Access to hematopoietic cell transplantation in the United States.
Hematopoietic cell transplantation (HCT) is a highly specialized and resource-intense medical procedure that can be associated with disparities in access to transplantation. Barriers to access to HCT are multifactorial, complex, and interrelated. Our current knowledge of specific barriers that prevent access to HCT is very limited. As the utilization of HCT increases, it is imperative that underserved populations receive the benefit of this life-saving procedure. We review the prevailing literature on access to HCT and describe research priorities for eliminating disparities in transplantation. Better understanding of these complex barriers will minimize inequities, inform health policy, guide development of interventions targeted to eliminate disparities, and continue the expansion of HCT in the future.
Majhail
Navneet S
NS
Center for International Blood and Marrow Transplant Research, Minneapolis, Minnesota, USA. majha001@umn.edu
Omondi
Nancy A
NA
Denzen
Ellen
E
Murphy
Elizabeth A
EA
Rizzo
J Douglas
JD
D000367:Age Factors; D006297:Health Services Accessibility; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D014481:United States