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How global is our research on child and adolescent mental health? A worldwide concentration and imbalance - and an opportunity for JCPP to take the lead in disseminating globally diverse research.

Authors: Wilson S, Patel K
Journal: Journal of child psychology and psychiatry, and allied disciplines
mental health psychology open access

Abstract

This study identifies key priorities for improving oncology care delivery. Empathy, timely access to specialists, and minimizing treatment delays are central to patient satisfaction and directly influence treatment adherence. Elevated anxiety and reduced trust in medical staff—particularly in nonacademic settings—may compromise compliance, while financial distress, especially among younger patients, underscores the need for integrated psychosocial and financial support. At the system level, observed disparities between academic and nonacademic hospitals warrant caution in the decentralization of oncology services. Expanding geographic access without parallel investment in staffing, communication standards, and patient support infrastructure risks exacerbating inequalities in care quality. Standardization of organizational and psychosocial care across institutions is therefore essential to ensure equitable, continuous, and patient-centered oncology care. Oncology care requires not only precise medical interventions but also a nuanced understanding of patient experiences and expectations. Patient satisfaction, widely recognized as a key indicator of healthcare quality, reflects the effectiveness of treatment organization, clinical communication, and institutional performance. Beyond objective clinical outcomes, patients’ emotional and psychological experiences within the healthcare system play a decisive role in shaping their overall perception of care. Empathy constitutes a core component of patient-centered oncology care and has been consistently associated with improved clinical outcomes, enhanced self-efficacy, reduced psychological distress, and higher patient satisfaction. Despite its acknowledged importance, empathy remains inconsistently conceptualized and measured, often with limited incorporation of the patient perspective. Recent studies emphasize the need for more patient-centered frameworks, demonstrating that oncology patients prioritize clinician behaviors such as active listening, understanding, and attentiveness to their broader psychosocial needs.