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https://repository.monashhealth.org/monashhealthjspui/handle/1/56412| Title: | Towards equitable cancer outcomes for rural and remote communities: reflections, lessons and recommendations. | Authors: | Ugalde A. Jongebloed H. Wright C. Rodi H. Chapman A. Marshall S. Aras D. Bergin R.J. Boffa S. Boltong A. Conlin M. Crawford-Williams F. de Wet C. Faisal W. Gao L. Gasper H. Gunn K. Hart N.H. Hayes T. Honeyball F. Johnston E.A. Karikios D. Kiss N. Leigh L. Livingston P.M. O'Kane C. Perry R. Rhee J. Riva S. Sergeant L. Short C.E. Stewart R. Turner V. Varlow M. Whittaker K. Shee A.W. Yoong S. Alston L. | Monash Health Department(s): | Monash University - School of Clinical Sciences at Monash Health | Institution: | (Ugalde, Jongebloed, Wright, Rodi, Chapman, Marshall, Bergin, Riva) Institute for Health Transformation, Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Faculty of Health, Deakin University, VIC, Australia (Aras) Western Alliance, VIC, Australia (Boffa, Turner) Equitable Cancer Outcomes Across Rural and Remote Australia (ECORRA) National Consumer Program, Faculty of Health, Deakin University, Geelong, Australia (Boltong) Department of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash Health, Monash University, VIC, Australia (Conlin, Gao, Livingston, Sergeant, Yoong) Institute for Health Transformation, Deakin University, VIC, Australia (Conlin) Violet Vines Marshman Centre for Rural Health Research, La Trobe University, Mildura, VIC, Australia (Conlin) East Grampians Health Services, VIC, Australia (Crawford-Williams, Hart) Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia (Crawford-Williams) McGrath Foundation, NSW, Australia (de Wet) Medical Services and Clinical Governance, South West Hospital and Health Service, Queensland Government, QLD, Australia (Faisal) Dept of Medical Oncology, Grampians Health, Ballarat, VIC, Australia (Faisal) School of Medicine, Faculty of Health, Deakin University, VIC, Australia (Faisal) The John Richards Centre for Rural Ageing Research, La Trobe University, VIC, Australia (Gasper) Sunshine Coast University Private Hospital, Doherty Street, Birtinya, QLD, Australia (Gasper) Noosa Hospital, 111 Goodchap Street, Noosaville, QLD, Australia (Gasper) School of Medicine, University of Queensland, St Lucia, QLD, Australia (Gasper) Centre for Health Research, University of Southern Queensland, Ipswich, QLD, Australia (Gunn) IIMPACT in Health, Department of Rural Health, Allied Health and Human Performance, University of South Australia, SA, Australia (Hart) Human Performance Research Centre, INSIGHT Research Institute, University of Technology Sydney (UTS), NSW, Australia (Hart) Cancer and Palliative Outcomes Centre, School of Nursing, Queensland University of Technology, QLD, Australia (Hart) Exercise Medicine Research Institute, School of Medical and Health Sciences, Edith Cowan University, WA, Australia (Hart) Institute for Health Research, University of Notre Dame Australia, WA, Australia (Hayes) South West Regional Cancer Centre, South West Oncology, Oncology, VIC, Australia (Hayes) Barwon South West Regional Integrated Cancer Services, Barwon Health, VIC, Australia (Hayes) Deakin Medical School, Deakin University, VIC, Australia (Honeyball) University of Sydney School of Rural Health, Dubbo, NSW, Australia (Honeyball) Western Cancer Centre- Dubbo Western New South Wales Local Health District, Dubbo, NSW, Australia (Johnston) Viertel Cancer Research Centre, Cancer Council Queensland, QLD, Australia (Johnston) School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Australia (Karikios) Sydney Medical School, University of Sydney, NSW, Australia (Karikios) Department of Medical Oncology, Nepean Hospital, NSW, Australia (Kiss) Institute for Physical Activity and Nutrition, Deakin University, VIC, Australia (Leigh) Hunter Medical Research Institute, NSW, Australia (Leigh) School of Medicine and Public Health, University of Newcastle, NSW, Australia (O'Kane) Wimmera Cancer Centre, Grampians Health Horsham, VIC, Australia (Perry) Health Translation South Australia, South Australian Health and Medical Research Institute, Australia (Rhee) Discipline of General Practice, School of Clinical Medicine, University of New South Wales, NSW, Australia (Short) Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences and Melbourne School of Health Sciences, University of Melbourne, VIC, Australia (Stewart) South West Hospital and Health Service, QLD, Australia (Varlow) Prevention and Screening, Cancer Institute NSW, St Leonards, NSW, Australia (Whittaker) Cancer Care Policy, Cancer Council Australia, Sydney, NSW, Australia (Shee) Grampians Health, Deakin Rural Health, Deakin University, VIC, Australia (Shee, Alston) Deakin Rural Health, Deakin University, VIC, Australia (Alston) Research Unit, Colac Area Health, Colac, VIC, Australia | Issue Date: | 5-Dec-2025 | Copyright year: | 2025 | Place of publication: | United Kingdom | Publication information: | The Lancet Regional Health - Western Pacific. (no pagination), 2025. Article Number: 101756. Date of Publication: 2025. | Journal: | The Lancet Regional Health - Western Pacific | Abstract: | People living in rural and remote areas continue to face significant inequities in cancer outcomes compared to their metropolitan counterparts. Despite advances in cancer control, these disparities persist across the cancer trajectory. This personal view consolidates findings from our Equitable Cancer Outcomes for Rural and Remote Communities series, highlighting survival disadvantages, challenges in measuring and reporting rurality, barriers to implementing evidence-based interventions, and shortcomings in historical policy. We argue for place-based, system-level reform that genuinely partners with rural communities, leverages local strengths, and embeds rural voices in research, policy, and service delivery. Key recommendations include adopting a formal partnership position statement to guide collaboration across sectors, strengthening rural data infrastructure, harmonising rural-urban classifications, tailoring implementation strategies, and prioritising geographical equity within cancer policy. Achieving meaningful progress requires coordinated cross-sector action and sustained investment in rural capacity. Equitable cancer outcomes will only be achieved by recognising and addressing the responsibility to deliver best practice care for all people affected by cancer, regardless of where they live.Copyright © 2025 The Author(s) | DOI: | http://monash.idm.oclc.org/login?url=http://acs.hcn.com.au/?acc=36265&url=https://dx.doi.org/10.1016/j.lanwpc.2025.101756 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/56412 | Type: | Article In Press |
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