Currently submitted to: JMIR Formative Research
Date Submitted: Oct 2, 2026
Open Peer Review Period: Nov 9, 2026 - Jan 4, 2027
(currently open for review)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Integrated Cancer Care and a Patient-Centered Framework to Close Structural, Clinical, and Equity Gaps: Qualitative Study
ABSTRACT
Background:
In 2000 the Duke Center for Health Informatics introduced a project named Galileo whose purpose was to define the perfect health and healthcare system. The target audience was as many different groups as possible, both clinical and patients, to share their thoughts for what these systems would look like.
Objective:
The objective of our study was to work with one of those identified groups – oncology. This paper defines what was shared with the investigators in defining the perfect system.
Methods:
6 oncologists and 3 patients were recruited to participate in the study. The only instructions were you could not say, “That’s impossible”, or “You can’t do that because …”, and there were no boundaries.
Results:
Even though the numbers were small, we had significant results identifying major issues from both patients and oncologists. These results are presented in the body of the paper.
Conclusions:
The current health and health care systems are significantly flawed. Only if we start anew can we accomplish the system required for the future.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.