RSS-Feed abonnieren
DOI: 10.1055/s-0044-1787150
TechCare: Transformative Innovations in Addressing the Psychosocial Challenges of Cancer Care in Kerala, India
Funding Mohammed Raqib was supported by MHRD NET Fellowship for PhD student from the Ministry of Education India. Prema Naittee George was supported by Senior Research Fellowship (SRF) from the Indian Council of Medical Research India (ICMR).Abstract
As the global burden of cancer continues to escalate, the holistic care of patients demands innovative approaches that extend beyond medical interventions. This article delves into the transformative landscape of cancer care in Kerala, India, focusing on the intersection of technology and psycho-oncology. Examining the role of the state government, Kerala Startup Mission (KSUM), and individual startups and institutions, including Malabar Cancer Institute and Cochin Cancer Research Centre, we explore how technological innovations, telemedicine, and e-health solutions are actively shaping psycho-oncological support. Leveraging on case studies, we identify notable innovations, including artificial intelligence-based cancer screening, personalized treatment plans, and mental health support. The results signify a paradigm shift toward comprehensive, patient-centric cancer care, potentially influencing broader health care strategies. Despite acknowledging regional specificity and potential biases, the study underscores the transformative role of technological entrepreneurship in revolutionizing cancer care, paving avenues for future research for integrating psycho-oncological support in health care policies and startup initiatives. Overall, the article highlights the evolving landscape in Kerala as a beacon for holistic and patient-centric strategies that prioritize mental health alongside medical interventions.
Keywords
psycho-oncology - Kerala model of health care - medical Innovation - social innovation - cancer care - Kerala Startup Mission - tech-entrepreneurshipPatients' Consent
Informed consent was obtained from all study participants.
Authors' Contributions
All authors contributed to the study's conception and design material preparation, data collection, and analysis of the manuscript. All authors commented on all previous versions of the manuscript. All authors read and approved the final manuscript.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (Institutional Ethics Committee (IEC), IIT Hyderabad (IITH/IEC/2021/12/13)) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Publikationsverlauf
Artikel online veröffentlicht:
26. Juni 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Report on Medical Certification of Cause of Death. 2018 ; Accessed June 18, 2018 at: https://censusindia.gov.in/nada/index.php/catalog/40071
- 2 Measures taken to Address Rising Cases of Cancer. Accessed December 2, 2023 at: https://pib.gov.in/pib.gov.in/Pressreleaseshare.aspx?PRID=1943656
- 3 Sathishkumar K, Chaturvedi M, Das P, Stephen S, Mathur P. Cancer incidence estimates for 2022 & projection for 2025: result from National Cancer Registry Programme, India. Indian J Med Res 2022; 156 (4&5(: 598-607
- 4 Kulothungan V, Sathishkumar K, Leburu S. et al. Burden of cancers in India - estimates of cancer crude incidence, YLLs, YLDs and DALYs for 2021 and 2025 based on National Cancer Registry Program. BMC Cancer 2022; 22 (01) 527-539
- 5 Mathew G, Sebastian SR, Benjamin AI. et al. Community-based burden, warning signs, and risk factors of cancer using public-private partnership model in Kerala, India. J Family Med Prim Care 2020; 9 (02) 745-750
- 6 Kavitha. Kerala's startup Sascan Meditech Private Limited has won the Pharma and Medical Devices Start-up India Grand Challenge 2021 in the medical devices category. - Sascan Meditech. Accessed December 2, 2023 at: https://sascan.in/keralas-startup-sascan-meditech-private-limited-wins-start-up-india-grand-challenge-2021-in-medical-devices-category/
- 7 Correspondent S. Startup Mission signs pact for cancer care incubator. The Hindu. Accessed April 20, 2024 at: https://www.thehindu.com/news/cities/Kochi/startup-mission-signs-pact-for-cancer-care-incubator/article38260697.ece
- 8 Gupta A, Dhillon PK, Govil J, Bumb D, Dey S, Krishnan S. Multiple stakeholder perspectives on cancer stigma in North India. Asian Pac J Cancer Prev 2015; 16 (14) 6141-6147
- 9 Singh G, Raghav P, Rustagi N. Health seeking behaviour among cancer patients using geographic information system: a mixed-methods study from Western India. Popul. Med 2023; 5 (suppl): A1503
- 10 Yılmaz M, Dissiz G, Usluoğlu AK, Iriz S, Demir F, Alacacioglu A. Cancer-related stigma and depression in cancer patients in a middle-income country. Asia Pac J Oncol Nurs 2019; 7 (01) 95-102
- 11 Akin-Odanye EO, Husman AJ. Impact of stigma and stigma-focused interventions on screening and treatment outcomes in cancer patients. Ecancermedicalscience 2021; 15: 1308
- 12 Pakseresht S, Tavakolinia S, Leili EK. Determination of the association between perceived stigma and delay in help-seeking behavior of women with breast cancer. Maedica (Buchar) 2021; 16 (03) 458-462
- 13 Ernst J, Mehnert A, Dietz A, Hornemann B, Esser P. Perceived stigmatization and its impact on quality of life - results from a large register-based study including breast, colon, prostate and lung cancer patients. BMC Cancer 2017; 17 (01) 741
- 14 Goffman E. Stigma: Notes on the Management of Spoiled Identity. 1. Touchstone ed. Simon & Schuster; Manhatten New York: 1986
- 15 Sontag S. Illness as Metaphor. Reprinted. Penguin Classics; London: 1978
- 16 Knapp S, Marziliano A, Moyer A. Identity threat and stigma in cancer patients. Health Psychol Open 2014; 1 (01) 2055102914552281
- 17 Kleinman A. The Illness Narratives: Suffering, Healing, and the Human Condition. Basic Books;; New York: 1989
- 18 Elangovan V, Rajaraman S, Basumalik B, Pandian D. Awareness and perception about cancer among the public in Chennai, India. J Glob Oncol 2016; 3 (05) 469-479
- 19 Squiers L, Siddiqui M, Kataria I. et al. Perceived, Experienced, and Internalized Cancer Stigma: Perspectives of Cancer Patients and Caregivers in India. . RTI Press 2021: 1-14 . Accessed December 4, 2023 at: http://www.ncbi.nlm.nih.gov/books/NBK577066/
- 20 Nyblade L, Stockton M, Travasso S, Krishnan S. A qualitative exploration of cervical and breast cancer stigma in Karnataka, India. BMC Womens Health 2017; 17 (01) 58-73
- 21 Datta SS, Ghose S, Ghosh M. et al. Journeys: understanding access, affordability and disruptions to cancer care in India. Ecancermedicalscience 2022; 16: 1342
- 22 George PN, Ganesh MP, Chawak S, Chittem M. Factors associated with choosing the Kerala model of palliative care versus standard care among Indian cancer patients. Indian J Med Paediatr Oncol 2022; (e-pub ahead of print). DOI: 10.1055/s-0042-1742613.
