Improving Access to Radiotherapy in Gauteng
A Framework for Equitable Cancer Care
Bibliographic Data
| ID | 15466674 |
|---|---|
| Authors | Portia N Ramashia (0000-0001-5921-1951, University of Johannesburg, corresponding author), Pauline Busisiwe Nkosi (0000-0002-7538-9191, Durban University of Technology), Thokozani P Mbonane (0000-0001-5802-4265, University of Johannesburg) |
| Year | 2025 |
| Volume | 22 |
| Issue | 7 |
| Pages | 1071-1071 |
| Publication date | 2025-07-03 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph22071071 |
| PMID | 40724138 |
| OpenAlex | W4412015413 |
| Language | EN |
| Citations received | 1 |
| References cited | 50 |
Radiotherapy, a critical component of cancer treatment, faces significant challenges in Gauteng, South Africa. These disparities hinder the achievement of Sustainable Development Goal 3, primarily due to systemic issues, socioeconomic barriers, and limitations within the health system. This article presents the House framework, designed to enhance access to radiotherapy services by integrating the WHO Health Systems framework with the dimensions of access proposed by Penchansky and Thomas. The framework is visually represented as a house, with Policy & Governance as the foundation, WHO building blocks as pillars, and Equitable Cancer Care and Improved Outcomes as the roof. A mixed-methods approach was utilized, combining quantitative data from radiotherapy facilities and qualitative insights from healthcare professionals to identify barriers and potential solutions. Findings indicate significant disparities in resource distribution and accessibility between public and private institutions, compounded by socioeconomic factors like transport costs and lack of awareness. The article discusses innovative proposed framework using the 5As of access as potential solutions. The House framework serves as a valuable tool for policymakers and healthcare providers aiming to improve radiotherapy access and promote equitable cancer care in Gauteng, ultimately working towards reducing disparities in cancer outcomes
Business · Corporate governance · Economic growth · Economics · Environmental health · Health care · Health equity · Population · Public health · Socioeconomic status · Advances in Oncology and Radiotherapy · Global Cancer Incidence and Screening · Global Health and Surgery · Medicine · Nursing · Finance
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |