Moral Distress and Resilience Associated with Cancer Care Priority Setting in a Resource-Limited Context.
Rebecca J DeBoerEspérance MutoniwaseCam NguyenAnita HoGrace UmutesiEugene NkusiFidele SebahunguKatherine Van LoonLawrence N ShulmanCyprien ShyiramberePublished in: The oncologist (2021)
For many oncology clinicians worldwide, resource limitations constrain routine clinical practice and necessitate decisions about prioritizing cancer care. To the authors' knowledge, this study is the first in-depth analysis of how resource constraints and priority setting lead to moral distress among oncology clinicians in a low-resource setting. Effective individual and organizational interventions and collective advocacy for equity in cancer care are urgently needed to address moral distress and reduce clinician burnout among a strained global oncology workforce. Lessons from low-resource settings can be gleaned as high-income countries face growing needs to prioritize oncology resources.