{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T04:25:30Z","timestamp":1791087930922,"version":"4.1.0"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:00:00Z","timestamp":1689206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/igo\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Public Health"],"published-print":{"date-parts":[[2023,10]]},"DOI":"10.1016\/j.puhe.2023.07.015","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T15:03:48Z","timestamp":1692284628000},"page":"33-41","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"special_numbering":"C","title":["The journey of cancer patients and the quest to equity: findings from Morocco"],"prefix":"10.1016","volume":"223","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8053-4963","authenticated-orcid":false,"given":"C.","family":"Sauvaget","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Boutayeb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Bendahhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Selmouni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Belbaraka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3448-0503","authenticated-orcid":false,"given":"R.","family":"Muwonge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Hassouni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1252-1925","authenticated-orcid":false,"given":"E.","family":"Lucas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1470-6904","authenticated-orcid":false,"given":"L.","family":"Alaoui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Ibrahim Khalil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6557-6444","authenticated-orcid":false,"given":"M.","family":"Bennani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Chami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Bekkali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.puhe.2023.07.015_bib1","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1258\/jhsrp.2011.010113","article-title":"The Andersen Model of Total Patient Delay: a systematic review of its application in cancer diagnosis","volume":"17","author":"Walter","year":"2012","journal-title":"J\u00a0Health Serv Res Policy"},{"key":"10.1016\/j.puhe.2023.07.015_bib2","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.annepidem.2017.09.007","article-title":"Delayed presentation and diagnosis of breast cancer in African women: a systematic review","volume":"27","author":"Espina","year":"2017","journal-title":"Ann Epidemiol"},{"key":"10.1016\/j.puhe.2023.07.015_bib3","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1186\/s12889-021-11296-5","article-title":"Health system factors that influence diagnostic and treatment intervals in women with breast cancer in sub-Saharan Africa: a systematic review","volume":"21","author":"Gbenonsi","year":"2021","journal-title":"BMC Publ Health"},{"issue":"Suppl 1","key":"10.1016\/j.puhe.2023.07.015_bib4","doi-asserted-by":"crossref","first-page":"S92","DOI":"10.1038\/bjc.2015.48","article-title":"Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review","volume":"112","author":"Neal","year":"2015","journal-title":"Br J Cancer"},{"key":"10.1016\/j.puhe.2023.07.015_bib5","series-title":"A\u00a0handbook for local health and care systems","article-title":"Implementing a timed colorectal diagnosis pathway","year":"2018"},{"key":"10.1016\/j.puhe.2023.07.015_bib6","series-title":"A handbook for local health and care systems","article-title":"Implementing a timed lung cancer diagnosis pathway","year":"2018"},{"key":"10.1016\/j.puhe.2023.07.015_bib7","series-title":"Achieving world-class cancer outcomes: a strategy for England","year":"2015"},{"key":"10.1016\/j.puhe.2023.07.015_bib8","series-title":"Plan National de Prevention et de Contr\u00f4le du Cancer 2010-2019","year":"2009"},{"key":"10.1016\/j.puhe.2023.07.015_bib9","series-title":"Morocco's subsidized health insurance regime for the poor and vulnerable population: achievements and challenges. Universal health coverage study series No. 36","author":"Chen","year":"2018"},{"key":"10.1016\/j.puhe.2023.07.015_bib10","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J\u00a0Biomed Inf"},{"key":"10.1016\/j.puhe.2023.07.015_bib11","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","journal-title":"J\u00a0Biomed Inf"},{"key":"10.1016\/j.puhe.2023.07.015_bib12","unstructured":"The World Bank. Data for Morocco. Available from: https:\/\/data.worldbank.org\/?locations=MA-XN. Accessed 12 July 2022."