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Enhancing Accessibility: Federal Initiative Expands Cancer Treatment Services to Rural and Frontier Communities

February 12, 2025
in Medicine
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Kathi Mooney, PhD, RN
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Huntsman Cancer Institute, located at the University of Utah, has recently garnered attention for securing a groundbreaking federal contract aimed at enhancing cancer care accessibility, particularly for patients residing in Utah’s rural and frontier regions. This initiative highlights a pressing need to alleviate the disparities in healthcare access faced by individuals living in remote areas, where travel burdens can add complexity to receiving timely medical interventions. With this contract, the Huntsman team seeks to operationalize innovative strategies to augment their reach and effectiveness within these underserved populations.

Kathi Mooney, PhD, RN, principal investigator and co-leader of the Cancer Control and Population Sciences Program at Huntsman, articulates a forward-thinking vision for healthcare delivery that emphasizes a shift from conventional models. Instead of expecting patients to navigate lengthy travels to urban medical facilities, Mooney advocates for a proactive approach to delivering healthcare directly to the patients’ communities. This philosophical shift is crucial in addressing systemic barriers in cancer treatment access, particularly when it comes to specialized services that are often concentrated in metropolitan areas.

The five-year research project funded by the Advanced Research Projects Agency for Health (ARPA-H) PARADIGM program stands as a testament to the commitment to reform healthcare delivery in rural settings. The agency was established to tackle pressing healthcare challenges faced by populations living far from major health facilities. The stark reality is that rural cancer patients are statistically disadvantaged, facing a 10% higher mortality rate compared to their urban counterparts, thereby underscoring the critical need for focused interventions.

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Mooney mentions that the Huntsman Cancer Institute plans to leverage its established Huntsman at HomeTM program, a pioneering initiative that has already shown promise in providing comprehensive cancer care within patients’ homes. This hospital-at-home cancer model is designed to deliver acute medical assistance and post-surgical care, allowing adult oncology patients a sense of comfort and normalcy during their treatment journeys. Since its expansion into three rural Utah counties—Grand, Emery, and Carbon—this program has begun making tangible impacts.

The integration of mobile medical services represents a pivotal aspect of the ARPA-H PARADIGM program. The Huntsman team plans to deploy a specially outfitted mobile vehicle capable of providing advanced diagnostics, imaging, and treatment options within the patients’ localities. By utilizing cutting-edge technology, the mobile unit will function as an extension of the Huntsman Cancer Institute, economically overcoming the barriers posed by geographical distance. This innovation could serve as a paradigm shift in how cancer care is approached for those unable to access traditional healthcare settings.

Telehealth capabilities will also be a significant component of this initiative, allowing patients to maintain connections with their oncology teams without the need to travel. Through this technology-driven model, patients can receive real-time consultations, monitoring, and even some treatment options while remaining grounded in their communities. Such an approach not only enhances patient convenience but also mitigates the stress associated with long commutes to healthcare facilities.

Additionally, the expanded Huntsman at Home initiative aims to broaden the participation of rural patients in cancer clinical trials, which are vital for evaluating new therapies. Such trials often represent the forefront of medical innovation, offering access to cutting-edge treatments that could significantly alter the patient’s prognosis. For individuals living in areas where healthcare access is scarce, this program transforms the landscape of clinical research participation, enabling them to benefit from the latest advancements in oncology.

The logistical challenges associated with travel remain a significant barrier for many cancer patients in rural counties. Mooney highlights the daunting prospect of a two to four-hour round trip that many individuals face just to reach the Huntsman Cancer Institute in Salt Lake City. The expanded model aims to relieve patients of this burden, effectively facilitating access to necessary care without the encumbrance of travel. Ultimately, the vision is to implement a model that provides not only convenience but also comprehensive patient-centered care that prioritizes accessibility.

A crucial element of this initiative is its focus on evaluating its effectiveness through rigorous clinical studies. Mooney and her team will monitor various parameters, including health outcomes, patient satisfaction, and cost-effectiveness, to assess the overall impact of this program. The insights gained from this research have the potential to inform future strategies for delivering specialized care in rural and frontier areas, establishing a framework that other healthcare systems might emulate.

The Huntsman Cancer Institute has garnered accolades as the only National Cancer Institute-designated Comprehensive Cancer Center in the Mountain West. This designation underscores its pivotal role in advancing cancer research and treatment across underserved regions, aligning perfectly with its mission to enhance care delivery for populations that have been historically marginalized in the malpractice of healthcare equity. Their commitment to providing exceptional treatment options is evidenced by their extensive clinical trials and numerous research teams dedicated to addressing a wide spectrum of cancer-related challenges.

Neli Ulrich, PhD, MS, the cancer center director, echoes the optimism associated with this opportunity, emphasizing the importance of federal backing to propel innovations in rural cancer care. This initiative stands as a crucial step towards closing the gap in healthcare access for underserved populations. Moreover, it illustrates a concerted effort to dismantle the barriers that have long hindered consistent care for those in rural and frontier areas, emphasizing the broader societal responsibility to ensure equitable healthcare for all individuals, regardless of geography.

In conclusion, the Huntsman Cancer Institute’s groundbreaking endeavor represents a crucial advancement in cancer care accessibility, especially for rural and frontier inhabitants. By championing innovative solutions such as mobile medical units and enhanced telehealth capabilities, this project has the potential to serve as a benchmark in the field of oncology. As healthcare systems strive to evolve and adapt, initiatives like these signal a promising future where quality cancer care is not predicated on one’s location but is seamlessly integrated into communities that need it most.

Subject of Research: Enhancing access to cancer care in rural and frontier communities
Article Title: Huntsman Cancer Institute Expands Cancer Care Access with Innovative Mobile Services
News Publication Date: October 2023
Web References: Huntsman Cancer Institute
References: Advanced Research Projects Agency for Health (ARPA-H), Huntsman Cancer Foundation
Image Credits: Credit: Huntsman Cancer Institute

Keywords: Cancer care, rural health, mobile medical services, telehealth, healthcare accessibility, clinical trials, Huntsman Cancer Institute.

Tags: ARPA-H PARADIGM programcancer treatment accessibilitydisparities in cancer treatmentfederal healthcare contractsfrontier community healthhealthcare delivery reformHuntsman Cancer Instituteinnovative cancer care strategiespatient-centered healthcare modelsremote area healthcare solutionsrural healthcare initiativessystemic barriers in healthcare
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