title: Beyond the bench and the bedside: economic and health systems dimensions of global childhood cancer outcomes.
abstract: Globally, the number of new cases of childhood cancer continues to rise, with a widening gulf in outcomes across countries, despite the availability of effective cure options for many pediatric cancers. Economic forces and health system realities are deeply embedded in the foundation of disparities in global childhood cancer outcomes. A truly global effort to close the childhood cancer divide therefore requires systemic solutions. Analysis of the economic and health system dimensions of childhood cancer outcomes is essential to progress in childhood cancer survival around the globe. The conceptual power of this approach is significant. It provides insight into how and where pediatric oncology entwines with broader political and economic conditions, and highlights the mutual benefit derived from systems-oriented solutions.
authors.affiliation: Division of Hematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada; Dana-Farber Children's Cancer Center, Boston, Massachusetts; Harvard Global Equity Initiative, Harvard University, Boston, Massachusetts; Harvard Medical School, Harvard University, Boston, Massachusetts.
authors.forename: Avram E
authors.initials: AE
authors.lastname: Denburg
authors.forename: Felicia M
authors.initials: FM
authors.lastname: Knaul
authors.forename: Rifat
authors.initials: R
authors.lastname: Atun
authors.forename: Lindsay A
authors.initials: LA
authors.lastname: Frazier
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Barr
mesh_terms: D002648:Child; D003695:Delivery of Health Care / Q000191:economics*; D014943:Global Health / Q000191:economics*; D006297:Health Services Accessibility; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D012923:Social Class; D016896:Treatment Outcome
keywords: access to medicines; economics; global health; health systems; innovative financing; pediatric oncology