Care Coordination: Overcoming Barriers to Improve Outcomes for Patients With Hematologic Malignancies in Rural Settings.
BACKGROUND
Most patients with cancer experience financial, emotional, and logistical barriers to care that significantly affect their adherence to and successful completion of treatment. However, patients with hematologic malignancies, particularly those who live in rural settings, must also contend with additional challenges.


OBJECTIVES
This article aims to synthesize the literature about barriers to timely access to care and to coordination of this care for patients with hematologic malignancies, particularly those in rural settings, as well as identify strategies to improve cancer care delivery for those patients.


METHODS
A search of the literature from 2008-2018 pertaining to rural health disparities for patients with hematologic malignancies, along with ways to overcome these disparities, was conducted.


FINDINGS
Patients with hematologic malignancies, particularly those who reside in rural settings, face complex barriers to care. These barriers cause emotional and physical distress. A team approach to care coordination that is focused on eliminating these barriers and improving outcomes is needed.
['Passwater|Chelsea|C|', 'Itano|Joanne|J|']
D000328:Adult D000368:Aged D000369:Aged, 80 and over D003695:Delivery of Health Care D004509:Education, Nursing, Continuing D005260:Female D006297:Health Services Accessibility D054625:Healthcare Disparities D019337:Hematologic Neoplasms D006801:Humans D008297:Male D008875:Middle Aged D009859:Oncology Nursing D009934:Organization and Administration D010348:Patient Care Team D019035:Rural Health Services D012424:Rural Population
hematologic malignancy rural settings healthcare access healthcare barriers