Racial Differences and Disparities in Cancer Care and Outcomes Where's the Rub?
Racial Differences and Disparities in Cancer Care and Outcomes Where's the Rub?
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DOI：
10.1016/j.soc.2012.03.012
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发表时间：
2012-07-01
影响因子：
1.9
通讯作者：
Ford, Marvella E.
中科院分区：
文献类型：
--
作者：
Esnaola, Nestor F.;Ford, Marvella E.
尽管在过去的几年里有大量的研究记录了癌症结果的种族差异，但关于这些观察结果背后的根本原因的数据却很少。本文回顾了迄今为止的研究工作，重点关注黑人和白人在癌症结果上的差异，探讨了这些差异背后的潜在机制，并确定了患者、医生和医疗保健系统因素，这些因素可能导致癌症治疗中持续存在的种族差异。本文还讨论了阐明这些不同因素的相对影响的研究策略和减少持续差距的政策建议。
Despite a profusion of studies over the past several years documenting racial differences in cancer outcomes, there is a paucity of data as to the root causes underlying these observations. This article reviews work to date focusing on black-white differences in cancer outcomes, explores potential mechanisms underlying these differences, and identifies patient, physician, and health care system factors that may account for persistent racial disparities in cancer care. Research strategies to elucidate the relative influence of these various factors and policy recommendations to reduce persistent disparities are also discussed.