Ten health system factors may influence quality of life in people with cancer

The quality of life of people who have or have had cancer may not only be determined by medical treatment or personal circumstances, but also by factors at the health system level. This was shown by research conducted by Nivel as part of the international EUonQoL project. In a literature review, researchers identified ten health system factors associated with quality of life. Relatively little research has yet been conducted into this area.

Health policy and affordability play a part

A rapid review of 31 scientific studies, six policy reports and one book chapter identified ten health system factors that may influence the quality of life of people who have or have had cancer. Seven factors were identified in the scientific literature, including legislation and regulation, and the affordability and accessibility of care. In addition, three factors were mentioned exclusively in non-scientific (‘grey’) literature: policy and vision, research and innovation, and quality of care delivery. However, further research is needed to better understand how these factors influence the quality of life of people who have or have had cancer.

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View all the results of the Nivel study in the publication.

About the study

For this study, a rapid review was conducted into the relationship between health system factors and quality of life among people who have or have had cancer. In addition to scientific publications, a search was also conducted for relevant information in so-called grey literature, such as policy documents. People with lived experience were involved as co-researchers. The study forms part of the international EUonQoL project, which focuses on measuring and improving the quality of life of people with cancer in Europe. This study is funded by the European Union.