Bickell Nina A, Paskett Electra D
From the Mount Sinai School of Medicine, New, NY; Ohio State University, Columbus, OH.
Am Soc Clin Oncol Educ Book. 2013. doi: 10.1200/EdBook_AM.2013.33.e250.
Despite efforts to reduce disparities in cancer outcomes among vulnerable populations, certain subgroups do not experience the gains made in the reduction of cancer incidence and mortality. In this article, we review recent trial data reporting on patient-, physician-, and system-centered interventions to improve quality and reduce disparities in cancer care spanning patient navigation to health reform. We conclude with data from a state that implemented a multitiered approach, targeting patient and systems barriers, that serves as a guide for future endeavors.
尽管人们努力减少弱势群体在癌症治疗结果方面的差异，但某些亚群体并未从癌症发病率和死亡率的降低中获益。在本文中，我们回顾了近期的试验数据，这些数据报告了以患者、医生和系统为中心的干预措施，以提高癌症护理质量并减少从患者导航到医疗改革等癌症护理方面的差异。我们以一个实施了针对患者和系统障碍的多层次方法的州的数据作为结尾，该数据可为未来的努力提供指导。
