Patients’ Barriers to Receipt of Cancer Care, and Factors Associated With Needing More Assistance From a Patient Navigator

摘要: Background : Racial minorities have poorer cancer survival in the United States compared to whites. The purpose of this study was better understand patients’ barriers care and determine which patients a greater need for assistance from patient navigator. Methods Community health workers assisted newly-diagnosed breast colorectal during randomized trial navigation collected information about barriers. Barriers were characterized between non-Hispanic white minority patients. A multivariate model constructed factors associated with increased log time, measure assistance. Results Patients’ (n = 103) most commonly identified included lack social support, insurance/ financial concerns, problems communicating healthcare providers. differed nonminority patients, faced number ( p .0001). In univariate analysis, time race/ethnicity, education, income, employment, insurance type, literacy, marital status, language, comorbidity. multivari-ate R 2 0.43) created using stepwise selection, following factors: race/ethnicity .032), non–full-time employment .0004), unmarried status .085), university center .0005), months Conclusions Newly diagnosed common include insurance/financial communications. sample independently unemployment. These data may help design targeting interventions reduce disparities.