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Comprehensive cancer control program (CCCP)​

Chapter 1: Health Equity 

Rooted in Equity: Cancer Prevention and Care for All Californians

California's 10-Year Cancer Plan puts health equity at the center of its efforts to reduce cancer disparities across all communities. The plan focuses on ensuring everyone—regardless of race/ethnicity, income, geography, age, sexual orientation/gender identity or other factors—has access to cancer prevention, quality care, and support throughout the cancer continuum. Throughout the plan, each chapter presents strategies and action steps designed to address systemic issues that lead to health disparities. The Health Equity chapter is grounded in addressing the upstream drivers of health, which improve other areas of the cancer continuum. The chapter specifically highlights the need to confront root causes of structural and systemic discrimination, inequities in policies and society known to impact health and well-being, as well as access to timely, high-quality, and affirming care.

The first priority addresses the root causes of health inequalities, such as food insecurity, lack of housing, and limited access to healthcare. It encourages partnerships between health systems, community organizations, housing services, and other groups to support both medical and non-medical needs, like transportation or access to healthy food. It includes mental health and social connection as key components of cancer prevention.

The second priority aims to reduce late-stage cancer diagnoses, especially among groups that have historically faced barriers to care. Underscoring the importance of advocacy, this priority promotes culturally competent, affirming and in-language care, better access to mental health support, and more community engagement to help people understand their health and get the care they need.

By focusing on equity and community-based solutions, this plan creates a pathway to better health outcomes for all Californians.

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References:

  1. California Department of Health Care Services. (2025, February 7). All plan letter 25-004. https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL%202025/APL25-004.pdf
  2. California Health Care Foundation. (2022, July 14). Partnerships for action: California health care & homelessness learning collaborative. https://www.chcf.org/resource/partnerships-for-action-california-health-care-homelessness-learning-collaborative/
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  5. Maguire, F. B., Yang, N. T., Movsisyan Vernon, A. S., Le, T. C., Hofer, B. M., Parikh-Patel, A., Hussain, S. K., Keegan, T. H. M., & Wun T. (July 2024). Disparities in stage at diagnosis and quality of cancer care in California by source of health insurance. UC Davis Comprehensive Cancer Center, UC Davis Health. https://www.ccrcal.org/wpfd_file/disparities-in-stage-at-diagnosis-and-quality-of-cancer-care-in-california-by-source-of-health-insurance/
  6. Maguire, F. B., Yang, N. T., Movsisyan Vernon, A. S., Le, T. C., Hofer, B. M., Parikh-Patel, A., Hussain, S. K., Keegan, T. H. M., & Wun, T. (July 2024). Disparities in stage at diagnosis and quality of cancer care in California by source of health insurance. UC Davis Comprehensive Cancer Center, UC Davis Health. https://www.ccrcal.org/wpfd_file/disparities-in-stage-at-diagnosis-and-quality-of-cancer-care-in-california-by-source-of-health-insurance/
  7. Miller, J., Quan, A., & Chapman, S. (February 2023). Understanding California's community health worker/promotor workforce: CHW/P training programs. California Health Care Foundation. https://www.chcf.org/wp-content/uploads/2023/02/UnderstandingCHWPWorkforce.pdf.
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  11. Taparra, K., Kekumano, K., Benavente, R., Roberto, L., Gimmen, M., Shontell, R., Cakobau, H., Deo, N., Kinslow, C. J., Warner, A. B., Deville, C., Shing, J. Z., Vo, J. B., Patel, M. I., & Pollom, E. (2024). Racial disparities in cancer stage at diagnosis and survival for adolescents and young adults. JAMA Network Open, 7(8), e2430975. https://doi.org/10.1001/jamanetworkopen.2024.30975
  12. Tucker-Seeley, R., Abu-Khalaf, M., Bona, K., Shastri, S., Johnson, W., Phillips, J., Masood, A., Moushey, A., & Hinyard, L. (2024). Social determinants of health and cancer care: An ASCO policy statement. JCO Oncology Practice, 20(5), 621–630. https://doi.org/10.1200/op.23.00810
  13. Tucker-Seeley, R., Abu-Khalaf, M., Bona, K., Shastri, S., Johnson, W., Phillips, J., Masood, A., Moushey, A., & Hinyard, L. (2024). Social determinants of health and cancer care: An ASCO policy statement. JCO Oncology Practice, 20(5), 621–630. https://doi.org/10.1200/op.23.00810
  14. UCLA Center for Health Policy Research. (n.d.). California Health Interview Survey. https://healthpolicy.ucla.edu/our-work/california-health-interview-survey-chis

Resources:

