The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Closing the Rural Cancer Care Gap: Three Institutional Approaches
Abstract
Patients in rural areas face limited access to medical and oncology providers, long travel times, and low recruitment to clinical trials, all of which affect quality of care and health outcomes. Rural counties also have high rates of cancer-related mortality and other negative treatment outcomes. On April 10, 2019, ASCO hosted Closing the Rural Cancer Care Gap, the second event in its State of Cancer Care in America series. The event focused on two aspects of rural cancer care: a review of the major issues and concerns in delivering rural cancer care and a discussion of creative solutions to address rural-nonrural disparities. This article draws from the event and supporting literature to summarize the challenges to delivering high-quality care in rural communities, update ASCO’s workforce data on the geographic distribution of oncologists, and highlight 3 institutional approaches to addressing these challenges in diverse rural settings. The experience of the 3 institutions featured in the article suggests that increasing rural patients’ access to care requires expanding services and decreasing travel distances, mitigating financial burdens when insurance coverage is limited, opening avenues to clinical trial participation, and creating partnerships between providers and community leaders to address local gaps in care. Because the characteristics of rural communities, health care resources, and patient populations are not homogeneous, rural health disparities require local solutions that are based on community needs, available resources, and trusting and collaborative partnerships.
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Self-citationRural–Urban Differences in Cancer Incidence and Trends in the United States
Zahnd, W. E., James, A. S., Jenkins, W. D., Izadi, S. R., Fogleman, A. J., Steward, D. E., Colditz, G. A., & Brard, L. (2018) · Cancer Epidemiology, Biomarkers & Prevention · doi:10.1158/1055-9965.epi-17-0430 · Cited by 439
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Lin, C. C., Bruinooge, S. S., Kirkwood, M. K., Olsen, C., Jemal, A., Bajorin, D., Giordano, S. H., Goldstein, M., Guadagnolo, B. A., Kosty, M., et al. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2015.61.1558 · Cited by 263
Rural Residence and Cancer Outcomes in the United States: Issues and Challenges
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Structural Urbanism Contributes To Poorer Health Outcomes For Rural America
Probst, J., Eberth, J. M., & Crouch, E. (2019) · Health Affairs · doi:10.1377/hlthaff.2019.00914 · Cited by 217
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The role of digital health technology in rural cancer care delivery: A systematic review
Morris, B. B., Rossi, B., & Fuemmeler, B. (2022) · The Journal of Rural Health · doi:10.1111/jrh.12619 · Cited by 104
Germline and somatic genomic testing for metastatic prostate cancer: ASCO guideline
Yu, E. Y., Rumble, R. B., Agarwal, N., Cheng, H. H., Eggener, S. E., Bitting, R. L., Beltran, H., Giri, V. N., Spratt, D., Mahal, B., et al. (2025) · Journal of Clinical Oncology · doi:10.1200/jco-24-02608 · Cited by 64
Nelson, D., McGonagle, I., Jackson, C., Tsuro, T., Scott, E., Gussy, M., & Kane, R. (2023) · Current Oncology · doi:10.3390/curroncol30020122 · Cited by 8
Metadata
- Authors
- Levit, L. A., Byatt, L., Lyss, A. P., Paskett, E. D., Levit, K., Kirkwood, K., Schenkel, C., & Schilsky, R. L.
- Venue
- JCO Oncology Practice
- Published
- 2020-07
- Volume
- 16
- Issue
- 7
- Pages
- 422-430
- ISSN
- 2688-1527 (ISSN-L)
- 2688-1535
- OpenAlex
- W3036204375
- Cited by
- 331
- References
- 28
- FWCI
- 30.75
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Closing the Rural Cancer Care Gap: Three Institutional Approaches. https://app.cochat.ai/papers/10.1200/op.20.00174
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- Levit, L. A., Byatt, L., Lyss, A. P., Paskett, E. D., Levit, K., Kirkwood, K., Schenkel, C., & Schilsky, R. L. (2020). Closing the Rural Cancer Care Gap: Three Institutional Approaches. JCO Oncology Practice. https://doi.org/10.1200/op.20.00174
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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