Health care experiences of Black cancer survivors: A qualitative study exploring drivers of low and high Consumer Assessment of Healthcare Providers and Systems global ratings of care.
Health care experiences of Black cancer survivors: A qualitative study exploring drivers of low and high Consumer Assessment of Healthcare Providers and Systems global ratings of care.
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黑人癌症幸存者的医疗保健体验：一项定性研究，探讨消费者对医疗保健提供者和系统全球护理评级低和高评估的驱动因素。
DOI：
10.1002/cncr.34943
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发表时间：
2023
期刊：
影响因子：
6.2
通讯作者：
Farias,AlbertJ
中科院分区：
文献类型：
--
作者：
Ochoa-Dominguez,CarolY;Garrett,Elleyse;Navarro,Stephanie;Toledo,Gabriela;Rodriguez,Claudia;Iyawe-Parsons,Aisa;Farias,AlbertJ
本研究的目的是通过比较高和低评级的驱动因素来了解黑人癌症患者的医疗体验。方法对2019年5月至2020年3月从癌症生存支持组织和Facebook招募的18名黑人癌症患者进行半结构化深度访谈。访谈采用主题分析的方法对所有成绩单进行编码，然后比较低评级组和高评级组。结果影响患者对其护理的评价是低还是高的三个主要主题，包括患者与提供者的关系、医护人员的互动和癌症护理的协调。例如，高评级小组将与医疗团队的良好沟通描述为医生倾听他们的需求，回应他们的关切，并就如何解决副作用提供建议。相比之下，低评级组将与他们的医疗保健团队的沟通不足描述为他们的需求被忽视，并被排除在决策过程之外。此外，有两个不同的主题影响了患者的低评级：保险和财务毒性问题以及医疗歧视的经历。结论为了促进黑人患者公平的癌症护理体验，卫生系统努力优先考虑患者与卫生保健提供者和工作人员的互动，对癌症患者的综合护理管理，以及减轻癌症护理的经济负担。
BackgroundThe purpose of this study was to understand the experiences of Black patients with cancer in health care by comparing drivers of high and low ratings.MethodsSemistructured in‐depth interviews were conducted with 18 Black patients with cancer recruited from cancer survivorship support groups and Facebook between May 2019 and March 2020. Interviews were coded across all transcripts by using a thematic analysis approach before comparing low‐ and high‐rating groups.ResultsThere were three major themes that influenced whether patients rated their care as low or high, which included the patient–provider relationship, health care staff interactions, and cancer care coordination. For example, the high‐rating group described good communication with the health care team as physicians listening to their needs, being responsive to their concerns, and providing recommendations on how to address side effects. In contrast, the low‐rating group described poor communication with their health care team as their needs being dismissed and being excluded from decision‐making processes. Additionally, there were two distinct themes that influenced patients’ low ratings: insurance and financial toxicity issues and experiences of health care discrimination.ConclusionsIn an effort to promote equitable cancer care experiences for Black patients, it is important that health systems work to prioritize patient interactions with health care providers and staff, comprehensive care management for patients with cancer, and reductions in the financial burden of caring for cancer.