  1. Abound Food Care - https://www.aboundfoodcare.org/
  2. Academy of Oncology Nurse & Navigators (AONN) - https://www.aonnonline.org/
  3. Academy of Oncology Nurse & Navigators (AONN), Toolkits - https://www.aonnonline.org/toolkits
  4. Agency for Healthcare Research and Quality (AHRQ), SDOH & Practice Improvement - https://www.ahrq.gov/sdoh/practice-improvement.html
  5. American Cancer Society (ACS) Leadership in Oncology Navigation (LION) - https://www.cancer.org/health-care-professionals/resources-for-professionals/patient-navigator-training.html
  6. American Cancer Society (ACS) Leadership in Oncology Navigation (LION), "Making the Case for Patient Navigation - Business Case Toolkit" - https://www.cancer.org/content/dam/cancer-org/cancer-control/en/toolkits/acs-lion-patient-navigation-business-case-toolkit.pdf
  7. American Cancer Society (ACS) Leadership in Oncology Navigation (LION), "Professional Navigation Payment Frequently Asked Questions (FAQ)" - https://www.cancer.org/content/dam/cancer-org/online-documents/en/pdf/brochures/acs-lion-pin-payment-faq-07-22-24.pdf
  8. American Society of Clinical Oncology (ASCO), "Social Determinants of Health and Cancer Care: An ASCO Policy Statement" - https://ascopubs.org/doi/10.1200/OP.23.00810
  9. Association of Cancer Care Centers (ACCC), Social Drivers of Health - https://www.accc-cancer.org/home/learn/health-equity/social-drivers-of-health
  10. California Department of Health Care Services (DHCS), "CalAIM Providing Access and Transforming Health Initiative" - https://www.dhcs.ca.gov/CalAIM/Pages/CalAIM-PATH.aspx
  11. California Department of Health Care Services (DHCS), "Transformation of Medi-Cal: Community Supports" - https://www.dhcs.ca.gov/CalAIM/Documents/DHCS-Medi-Cal-Community-Supports-Supplemental-Fact-Sheet.pdf
  12. California Department of Health Care Services (DHCS), CalAIM Initiatives - https://www.dhcs.ca.gov/CalAIM/Pages/Initiatives.aspx
  13. California Department of Health Care Services (DHCS), Mental Health Services Act - https://www.dhcs.ca.gov/services/MH/Pages/MH_Prop63.aspx
  14. California Healthcare Foundation, CalAIM in Focus - https://www.chcf.org/resource/calaim-in-focus/
  15. Capitol Food Access Alliance - https://capfoodaccess.org/
  16. George Washington University (GW), Oncology Patient Navigator Training - https://cme.smhs.gwu.edu/gw-cancer-center-/content/new-oncology-patient-navigator-training-fundamentals
  17. Georgetown University National Center for Cultural Competence - https://nccc.georgetown.edu/
  18. Journal of the American Medical Association (JAMA), "Racial Disparities in Cancer Stage at Diagnosis and Survival for Adolescents and Young Adults" - https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2823019
  19. National Academies Sciences Engineering Medicine (NASEM), "Assessing and Advancing Progress in the Delivery of High-Quality Cancer Care" - https://nap.nationalacademies.org/catalog/27779/assessing-and-advancing-progress-in-the-delivery-of-high-quality-cancer-care
  20. National Association of Community Health Workers (NACHW), CHW Network Resources - https://nachw.org/generalresources/network-resources/
  1. National Association of community Health Workers (NACHW), Reports - https://nachw.org/reports/
  2. National Library of Medicine (NLM), "Addressing Cancer Disparities Through Community Engagement: Lessons and Best Practices" - https://pmc.ncbi.nlm.nih.gov/articles/PMC10498131/
  3. Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE®) Implementation and Action Toolkit - https://prapare.org/prapare-toolkit/
  4. Public Health Law Center, Smoke Free Housing - https://www.publichealthlawcenter.org/sites/default/files/resources/Comparing-Private-and-Public-MUH.pdf
  5. SB-987 California Cancer Care Equity Act. (2021-2022) - https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB987
  6. Substance Abuse and Mental Health Services Administration (SAMHSA), "Peer Support Specialists: A Growing Mental Health and Addictions Workforce" - https://library.samhsa.gov/sites/default/files/peer-support-mh-addictions-workforce-pep24-08-005.pdf
  7. Susan G Komen Foundation, Patient Navigation Training Program - https://www.komen.org/about-komen/our-impact/breast-cancer/navigation-nation-training-program/
  8. U.S. Department of Health & Human Services, "Think Cultural Work" - https://thinkculturalhealth.hhs.gov/resources/library
  9. University of California Davis (UCD), "Disparities in Stage at Diagnosis and Quality of Cancer Care in California by Source of Health Insurance" - https://www.ccrcal.org/download/274/special-topic-reports/9281/disparities-in-stage-at-diagnosis-and-quality-of-cancer-care-in-california-by-source-of-health-insurance.pdf
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