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      What went right during the COVID crisis: The capabilities of local actors and lasting innovations in oncology care and research

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          Abstract

          This article will elaborate how oncology care and research was adapted during the COVID pandemic in the Metropole of Lyon (France), including the lasting innovations that came out of the crisis. The research method involved 22 semi-structured qualitative interviews of healthcare professionals, managers, and researchers in the Lyon, France region coming from both public and private academic hospitals. The interviews took place from February 2021-December 2022 in order to assess the long-term adaptations and innovations in cancer care organization in the post-COVID era. The main results show adaptations and innovations in 1) new processes and resources to facilitate disciplinary and interdisciplinary work; 2) harmonization and streamlining of patient journeys. In the discussion section, we will mobilize the capabilities approach, an interdisciplinary social sciences approach that focuses on the capabilities of persons to be and to do, to elaborate the conditions by which local actors were able to be agile, to adapt and to innovate in spite of the healthcare emergency and in coherence with their professional and personal values.

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          Most cited references36

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          Systematic methodological review: developing a framework for a qualitative semi-structured interview guide.

          To produce a framework for the development of a qualitative semi-structured interview guide.
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            Introduction: epistemic communities and international policy coordination

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              The impact of the COVID-19 pandemic on cancer care

              The COVID-19 pandemic has disrupted the spectrum of cancer care, including delaying diagnoses and treatment and halting clinical trials. In response, healthcare systems are rapidly reorganizing cancer services to ensure that patients continue to receive essential care while minimizing exposure to SARS-CoV-2 infection.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: ValidationRole: Writing – original draft
                Role: SupervisionRole: Writing – review & editing
                Role: MethodologyRole: Writing – review & editing
                Role: MethodologyRole: Writing – review & editing
                Role: ConceptualizationRole: SupervisionRole: Writing – review & editing
                Role: Editor
                Journal
                PLOS Glob Public Health
                PLOS Glob Public Health
                plos
                PLOS Global Public Health
                Public Library of Science (San Francisco, CA USA )
                2767-3375
                25 September 2023
                2023
                : 3
                : 9
                : e0002366
                Affiliations
                [1 ] Department of Social Sciences and Humanities, Centre Léon Bérard, Lyon, France and Institut des Humanités en Médecine, UNIL/CHUV, Lausanne, Switzerland
                [2 ] International Agency for Research on Cancer, World Health Organization, Lyon, France
                [3 ] Department of Medical Oncology and Research Center on Healthcare Performance (RESHAPE) INSERM U1290, Hospices Civils de Lyon, Pierre-Benite, France
                [4 ] Department of Medical Oncology, Centre Léon Bérard and Claude Bernard Lyon 1 University, INSERM 1052, CNRS 5286, Cancer Research Center of Lyon, Lyon, France
                PLOS: Public Library of Science, UNITED STATES
                Author notes

                The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0001-7557-3709
                https://orcid.org/0000-0001-8393-6979
                https://orcid.org/0000-0002-8090-9323
                Article
                PGPH-D-23-00608
                10.1371/journal.pgph.0002366
                10519589
                37747872
                29083b9d-c3f4-44f6-87fb-0286fc0c6f53
                © 2023 Bogaert et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 7 April 2023
                : 16 August 2023
                Page count
                Figures: 0, Tables: 3, Pages: 18
                Funding
                Funded by: Metropole de Lyon
                Award ID: Soutien aux projets structurants 2020
                Award Recipient :
                This project was financed by the Métropole de Lyon - Cancéropôle Lyon Auvergne-Rhône-Alpes, France (CLARA) - Soutien aux projets structurants 2020; LYriCAN+ INCa-DGOS-INSERM-ITMO cancer_18003, PIA Institut Convergence Francois Rabelais PLAsCAN (PLASCAN, 17-CONV-0002). ll of the authors were involved in the grant and their individual structures received funding to conduct the research. However, among the authors, only BB received a salary (post-doctoral salary) for this project. The funders met with the project team at two intervals to review project implementation; however; they had no role in our study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Medicine and Health Sciences
                Health Care
                Health Care Providers
                Allied Health Care Professionals
                Medicine and Health Sciences
                Oncology
                Cancers and Neoplasms
                Medicine and Health Sciences
                Health Care
                Health Care Providers
                Medicine and Health Sciences
                Oncology
                Medicine and Health Sciences
                Oncology
                Cancer Treatment
                Physical Sciences
                Physics
                Classical Mechanics
                Reflection
                People and places
                Geographical locations
                Europe
                European Union
                France
                Biology and Life Sciences
                Neuroscience
                Cognitive Science
                Cognitive Psychology
                Decision Making
                Biology and Life Sciences
                Psychology
                Cognitive Psychology
                Decision Making
                Social Sciences
                Psychology
                Cognitive Psychology
                Decision Making
                Biology and Life Sciences
                Neuroscience
                Cognitive Science
                Cognition
                Decision Making
                Custom metadata
                The data is attached as a supplementary file.
                COVID-19

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