 0.32 medical oncologists, 0.15 surgical oncologists, 0.09 radiation oncologists, 0.13 gynecologic oncologists, and 0.03 HPM specialists for every 100,000 Filipinos. The number of oncologists is highest in the National Capital Region in Luzon and lowest in the Bangsamoro Autonomous Region in Muslim Mindanao. All regions have at least one medical and gynecologic oncologist. Two regions (12%) have no surgical oncologists, five regions (29%) have no radiation oncologists, and eight regions (47%) have no HPM specialists. CONCLUSION Efforts are needed to increase the number of oncologists and improve equity in their distribution to ensure universal access to cancer care in the Philippines.

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Section: Discussionmentioning

confidence: 99%

Section: Oncology Training Opportunities In the Philippinesmentioning

confidence: 99%

Geographic Distribution of Cancer Care Providers in the Philippines

Eala

Maslog

Dee

et al. 2022

JCO Global Oncology

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“…26 Moreover, the stigma associated with cancer can lead to social isolation, discrimination, or difficulties in seeking support. 27,28 In many LMIC settings, FT often compels children to engage in early labor to alleviate the family's financial struggles, and many sacrifice their education and basic health care needs. 17 Family caregivers often miss work days.…”

Section: Filipino Family Dynamicsmentioning

confidence: 99%

“…26 Moreover, the stigma associated with cancer can lead to social isolation, discrimination, or difficulties in seeking support. 27,28…”

Section: Ft and Psychosocial Sequelae For The Familymentioning

confidence: 99%

Financial Sequelae of Cancer for Patients' Family Members and Caregivers: A Focus on the Philippines

Columbres,

Feliciano,

Catedral

et al. 2024

JCO Glob Oncol

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Multigenerational homes are common. While this offers advantages like financial and emotional support, caregivers often take on extensive roles, including managing errands and making pivotal decisions on patients' behalf. [10][11][12] The primary caregiving responsibility usually falls on the spouse or adult child. As cancer progresses, the demand for support intensifies, affecting caregivers' employment, social life, and schooling, with particularly pronounced effects on women caregivers. 13 Indeed, in many Filipino families, women bear disproportionately greater caregiving responsibility entrenched in traditional gender roles; yet, much of this caregiving remains undervalued and underrecognized. 14 FT and Psychosocial Sequelae for the Family FT is multifaceted and encompasses direct expenses, indirect costs such as transportation, negative psychological impacts, and coping mechanisms compromising essential needs, such as deferred medical treatments. 15,16 Given the high out-of-pocket costs in the Philippines (especially relative to average wage), families of patients may resort to selling assets, borrowing money from relatives and banks, and compromising essential needs, as has been shown in other similarly resourced contexts. 17 For the poorest Filipino families, up to 60% of their income is allocated solely for food, with little leeway for health care costs. 18 Given the archipelagic geography, patients often travel long distances for treatments, adding to indirect costs. 19 Filipino families often turn to traditional, complementary, and alternative medicine to supplement treatment for their sick relative, which can worsen financial strain. 20,21

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