Primary and mental health service use in community health center patients before and after cancer diagnosis.
Primary and mental health service use in community health center patients before and after cancer diagnosis.
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DOI：
10.1002/cam4.4524
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发表时间：
2022-06
期刊：
影响因子：
4
通讯作者：
Huguet, Nathalie
中科院分区：
文献类型：
--
作者：
Larson, Annie E.;Angier, Heather;Suchocki, Andrew;Voss, Robert W.;Marino, Miguel;Warren, Nathaniel;Huguet, Nathalie
关键词：
癌症幸存者面临癌症、既存疾病和癌症治疗导致的慢性疾病风险增加。有一个既定的初级保健诊所或健康保险可能会影响患者接受必要的管理，治疗或诊断新的条件推荐预防保健。本研究旨在了解癌症幸存者在癌症诊断前后在社区卫生中心（CHCs）接受医疗保健的情况。我们还研究了所接受的护理类型，并评估了是否与CHC或健康保险类型建立关系，影响服务的使用。使用2012年至2018年三个州5，649名CHC患者的电子健康记录数据和相关癌症登记处，我们获得了初级保健和心理健康/行为健康（MHBH）的每月访问率以及癌症诊断前后接受护理的可能性。75%被诊断患有癌症的CHC患者在诊断后2年内返回其主要CHC接受治疗。在那些返回的人中，在诊断前不久，初级和MHBH护理急剧增加。诊断后接受初级保健（前：19.6%，后：21.9%，p < 0.001）和MHBH保健（前：1.2%，后：1.6%，p < 0.001）的人数明显多于诊断前。然而，没有保险的病人在诊断后的就诊次数比以前少。对癌症幸存者进行预防性护理尤为重要。建立初级保健诊所可能有助于确保幸存者获得推荐的筛查和护理。在这项关于社区卫生中心患者在癌症诊断前后接受预防性保健的研究中，我们发现，诊断后接受的初级保健和精神保健明显多于诊断前。然而，没有保险的病人在诊断后的就诊次数比以前少。
Cancer survivors face increased risk for chronic diseases resulting from cancer, preexisting conditions, and cancer treatment. Having an established primary care clinic or health insurance may influence patients’ receipt of recommended preventive care necessary to manage, treat, or diagnose new conditions. This study sought to understand receipt of healthcare in community health centers (CHCs) before and after cancer diagnosis among cancer survivors. We also examined the type of care received and assessed whether being established with a CHC or the type of health insurance affected the use of services. Using electronic health record data and linked cancer registries from 5,649 CHC patients in three states from 2012 through 2018, we obtained monthly rates of primary care and mental health/behavioral health (MHBH) visits and the probability of receipt of care before and after a cancer diagnosis. Seventy‐five percent of CHC patients diagnosed with cancer returned to their primary CHC for care within 2‐years of their diagnosis. Among those who returned, there was a sharp increase in primary and MHBH care shortly before their diagnosis. Significantly more primary care (pre: 19.6%, post: 21.9%, p < 0.001) and MHBH care (pre: 1.2%, post: 1.6%, p < 0.001) was received after diagnosis than before. However, uninsured patients had fewer visits after their diagnosis than before. Use of preventive care for cancer survivors is particularly important. Having an established primary care clinic may help to ensure survivors receive recommended screening and care. In this study on the receipt of preventive healthcare among community health center patients before and after a cancer diagnosis, we found that significantly more primary and mental healthcare was received after diagnosis than before. However, uninsured patients had fewer visits after their diagnosis than before.
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影响因子：
51.1
作者：
Mayer, Deborah K.;Nasso, Shelly Fuld;Earp, Jo Anne
通讯作者：
Earp, Jo Anne
影响因子：
3
作者：
Huguet, Nathalie;Kaufmann, Jorge;Marino, Miguel
通讯作者：
Marino, Miguel
影响因子：
3.4
作者：
Curtis MD;Griffith SD;Tucker M;Taylor MD;Capra WB;Carrigan G;Holzman B;Torres AZ;You P;Arnieri B;Abernethy AP
通讯作者：
Abernethy AP
DOI：
10.1136/amiajnl-2014-002744
发表时间：
2014-07
期刊：
Journal of the American Medical Informatics Association : JAMIA
影响因子：
--
作者：
DeVoe JE;Gold R;Cottrell E;Bauer V;Brickman A;Puro J;Nelson C;Mayer KH;Sears A;Burdick T;Merrell J;Matthews P;Fields S
通讯作者：
Fields S
DOI：
10.1093/jnci/djy177
发表时间：
2018-12-01
期刊：
Journal of the National Cancer Institute
影响因子：
--
作者：
Carreira H;Williams R;Müller M;Harewood R;Stanway S;Bhaskaran K
通讯作者：
Bhaskaran K