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Achieving flexible competence

Bridging the investment dichotomy between infectious diseases and cancer

Bibliographic Data

ID21880819
AuthorsC Norman Coleman (0000-0003-3121-1663, International Medical Corps, corresponding author), Monique K Mansoura (International Medical Corps), Maria Julia Marinissen (Embassy of Canada in Washington, D.C), Surbhi Grover (0000-0001-7443-5937, International Medical Corps), Manjit Dosanjh (0000-0003-1378-349X, International Medical Corps), Harmar D Brereton (International Medical Corps), Lawrence Roth (International Cancer Expert Corps, Washington, DC, USA), Lawrence M Roth (0000-0002-5538-9231, International Medical Corps), Eugenia Wendling (International Medical Corps), David A Pistenmaa (International Cancer Expert Corps, Washington, DC, USA), David Pistenmaa (International Medical Corps), Donna M O'Brien (International Cancer Expert Corps, Washington, DC, USA), Donna O’Brien (0000-0002-5205-3839, International Medical Corps)
Year2020
Volume5
Issue12
Pagese003252
Publication date2020-12-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-003252
PMID33303514
OpenAlexW3113359613
LanguageEN
Citations received3
References cited24

Today’s global health challenges in underserved communities include the growing burden of cancer and other non-communicable diseases (NCDs); infectious diseases (IDs) with epidemic and pandemic potential such as COVID-19; and health effects from catastrophic ‘all hazards’ disasters including natural, industrial or terrorist incidents. Healthcare disparities in low-income and middle-income countries and in some rural areas in developed countries make it a challenge to mitigate these health, socioeconomic and political consequences on our globalised society. As with IDs, cancer requires rapid intervention and its effective medical management and prevention encompasses the other major NCDs. Furthermore, the technology and clinical capability for cancer care enables management of NCDs and IDs. Global health initiatives that call for action to address IDs and cancer often focus on each problem separately, or consider cancer care only a downstream investment to primary care, missing opportunities to leverage investments that could support broader capacity-building. From our experience in health disparities, disaster preparedness, government policy and healthcare systems we have initiated an approach we call flex-competence which emphasises a systems approach from the outset of program building that integrates investment among IDs, cancer, NCDs and disaster preparedness to improve overall healthcare for the local community. This approach builds on trusted partnerships, multi-level strategies and a healthcare infrastructure providing surge capacities to more rapidly respond to and manage a wide range of changing public health threats

Political science · Computer Science · Economic and Financial Impacts of Cancer · Global Health and Surgery · Health Systems, Economic Evaluations, Quality of Life · Medicine · Psychology · Social Psychology

  • Primary health care disaster preparedness

    Open Access•Alessandro Lamberti-Castronuovo, Martina Valente et al.•International Journal of Disaster…•2022

  • Performance patterns of primary health care in the face of Covid-19 in Brazil

    Open Access•Schenkman, Aylene Emilia Moraes Bousquat et al.•Cadernos de Saude Publica•2023

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    Open Access•Schenkman, Aylene Emilia Moraes Bousquat et al.•Cadernos de Saude Publica•2023

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    Wei‐jie Guan, G Giovanny Cárdenas et al.•New England Journal of Medicine•2020

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    Open Access•Fei Zhou, Ting Yu et al.•The Lancet•2020

  • A Novel Coronavirus from Patients with Pneumonia in China, 2019

    Na Zhu, 양승민 양승민 et al.•New England Journal of Medicine•2020

Citations per year0.75
Citation span2022 - 2023 (2)
Highly citedNo

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