Neighborhood Characteristics and Colorectal Cancer Survivors' Quality of Care
Authors
Boehmer, UlrikePotter, Jennifer
Clark, Melissa A.
Ozonoff, Al
Ceballos, Rachel M.
Winter, Michael
Hartshorn, Kevan L.
UMass Chan Affiliations
Department of Population and Quantitative SciencesDocument Type
Journal ArticlePublication Date
2019-12-13Keywords
colorectal cancerquality of cancer care
survivorship care plan
Clinical Epidemiology
Digestive System Diseases
Epidemiology
Health Services Administration
Neoplasms
Metadata
Show full item recordAbstract
Purpose: Quality cancer care entails receipt of a Survivorship Care Plan (SCP). The purpose of this study was to determine differences in SCP delivery by patient-level and neighborhood characteristics. Methods: We obtained California cancer registry data on individuals who were diagnosed with stage I, II, or III colorectal cancer (CRC) between 2012 and 2015 and resided in predetermined geographic areas. We then mailed them a questionnaire, which queried about receipt of a SCP and its content. SCP was defined by content, as summary of cancer treatment, cancer surveillance recommendations, and/or an individualized preventive care. Using logistic regression modeling, each measure of SCP, as well as the summary measure (none vs. any), was evaluated by person-level characteristics. Subsequently, neighborhood-level characteristics were added to the model to explore their additional value. Results: Overall 80% of CRC survivors received a SCP. Receipt of SCPs was associated with person-level characteristics, while neighborhood characteristics did not make an additional contribution. Young, male employed survivors and those with more recent diagnoses or later cancer stages had greater odds of receiving a SCP. Conclusion: When providing SCPs, health care providers prioritize patient groups who they may perceive as vulnerable or likely to benefit from SCPs.Source
Health Equity. 2019 Dec 13;3(1):619-627. doi: 10.1089/heq.2019.0062. eCollection 2019. Link to article on publisher's site
DOI
10.1089/heq.2019.0062Permanent Link to this Item
http://hdl.handle.net/20.500.14038/41308PubMed ID
31872167Related Resources
Rights
Copyright Ulrike Boehmer et al. 2019; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Distribution License
http://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.1089/heq.2019.0062
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Except where otherwise noted, this item's license is described as Copyright Ulrike Boehmer et al. 2019; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.