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Text of the page (random words):
an believes the number is higher but federal efforts to protect the health system are a patchwork according to cybersecurity experts while it s not yet clear how change healthcare was hacked experts have warned a breach can occur through a phishing link in an email or more exotic pathways that means regulators need to consider hardening all kinds of products one example of the slow at best efforts to mend these defenses concerns medical devices devices with outdated software could provide a pathway for hackers to get into a hospital network or simply degrade its functioning the fda recently gained more authority to assess medical devices digital defenses and issue safety communications about them but that doesn t mean vulnerable machines will be removed from hospitals products often linger because they re expensive to take out of service or replace senator mark warner d va has previously proposed a cash for clunkers type program to pay hospitals to update the cybersecurity of their old medical devices but it was never seriously pursued warner spokesperson rachel cohen said riggi said such a program might make sense depending on how it s implemented weaknesses in the system are widespread and often don t occur to policymakers immediately even something as prosaic as a heating and air conditioning system can if connected to a hospital s internet network be hacked and allow the institution to be breached but erecting more defenses requires more people and resources which often aren t available in 2017 woods and corman assisted on an hhs report surveying the digital readiness of the health care sector as part of their research they found a slice of wealthier hospitals had the information technology staff and resources to defend their systems but the vast majority had no dedicated security staff corman calls them target rich but cyber poor the desire is there they understand the importance riggi said the issue is the resources hhs has proposed requiring minimum cyberdefenses for hospitals to participate in medicare a vital source of revenue for the entire industry but riggi says the aha won t support it we oppose unfunded mandates and oppose the use of such a harsh penalty he said kff health news is a national newsroom that produces in depth journalism about health issues and is one of the core operating programs at kff an independent source of health policy research polling and journalism learn more about kff post_title string 88 biden team unitedhealth struggle to restore paralyzed billing systems after cyberattack post_excerpt string 187 a february 21 cyberattack on change healthcare which is owned by unitedhealth is exposing vulnerabilities in the health system and shortcomings in the biden administration s response post_status string 7 publish comment_status string 6 closed ping_status string 6 closed post_password string 0 post_name string 87 biden team unitedhealth struggle to restore paralyzed billing systems after cyberattack to_ping string 0 pinged string 0 post_modified string 19 2024 03 13 11 04 23 post_modified_gmt string 19 2024 03 13 15 04 23 post_content_filtered string 0 post_parent int 0 guid string 46 https www cancertherapyadvisor com p 171207 menu_order int 0 post_type string 4 post post_mime_type string 0 comment_count string 1 0 filter string 3 raw 3 object wp_post 7457 24 id int 170704 post_author string 5 45456 post_date string 19 2024 03 08 11 00 00 post_date_gmt string 19 2024 03 08 16 00 00 post_content string 14495 equitable access to care as well as improvements in cancer diagnosis and primary prevention strategies could prevent more than 2 million cancer deaths in women each year according to a report published in the lancet 1 researchers studied premature cancer death in 2020 among women from 185 countries who had 36 cancer types 1 2 of the 2 3 million women who died prematurely an estimated 1 5 million could have avoided premature death via primary prevention or early detection strategies and the remaining 800 000 deaths could have been prevented if women had equitable access to cancer care according to researchers b eing a woman impacts timely cancer care more than being a man said lancet report author karla unger saldaña md of the national cancer institute of mexico in mexico city t here are many mechanisms behind this starting with different access to education health literacy cancer awareness and gender roles that interfere with women s ability to seek care she added women experience delays in cancer diagnosis w omen tend to be disadvantaged from first access to care for cancer even starting from diagnosis said lancet report author verna vanderpuye md of korle bu teaching hospital in accra ghana studies have suggested that several cancers tend to be diagnosed later in women than in men women tend to have longer times from first presentation to diagnosis for gastrointestinal genitourinary lung hematologic and other cancers 3 7 for example in a uk study of 18 618 patients women had delayed diagnoses of lymphoma bladder cancer colorectal cancer gastric cancer head and neck cancer and lung cancer 7 studies have also shown that women are more likely than men to first present with cancer symptoms at emergency rooms with the greatest disparities seen for lung and gastrointestinal cancers 8 9 these delays in diagnosis can mean that women are diagnosed with cancer at later stages than men research has shown that women are diagnosed with colon rectal and bladder cancer at later stages than men 10 14 delays in diagnosis may be partly explained by a lack of screening for example researchers found that health care providers are less likely to have discussions about lung cancer screening with women than with men 15 in addition although screening has been shown to reduce the incidence of cervical cancer many countries have not implemented widespread screening 16 17 how sexism impacts access to cancer care sexism has been shown to impact women s access to any type of health care and this includes cancer care 1 disrespectful or even discriminatory health care resulting from health care providers gender biases and stereotypes affects women s ability to receive the care they need dr unger saldaña noted studies have shown that women s health concerns are less likely to be taken seriously and managed appropriately than men s 18 19 women s symptoms are more likely to be perceived as psychosocial women are more likely to receive non specific diagnoses and they are more likely to be given prescriptions for psychoactive drugs a cancer specific example of overlooking women s health concerns is how physicians have delayed the diagnosis of breast cancer by inappropriately reassuring patients that a palpable mass is benign without performing a biopsy 20 research has also suggested that women with cancer are more likely than their male counterparts to experience adverse events related to cancer treatment to report inadequate pain management and to have their sexual health concerns overlooked 21 23 i n the area of breast and gynecologic cancers only very recently have people focused on sexual health and sexual side effects of cancer treatment said gita suneja md of the university of utah in salt lake city who was not involved in the lancet report these are life altering treatments that affect sexual health profoundly yet we have long neglected women s health and well being patriarchal ideas about women and women s complaints often manifest in