},{"key":"10.1016\/j.puhe.2023.07.015_bib13","doi-asserted-by":"crossref","DOI":"10.1155\/2016\/4840762","article-title":"Determinants of patient delay in seeking diagnosis and treatment among Moroccan women with cervical cancer","volume":"2016","author":"Ouasmani","year":"2016","journal-title":"Obstet Gynecol Int"},{"key":"10.1016\/j.puhe.2023.07.015_bib14","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1186\/s12885-021-08175-y","article-title":"The evolution of the socio-cultural and religious characteristics of cancer patients in Morocco: case of the National Institute of Oncology Rabat","volume":"21","author":"Elkhalloufi","year":"2021","journal-title":"BMC Cancer"},{"key":"10.1016\/j.puhe.2023.07.015_bib15","series-title":"Evaluation des effets de la couverture sanitaire universelle (CSU) sur l\u2019utilisation effective des services de sant\u00e9 au Maroc","author":"Heikel","year":"2020"},{"key":"10.1016\/j.puhe.2023.07.015_bib16","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1093\/inthealth\/ihaa075","article-title":"Feasibility of upfront mobile money transfers for transportation reimbursement to promote retention among patients receiving lymphoma treatment in Malawi","volume":"13","author":"Ellis","year":"2021","journal-title":"Int Health"},{"key":"10.1016\/j.puhe.2023.07.015_bib17","article-title":"A\u00a0systematic review of barriers to breast cancer care in developing countries resulting in delayed patient presentation","volume":"2012","author":"Sharma","year":"2012","journal-title":"JAMA Oncol"},{"key":"10.1016\/j.puhe.2023.07.015_bib18","doi-asserted-by":"crossref","first-page":"51","DOI":"10.3917\/med.171.0051","article-title":"Les solidarites familiales au Maroc : permanences et changements","volume":"171","author":"Lecester-Rollier","year":"2015","journal-title":"Mondes en d\u00e9veloppement."},{"key":"10.1016\/j.puhe.2023.07.015_bib19","year":"2019","journal-title":"Sante en chiffres"},{"key":"10.1016\/j.puhe.2023.07.015_bib20","unstructured":"The World Bank. Out-of-pocket expenditure (% of current health expenditure) \u2013 Morocco. Available from: https:\/\/data.worldbank.org\/indicator\/SH.XPD.OOPC.CH.ZS?locations=MA. Accessed 10 July 2022."},{"key":"10.1016\/j.puhe.2023.07.015_bib21","doi-asserted-by":"crossref","first-page":"e1569","DOI":"10.1002\/hpm.2848","article-title":"The impact of out-of-pocket health expenditure on household impoverishment: evidence from Morocco","volume":"34","author":"Oudmane","year":"2019","journal-title":"Int J Health Plann Manag"},{"key":"10.1016\/j.puhe.2023.07.015_bib22","author":"Benjaafar","year":"1929","journal-title":"Radiotherapy in Morocco"},{"key":"10.1016\/j.puhe.2023.07.015_bib23","first-page":"71","article-title":"Deciding to access healthcare in Morocco. About the \u201cfirst deadline\u201d","volume":"80\u201381","author":"Gruenais","year":"2018","journal-title":"Open Edition J"},{"key":"10.1016\/j.puhe.2023.07.015_bib24","first-page":"64","article-title":"Le soutien familial du patient canc\u00e9reux: qu'en est-il du Maroc? [Family support for cancer patients: what is it in Morocco?]","volume":"15","author":"El Youbi","year":"2013","journal-title":"Pan Afr Med J"},{"key":"10.1016\/j.puhe.2023.07.015_bib25","doi-asserted-by":"crossref","first-page":"1983","DOI":"10.1002\/ijc.30266","article-title":"Are disparities of waiting times for breast cancer care related to socio-economic factors? A regional population-based study (France)","volume":"139","author":"Ayrault-Piault","year":"2016","journal-title":"Int J Cancer"},{"key":"10.1016\/j.puhe.2023.07.015_bib26","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1038\/bjc.2017.87","article-title":"Evaluating wait times from screening to breast cancer diagnosis among women undergoing organised assessment vs usual care","volume":"116","author":"Chiarelli","year":"2017","journal-title":"Br J Cancer"},{"key":"10.1016\/j.puhe.2023.07.015_bib27","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1136\/bmj.325.7357.196","article-title":"The waiting time paradox: population based retrospective study of treatment delay and survival of women with endometrial cancer in Scotland","volume":"325","author":"Crawford","year":"2002","journal-title":"BMJ"},{"issue":"Suppl 2","key":"10.1016\/j.puhe.2023.07.015_bib28","doi-asserted-by":"crossref","first-page":"S92","DOI":"10.1038\/sj.bjc.6605398","article-title":"Risk factors for delayed presentation and referral of symptomatic cancer: evidence for common cancers","volume":"101","author":"Macleod","year":"2009","journal-title":"Br J Cancer"},{"key":"10.1016\/j.puhe.2023.07.015_bib29","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0201288","article-title":"Can we assess Cancer Waiting Time targets with cancer survival? A population-based study of individually linked data from the National Cancer Waiting Times monitoring dataset in England, 2009-2013","volume":"13","author":"Di Girolamo","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.puhe.2023.07.015_bib30","unstructured":"Australian Government, Cancer Council. Optimal care pathway for people with breast cancer. 2nd ed. Available from:: https:\/\/www.cancer.org.au\/assets\/pdf\/breast-cancer-quick-reference-guide. Accessed 10 July 2022."},{"key":"10.1016\/j.puhe.2023.07.015_bib31","unstructured":"Australian Government, Cancer Council. Optimal care pathway for people with colorectal cancer. 2nd ed. Available from:: https:\/\/www.cancer.org.au\/assets\/pdf\/colorectal-cancer-quick-reference-guide. Accessed 10 July 2022."