- 23 Khosla D, Patel FD, Sharma SC. Palliative care in India: current progress and future needs. Indian J Palliat Care 2012; 18 (03) 149-154
- 24 Chintapally N, Nuwayhid M, Arroju V. et al. State of cancer care in India and opportunities for innovation. Future Oncol 2023; 19 (39) 2593-2606
- 25 Pramesh CS, Badwe RA, Borthakur BB. et al. Delivery of affordable and equitable cancer care in India. Lancet Oncol 2014; 15 (06) e223-e233
- 26 6 Government-Sponsored Schemes For Cancer Patients in Karnataka. Free Crowdfunding for India | #1 Fundraising website in India | Milaap. Accessed April 20, 2024 at: https://pages.milaap.org/2023/01/24/5-government-sponsored-schemes-for-cancer-patients-in-karnataka/
- 27 Karunya Arogya Suraksha Padhathi – sha. Accessed April 20, 2024 at: https://sha.kerala.gov.in/karunya-arogya-suraksha-padhathi/
- 28 Sharma P, Khanna D, Pradhan S, Birur P. Community cancer screening at primary care level in Northern India: determinants and policy implications for cancer prevention. Fam Med Community Health 2023; 11 (Suppl. 01) e002397
- 29 Sriram RD, Subrahmanian E. Transforming health care through digital revolutions. J Indian Inst Sci 2020; 100 (04) 753-772
- 30 Topol EJ. The Patient Will See You Now: The Future of Medicine Is in Your Hands. Basic Books; New York: 2015
- 31 Nair MK. Cancer Control in Kerala, India. In: 50 Years of Cancer Control in India. Ministry of Health and Family Welfare; 2002 :114–128. Accessed May 11, 2024 at: https://main.mohfw.gov.in/?q=Organisation/Departments-of-Health-and-Family-Welfare/national-cancer-control-programme/50-years-cancer-control-india
- 32 Maya C. Kerala's cancer care facilities to be linked. The Hindu. Accessed December 6, 2023 at: https://www.thehindu.com/news/national/kerala/states-cancer-care-facilities-to-be-linked/article21386743.ece
- 33 Kerala Development and Innovation Strategic Council (K-DISC). 2022–23 Annual Report on K-DISC Programmes; 2022 :vii. Accessed May 11, 2024 at: https://kdisc.kerala.gov.in/wp-content/uploads/2023/10/Annex02_K-DISC_GB_1.3_Annual-Report_2022-23_v3.pdf
- 34 New techs in cancer care to be brought to grass roots. The Hindu. Accessed November 30, 2023 at: https://www.thehindu.com/news/cities/Kochi/new-techs-in-cancer-care-to-be-brought-to-grass-roots/article29939753.ece
- 35 The State of Kerala Startup Ecosystem Report; 2022 . Accessed May 11, 2024 at: https://startupmission.kerala.gov.in/report/577K9Wz9m91q
- 36 Ministry of Commerce & Industry. 46 Startups announced winners of the National Startup Awards 2021 along with 1 incubator and 1 accelerator. Accessed December 6, 2023 at: https://www.pib.gov.in/www.pib.gov.in/Pressreleaseshare.aspx?PRID=1790183
- 37 Karkinos Healthcare Sweeps Top Honours at Arogya Manthan; 2023 . Accessed December 6, 2023 at: http://epao.net/epSubPageExtractor.asp?src=news_section.Top_Stories.Top_Stories_2023.Karkinos_Healthcare_Sweeps_Top_Honours_at_Arogya_Manthan_2023
- 38 Mukherjee A. Kerala scientist Dr A Seema invents a cheap bra device that detects breast cancer in women in India. Accessed December 6, 2023 at: https://homegrown.co.in/homegrown-explore/lifestyle/kerala-scientist-develops-a-one-of-a-kind-low-cost-bra-that-detects-breast-cancer
- 39 Kerala: Cochin University of Science and Technology faculty gamifies solutions to motivate cancer patients. The Times of India. Accessed April 22, 2024 at: https://timesofindia.indiatimes.com/city/kochi/cusat-faculty-gamifies-solutions-to-motivate-cancer-patients/articleshow/83290762.cms