Disparities in Timeliness of Care
نویسنده
چکیده
Multiple sociodemographic factors affect cancer care patterns, including age, sex, race or ethnicity, insurance status, household income, level of education, and usual source of health care1–9. Timeliness of care (that is, rapid initiation of treatment after definitive diagnosis) is a key component of high-quality cancer treatment. For many types of cancer, timely treatment after diagnosis can improve morbidity, quality of life, and survival. Only a few studies have examined the influence of patient sociodemographic factors on the receipt of timely cancer care. Both Gwyn et al.10 and Elmore et al.11 found that, compared with white women, black women were more likely to experience treatment delays. In contrast, among prostate cancer patients treated in the U.S. military health care system (that is, an “equal-access medical care system”), no significant differences in wait time were observed between black and white men12. A number of studies have used data from the U.S. National Cancer Institute’s Surveillance, Epidemiology and End Results (seer) program cancer registry linked to Medicare claims data (seer–Medicare). Based on such data, Gorin et al.13 reported that, compared with white women, black women with breast cancer experienced increased odds of treatment delays. Other studies using seer–Medicare data found that older patients or those residing in rural areas ABSTRACT
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