},{"key":"10.1016\/j.puhe.2023.07.015_bib32","first-page":"3017","article-title":"Delay in diagnosis and treatment of breast cancer among women attending a reference service in Brazil","volume":"18","author":"Romeiro Lopes","year":"2017","journal-title":"Asian Pac J Cancer Prev APJCP"},{"key":"10.1016\/j.puhe.2023.07.015_bib33","doi-asserted-by":"crossref","first-page":"4030","DOI":"10.3390\/ijerph17114030","article-title":"Waiting time between breast cancer diagnosis and treatment in Brazilian women: an analysis of cases from 1998 to 2012","volume":"17","author":"Ferreira","year":"2020","journal-title":"Int J Environ Res Publ Health"},{"key":"10.1016\/j.puhe.2023.07.015_bib34","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1200\/GO.21.00155","article-title":"National cancer information system within the framework of health insurance in Colombia: a real-world data approach to evaluate access to cancer care","volume":"7","author":"Hern\u00e1ndez Vargas","year":"2021","journal-title":"JCO Glob Oncol"},{"key":"10.1016\/j.puhe.2023.07.015_bib35","unstructured":"American College of Surgeons. National accreditation\u2013 Program for breast centers: Standards manual, 2018 Edition. Available from:: https:\/\/www.facs.org\/media\/pofgxojm\/napbc_standards_manual_2018.pdf. Accessed 12 July 2022."},{"key":"10.1016\/j.puhe.2023.07.015_bib36","series-title":"Breast cancer surgery: pan-Canadian standards","year":"2019"},{"key":"10.1016\/j.puhe.2023.07.015_bib37","series-title":"Guide to cancer early diagnosis","year":"2017"},{"key":"10.1016\/j.puhe.2023.07.015_bib38","series-title":"European Communities. European guidelines for quality assurance in breast cancer screening and diagnosis","first-page":"213","author":"Perry","year":"2006"},{"key":"10.1016\/j.puhe.2023.07.015_bib39","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1016\/S0140-6736(99)02143-1","article-title":"Influence of delay on survival in patients with breast cancer: a systematic review","volume":"353","author":"Richards","year":"1999","journal-title":"Lancet"},{"key":"10.1016\/j.puhe.2023.07.015_bib40","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1001\/jamaoncol.2015.4508","article-title":"Time to surgery and breast cancer survival in the United States","volume":"2","author":"Bleicher","year":"2016","journal-title":"JAMA Oncol"},{"key":"10.1016\/j.puhe.2023.07.015_bib41","article-title":"Time to initial cancer treatment in the United States and association with survival over time: an observational study","volume":"14","author":"Khorana","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.puhe.2023.07.015_bib42","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.30072","article-title":"Assessment of time-to-treatment initiation and survival in a cohort of patients with common cancers","volume":"3","author":"Cone","year":"2020","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.puhe.2023.07.015_bib43","doi-asserted-by":"crossref","first-page":"m4087","DOI":"10.1136\/bmj.m4087","article-title":"Mortality due to cancer treatment delay: systematic review and meta-analysis","volume":"371","author":"Hanna","year":"2020","journal-title":"BMJ"},{"key":"10.1016\/j.puhe.2023.07.015_bib44","doi-asserted-by":"crossref","first-page":"1679","DOI":"10.1245\/s10434-019-08050-y","article-title":"Time to surgery and the impact of delay in the non-neoadjuvant setting on triple-negative breast cancers and other phenotypes","volume":"27","author":"Mateo","year":"2020","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.puhe.2023.07.015_bib45","doi-asserted-by":"crossref","first-page":"2198","DOI":"10.1002\/cncr.29331","article-title":"Health system delay and its effect on clinical stage of breast cancer: multicenter study","volume":"121","author":"Unger-Salda\u00f1a","year":"2015","journal-title":"Cancer"},{"key":"10.1016\/j.puhe.2023.07.015_bib46","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.6004\/jnccn.2018.7067","article-title":"Delays in diagnosis and treatment of breast cancer: a safety-net population profile","volume":"16","author":"Jaiswal","year":"2018","journal-title":"J\u00a0Natl Compr Cancer Netw"},{"key":"10.1016\/j.puhe.2023.07.015_bib47","series-title":"Cancer waiting times user guide","year":"2022"},{"key":"10.1016\/j.puhe.2023.07.015_bib48","series-title":"Planning: improving access to breast cancer care","year":"2016"},{"key":"10.1016\/j.puhe.2023.07.015_bib49","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.lungcan.2022.01.015","article-title":"Time to diagnosis and treatment of lung cancer: a systematic overview of risk factors, interventions and impact on patient outcomes","volume":"166","author":"Zhang","year":"2022","journal-title":"Lung Cancer"}],"container-title":["Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0033350623002561?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0033350623002561?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T00:41:28Z","timestamp":1758501688000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0033350623002561"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":49,"alternative-id":["S0033350623002561"],"URL":"https:\/\/doi.org\/10.1016\/j.puhe.2023.07.015","relation":{},"ISSN":["0033-3506"],"issn-type":[{"value":"0033-3506","type":"print"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The journey of cancer patients and the quest to equity: findings from Morocco","name":"articletitle","label":"Article Title"},{"value":"Public Health","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.puhe.2023.07.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Published by Elsevier Ltd on behalf of The Royal Society for Public Health.","name":"copyright","label":"Copyright"}]}}