Although there have been significant advances during the past several decades in cancer prevention, early detection, and treatment, not all Americans have benefited equally from them. Racial and ethnic minorities with cancer continue to experience higher morbidity and mortality rates compared to White populations. Multiple social determinants of health contribute to disparities in care and outcomes among different groups. These can include distrust in the healthcare system, insufficient or lack of health insurance, economic and systemic obstacles to care access, cultural barriers, implicit and explicit bias, and low health literacy.
To help address identified gaps in care, The Arizona Clinical Oncology Society (TACOS), the Hawaii Society of Clinical Oncology (HSCO), and the Texas Society of Clinical Oncology (TxSCO)—all Chapter Members of the Association of Community Cancer Centers (ACCC)—will each develop and implement a community-based educational initiative that will identify and address disparities among groups specific to each state’s population:
This program, called 3, 2, 1, Go! will task each state society with aggregating 3 “go-to” resources to advance equity in cancer care, make 2 recommendations to eliminate disparities in care, and identify 1 major gap in care that the organization wants to address. To gather this information, each state society will establish an equity and access committee, conduct surveys and focus groups of patients and providers, aggregate and publish resources at the state and local levels, and come together to host a health equity summit with key stakeholders.
For more information on this project, please contact the ACCC Provider Education department.
American Indians have the highest kidney cancer incidence
and death rates of any race and ethnicity. Arizona has the eighth
highest percentage of American Indians in the U.S. ACCC contracted The Community Solutions (CCS) to conduct two focus groups with patient advocacy organizations and providers. These focus groups provided a wealth of information about the problems and solutions to achieving health equity in cancer care for this population in Arizona.
ACCC collaborated with The Arizona Clinical Oncology Society (TACOS) and The Center for Community Solutions to identify gaps in cancer care service delivery and access for American Indians living off reservations and outside of the Indian Health Service in the state of Arizona. This infographic outlines identified barriers to care and provides recommendations to eliminate disparities.
3, 2, 1, Go! Overview
Health Equity & Access Committee