Equitable Access to Cancer Services A Review of Barriers to Quality Care

摘要: BACKGROUND Barriers to cancer care have been documented in nearly all settings and populations; such barriers represent potentially avoidable morbidity or mortality. A conceptual framework was used describe patient, provider, system services. METHODS A review of the English language literature on from 1980–1998 conducted; key research summarized for each domain model. RESULTS Key patient are related old age, minority race, low socioeconomic class; common pathways by which these sociodemographic factors appear mediate outcomes include social class race-related class-related attitudes. Providers often ill-prepared communicate complexities their diverse constraints medical also can impede delivery care. To authors' knowledge impact rapid growth managed organizations (MCOs) access has yet be evaluated fully. Although MCOs historically provided high levels screening healthy populations, there fewer data regarding elderly poor populations treatment services. CONCLUSIONS Additional is needed develop test interventions overcome evaluate populations. Cancer 1999;86:2378–90. © 1999 American Society.