Factors Associated With Use of a High-Volume Cancer Center by Black Women With Ovarian Cancer
| Autor: | Elyse Shuk, Nadeem R. Abu-Rustum, Carla Boutin-Foster, Maureen Byrne, Dennis S. Chi, Renee A. Cowan, Carol L. Brown, Kara Long Roche |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Population Cancer Care Facilities ORIGINAL CONTRIBUTIONS Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Medicine 030212 general & internal medicine Healthcare Disparities education Aged Ovarian Neoplasms Black women education.field_of_study Oncology (nursing) business.industry Extramural Health Policy Cancer Middle Aged medicine.disease Black or African American nervous system Socioeconomic Factors Oncology Health Care Surveys 030220 oncology & carcinogenesis Family medicine behavior and behavior mechanisms Female business Ovarian cancer hormones hormone substitutes and hormone antagonists |
| Zdroj: | J Oncol Pract |
| ISSN: | 1935-469X 1554-7477 |
| Popis: | OBJECTIVE: Disparities exist between population subgroups in the use of gynecologic oncologists and high-volume hospitals. The objectives of this study were to explore the experiences of black women obtaining ovarian cancer (OC) care at a high-volume center (HVC) and to identify patient-, provider-, and systems-related factors affecting their access to and use of this level of care. MATERIALS AND METHODS: Twenty-one semistructured interviews were conducted as part of an institutional review board–approved protocol with women who self-identified as black or African American, treated for OC at a single HVC from January 2013 to May 2017. Recurring themes were identified in transcribed interviews through the process of independent and collaborative thematic content analysis. RESULTS: Five themes were identified: (1) internal attributes contributing to black women’s ability/desire to be treated at an HVC, (2) pathways to high- and low-volume centers, (3) obstacles to obtaining care, (4) potential barriers for black women interested in treatment at an HVC, and (5) suggestions for improving HVC use by black women. Study participants who successfully accessed care were comfortable navigating the health care system, understood the importance of self-advocacy, and valued the expertise of an HVC. Barriers to obtaining care at an HVC included lack of knowledge about the HVC, lack of referral, transportation difficulties, and lack of insurance coverage. CONCLUSION: In this qualitative study, black women treated at an HVC shared attributes and experiences that helped them access care. There is a need to collaborate with black communities and establish interventions to reduce barriers, facilitate access, and disseminate information about the value of receiving care for OC at an HVC. |
| Databáze: | OpenAIRE |
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