Penn Dolly C, Baker Melanie, Geiger Ann M, Harlan Linda C
a Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences , National Cancer Institute , Rockville , Maryland , USA.
Cancer Invest. 2018;36(6):319-329. doi: 10.1080/07357907.2018.1474894. Epub 2018 Aug 23.
Cancer health services research is a primary tool for analyzing the association between various factors, cancer health care delivery, and the resultant outcomes. To address disparities strategies must be developed to target factors that are related to differences in care; however, to date, most disparities studies have been descriptive. The primary objective was to describe cancer treatment and survival disparities in community oncology practice patterns found in the National Cancer Institute's population-based Patterns of Care (POC) Study (1987-2017). Secondarily, we compared POC findings to peer-reviewed literature. In POC data, older age was consistently associated with decreased odds of treatment and increased mortality. Interestingly, in contrast to current literature, few POC studies found race/ethnicity significantly predicted disparities. Cancer health disparities are complex; they are multifactorial, differ by cancer site and may wax and wane. The complexity supports the need for deeper understanding and targeted interventions to ensure equitable cancer care and outcomes.
癌症健康服务研究是分析各种因素、癌症医疗服务提供情况及其产生的结果之间关联的主要工具。为了解决差异问题，必须制定针对与医疗差异相关因素的策略；然而，迄今为止，大多数差异研究都是描述性的。主要目标是描述在国家癌症研究所基于人群的护理模式（POC）研究（1987 - 2017年）中发现的社区肿瘤学实践模式中的癌症治疗和生存差异。其次，我们将POC研究结果与同行评审文献进行了比较。在POC数据中，年龄较大始终与治疗几率降低和死亡率增加相关。有趣的是，与当前文献相反，很少有POC研究发现种族/族裔能显著预测差异。癌症健康差异很复杂；它们是多因素的，因癌症部位而异，可能会有起伏变化。这种复杂性支持了深入理解和有针对性干预的必要性，以确保公平的癌症护理和结果。
