Disparities in Perceived Unmet Need for Supportive Services Among Patients With Lung Cancer in the Cancer Care Outcomes Research and Surveillance Consortium
Disparities in Perceived Unmet Need for Supportive Services Among Patients With Lung Cancer in the Cancer Care Outcomes Research and Surveillance Consortium
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DOI：
10.1002/cncr.28801
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发表时间：
2014-10-15
期刊：
影响因子：
6.2
通讯作者：
Ayanian, John Z.
中科院分区：
文献类型：
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作者：
John, Dolly A.;Kawachi, Ichiro;Ayanian, John Z.
背景技术背景：作者按人种/种族和出生地调查了8种支持性服务（家庭护士、支持小组、心理服务、社会工作者、身体/职业康复、疼痛管理、精神咨询和戒烟）的任何感知未满足需求的患病率、决定因素和差异，以及它如何与美国肺癌患者感知的护理质量相关。方法：分析了来自多地区、多卫生系统代表性队列的4334例新诊断患者的数据。二项逻辑回归模型调整患者聚类。研究结果：有任何感知未满足需求的患者（总体9%）包括7%的美国白人（USB）、9%的外国白人（FB）、13%的黑人-USB、8%的拉丁裔-USB、24%的拉丁裔-FB、4%的亚洲/太平洋岛民（API）-USB、14%的API-FB和11%的“其他”患者（P
BACKGROUND: The authors investigated the prevalence, determinants of, and disparities in any perceived unmet need for 8 supportive services (home nurse, support group, psychological services, social worker, physical/occupational rehabilitation, pain management, spiritual counseling, and smoking cessation) by race/ethnicity and nativity and how it is associated with perceived quality of care among US patients with lung cancer. METHODS: Data from a multiregional, multihealth system representative cohort of 4334 newly diagnosed patients were analyzed. Binomial logistic regression models adjusted for patient clustering. RESULTS: Patients with any perceived unmet need (9% overall) included 7% of white-US-born (USB), 9% of white-foreign-born (FB), 13% of black-USB, 8% of Latino-USB, 24% of Latino-FB, 4% of Asian/Pacific Islander (API)-USB, 14% of API-FB, and 11% of "other" patients (P