Barriers to Care in Chinese Immigrants with Hepatocellular Carcinoma: A Focus Group Study in New York City.
Barriers to Care in Chinese Immigrants with Hepatocellular Carcinoma: A Focus Group Study in New York City.
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DOI：
10.1007/s10900-018-0536-7
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发表时间：
2018-12
影响因子：
5.9
通讯作者：
Gany F
中科院分区：
文献类型：
--
作者：
Sarpel U;Huang X;Austin C;Gany F
在美国，肝细胞癌的发病率正在急剧上升，而且在所有癌症中，肝细胞癌的死亡率以最高的速度增加。虽然亚洲人的肝癌发病率是美国所有种族中最高的，但包括亚洲人在内的少数族裔从肝癌中存活下来的情况更差。我们试图找出纽约市华人移民社区中受影响的个体在治疗肝细胞癌时的护理障碍。我们在纽约市与患有肝癌的中国移民患者举行了焦点小组。29人参加了焦点小组。我们使用扎根理论方法论分析了焦点组数据。确定的护理障碍包括保险、金钱、时间、语言、居住状态和污名。此外，还讨论了供应商偏见和文化的影响。与少数族裔肝癌患者一起收集知识对于我们充分理解这个社区所经历的医疗保健障碍是至关重要的。未来的政策和干预努力必须建立在这一现实基础上。
The incidence of hepatocellular carcinoma (HCC) is rising sharply in the United States and deaths from HCC have increased at the highest rate of all cancers. Though Asians have the highest incidence of HCC of all ethnicities in the US, racial/ethnic minorities, including Asians, have worse survival from HCC. We sought to identify barriers to care in treatment of HCC among affected individuals in the NYC Chinese immigrant community. We held focus groups with Chinese immigrant patients in NYC with HCC. 29 individuals participated in the focus groups. We analyzed focus group data using grounded theory methodology. Barriers to care identified included insurance, money, time, language, residency status, and stigma. The impact of provider bias and culture were also discussed. Knowledge gathering with minority patients with HCC is essential for us to fully comprehend the barriers to healthcare experienced by this community. Future policy and intervention efforts must be founded in this reality.
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影响因子：
6.2
作者：
Chen, MS
通讯作者：
Chen, MS
影响因子：
6.2
作者：
Natale-Pereira A;Enard KR;Nevarez L;Jones LA
通讯作者：
Jones LA
影响因子：
--
作者：
Mathur, Amit K.;Osborne, Nicholas H.;Sonnenday, Christopher J.
通讯作者：
Sonnenday, Christopher J.
影响因子：
4.2
作者：
El-Serag, Hashem B.
通讯作者：
El-Serag, Hashem B.
影响因子：
6.2
作者：
Ha, John;Yan, Melissa;Wong, Robert J.
通讯作者：
Wong, Robert J.