Foreign patients and multicultural challenges in pediatric oncology: The experience of the Istituto Nazionale dei Tumori in Milan

Pediatr Blood Cancer. 2024 Nov;71(11):e31260. doi: 10.1002/pbc.31260. Epub 2024 Aug 13.

Abstract

This paper describes the complexity of the clinical management of foreign minors suffering from cancer, through the clinical experience of an Italian referral center. The study includes 50 patients less than 18 years (22% of the patients admitted to the unit in 2023), 32 foreigners who were Italian resident and 18 who had come to Italy specifically to receive cancer treatment. Patients who migrate for healthcare reasons often arrive at the referral center with advanced disease or relapse. Numerous socio-cultural issues were reported. To address them, specific strategies were implemented to ensure equal and high-quality care for all patients, respecting their needs.

Keywords: cancer; children; foreign; health migration; medical tourism; multicultural; social support.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Cultural Diversity
  • Emigrants and Immigrants
  • Female
  • Humans
  • Infant
  • Italy
  • Male
  • Medical Oncology
  • Neoplasms* / therapy