prevalent mistreatment disrespect negligence and abuse of female patients by medical staff the authors of the lancet report wrote these types of experiences can damage patients trust in health care providers and influence the patients willingness to participate in cancer screening or seek care for cancer symptoms another potential cause of suboptimal cancer care for women is the fact that they have been underrepresented in research so cancers in women may not be as well understood as cancers in men 24 25 the causes of breast cancer for example are not well understood despite the fact that breast cancer was the most commonly diagnosed cancer worldwide in 2020 1 26 i think one of the key takeaways from our work was the degree to which sex and gender have not been adequately considered in cancer research practice and policy making said lancet report author ophira ginsburg md of the national cancer institute in bethesda maryland we underestimated the massive role that gender based and intersectional power dynamics play in the interactions of women with the cancer health system cost related barriers and intersectionality another barrier to optimal care that impacts women more often than men is the cost of care 1 research has shown that women are more likely than men to have inadequate health insurance and to forgo medical care due to costs 19 27 in one study women in latin american countries reported that health care costs prevented them from undergoing breast cancer screening 28 in another study women in uganda reported that a lack of money for medical bills and transportation was the main reason they did not seek care for symptoms of breast cancer or cervical cancer 29 women can also face barriers to care as a result of intersecting identities such as race ethnicity sexual orientation and gender identity 1 of course gender intersects with other marginalized status to further complicate things dr unger saldaña noted for example an analysis of 36 studies on access to cancer care among indigenous people in canada revealed that barriers to cervical cancer screening were related to histories of trauma and abuse including sexual and physical abuse and residential school attendance as well as the inability to locate a female health care provider 30 women belonging to sexual minority groups may also experience barriers that limit their ability to receive cancer care 1 in a us study 29 of black sexual minority women reported delays in breast cancer care of more than 3 months compared with 11 of black heterosexual women 10 of white sexual minority women and 5 of white heterosexual women 31 the role of primary prevention efforts primary prevention strategies such as avoiding tobacco and alcohol can prevent cancer deaths in women but common sex specific cancers in women are generally not amenable to primary prevention the lancet report authors noted 1 overall the proportion of cancers that are amenable to primary prevention strategies is greater for men than for women women can benefit from interventions to reduce cancer risks but these interventions must be gender appropriate according to the lancet report authors women can benefit from tailored genetic testing counseling about lifestyle changes and hpv vaccination for example eliminating disparities potential solutions the lancet report authors said the report itself is a first step toward addressing disparities in cancer care 1 the first thing is to bring the discussion to the fore dr vanderpuye said we need to revisit our social norms we need to look at feminist economics the report includes several recommendations for addressing disparities such as routinely collecting and reporting data on sex gender and other sociodemographic factors in cancer populations reducing exposures to known cancer risks for women and devising strategies to increase equitable access to early cancer detection and diagnosis the report also recommends ensuring that health systems provide quality cancer care to women and integrating a gender competency framework into the education and training of the cancer workforce dr vanderpuye noted that such frameworks could increase awareness of gender differences in cancer and the need to prevent bias in cancer care patient education is another area for improvement highlighted in the report educational interventions to increase women s awareness of screening measures and cancer symptoms could lead to earlier diagnosis dr vanderpuye also suggested addressing religious and cultural norms preventing women and girls from accessing timely care and working to increase enrollment of women and girls in clinical trials to direct quality care interventions 32 33 dr ginsburg noted that the national institutes of health is offering a series of workshops on sex and gender cancer research that anyone can attend this includes basic translational and clinical research where even sex as a biological variable has been under examined as a factor that can influence treatment efficacy and toxicity and the way that power dynamics influence a woman s rights and opportunities to understand her cancer risks and to seek and obtain respectful cancer health services from primary and secondary prevention through treatment and survivorship care dr ginsburg said there s much more to be done and we are hoping this the lancet report will create a movement and generate not only interest but real world actions to make a transformational change among our many partners stakeholders and those who might read the report in the future dr ginsburg said disclosures drs suneja ginsburg and unger saldaña reported having no conflicts of interest dr vanderpuye and other lancet report authors disclosed a range of affiliations that can be found in the report post_title string 77 women and cancer improving diagnosis and access to care could prevent deaths post_excerpt string 176 sexism can prevent women from receiving equitable cancer care according to researchers studies suggest that women face barriers to cancer screening diagnosis and treatment post_status string 7 publish comment_status string 6 closed ping_status string 6 closed post_password string 0 post_name string 59 women cancer improving diagnosis access care prevent deaths to_ping string 0 pinged string 0 post_modified string 19 2024 03 11 09 38 16 post_modified_gmt string 19 2024 03 11 13 38 16 post_content_filtered string 0 post_parent int 0 guid string 46 https www cancertherapyadvisor com p 170704 menu_order int 0 post_type string 4 post post_mime_type string 0 comment_count string 1 0 filter string 3 raw features more features new guidelines on cannabis cannabinoid use in cancer patients by alexandra della pia pharmd mba bcop cannabis and cannabinoids should not be used to augment or replace cancer treatment but they may improve chemotherapy induced nausea and vomiting when other guideline recommended options have been exhausted biden said medicare drug price negotiations cut the deficit by 160b that s years away by amy sherman politifact biden team unitedhealth struggle to restore paralyzed billing systems after cyberattack by darius tahir bernard j wolfson daniel chang kff health news women and cancer improving diagnosis and access to care could prevent deaths by julie ehlers by jonathan goodman mphil features new guidelines on cannabis cannabinoid use in cancer patients by alexandra della pia pharmd mba bcop biden said medicare drug price negotiations cut the deficit by 160b that s years away by am...
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