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Patient-Perceived Access to Care When Actively Seeking Treatment
Zachary Pruitt1, Susan Sportsman2
1University of South Florida.
Oncology Nursing Forum
|June 22, 2017
Summary
Patients with cancer facing treatment barriers often lack insurance or have Medicaid. Financial and insurance issues were the primary obstacles, highlighting the need for specialized nursing advocacy for vulnerable populations.
Area of Science:
- Oncology
- Health Services Research
- Health Equity
Background:
- Access to care is crucial for cancer patients undergoing treatment.
- Identifying barriers to care is essential for improving patient outcomes.
- Socioeconomic factors significantly influence healthcare access.
Purpose of the Study:
- To investigate the predictors of perceived access to care among cancer patients.
- To identify the common barriers to care experienced by these patients.
Main Methods:
- Retrospective analysis of the U.S. Medical Expenditure Panel Survey data.
- Involved 1,170 adults actively seeking cancer treatment.
- Used bivariate tests (chi-square) to analyze associations between patient characteristics and perceived access to care.
Main Results:
- Patients with Medicaid or no insurance reported significantly lower perceived access to care compared to those with Medicare.
- Financial and insurance-related issues were the most frequently reported barriers to treatment.
- While most cancer patients reported adequate access, a vulnerable subgroup faced significant difficulties.
Conclusions:
- A subset of cancer patients, particularly those with limited insurance, experiences substantial barriers to accessing care.
- Addressing these disparities requires targeted interventions and advocacy.
- Specialized knowledge may be needed for nurses to effectively support vulnerable cancer patients.
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