Original Investigation

Correctional Health and Oncologist Perspectives on Strategies to Improve Cancer Care in US Prisons

JAMA Network Open 10.1001/jamanetworkopen.2025.37640

October 15, 2025 at 11:00 AM EDT

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What ways to improve cancer screening, diagnosis, and treatment in US prisons do correctional health and oncology clinicians recommend?In this qualitative study with 54 participants, prison medical directors and clinicians identified pragmatic strategies to improve cancer care delivered in prisons through screening, centralized and prison-based cancer treatment, and improved care coordination, communication, and symptom management, as well as practices and policies to promote patient-centered care.This study found participant-identified strategies that may be associated with mitigation of considerable disparities in cancer survival for incarcerated individuals.

Corresponding Author: Christopher R. Manz, MD, MSHP, Department of Medical Oncology, Dana Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215 (christopher_manz@dfci.harvard.edu).

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