Accessibility and Barriers to Oncology Appointments at 40 National Cancer Institute–Designated Comprehensive Cancer Centers: Results of a Mystery Shopper Project

Hamlyn, Geoffrey; Hutchins, Kathryn; Johnston, Abby; Thomas, Rishonda; Tian, James; Kamal, Arif H.

doi:10.1200/jop.2016.014159

Cited by 14 publications

(9 citation statements)

References 6 publications

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“…Table S1 in Supplemental Material summarizes the study characteristics of the 34 articles included in this review. 16-49 In total, the 34 studies represented 21,601 calls to provider offices requesting an appointment for Medicaid and private insurance scenarios, of which 63% resulted in successful scheduling. Of 11,387 calls with private insurance, 80% of calls successfully led to appointments, while 45% of 10 214 calls with Medicaid resulted in none.…”

Section: Resultsmentioning

confidence: 99%

Medicaid Patients Have Greater Difficulty Scheduling Health Care Appointments Compared With Private Insurance Patients: A Meta-Analysis

Hsiang

Lukasiewicz

Gentry

et al. 2019

INQUIRY

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Medicaid patients are known to have reduced access to care compared with privately insured patients; however, quantifying this disparity with large controlled studies remains a challenge. This meta-analysis evaluates the disparity in health services accessibility of appointments between Medicaid and privately insured patients through audit studies of health care appointments and schedules. Audit studies evaluating different types of outpatient physician practices were selected. Studies were categorized based on the characteristics of the simulated patient scenario. The relative risk of appointment availability was calculated for all different types of audit scenario characteristics. As a secondary analysis, appointment availability was compared pre- versus post-Medicaid expansion. Overall, 34 audit studies were identified, which demonstrated that Medicaid insurance is associated with a 1.6-fold lower likelihood in successfully scheduling a primary care appointment and a 3.3-fold lower likelihood in successfully scheduling a specialty appointment when compared with private insurance. In this first meta-analysis comparing appointment availability between Medicaid and privately insured patients, we demonstrate Medicaid patients have greater difficulty obtaining appointments compared with privately insured patients across a variety of medical scenarios.

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Section: Resultsmentioning

confidence: 99%

Medicaid Patients Have Greater Difficulty Scheduling Health Care Appointments Compared With Private Insurance Patients: A Meta-Analysis

Hsiang

Lukasiewicz

Gentry

et al. 2019

INQUIRY

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“…15 This finding is concordant with trends in literature, which show that patients with Medicaid may face significant financial and logistic barriers to care and are less likely to receive surgical care at high-volume centers. 31 , 32 , 33 , 34 , 35 , 36 Given that patients with Medicaid typically have complex health needs, worse outcomes, and lower reimbursement rates, performance and revenue-conscious facilities with access to more favorably insured patients may continue to exercise greater selectivity and exclude patients with Medicaid. 24 , 33 , 37 , 38 Reduced access to high-volume centers may, in turn, generate self-fulfilling cycles of adverse outcomes for patients with Medicaid.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of Simulated Adult Patients With Medicaid Insurance Seeking Care in a Cancer Hospital for a New Cancer Diagnosis

et al. 2022

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Key Points Question Can individuals insured by Medicaid access cancer care services at high-performing cancer-designated hospitals? Findings In this cross-sectional study of 334 facilities recognized for cancer care, 95.5% accepted new patients with Medicaid for breast cancer, 90.4% for colorectal cancer, 86.8% for kidney cancer, and 79.6% for skin cancer (melanoma) care. Medicaid was accepted for all 4 surveyed cancers at 67.7% of facilities. Meaning Despite increases in the number of US residents insured through Medicaid, these findings suggest that barriers to accessing cancer care exist at high-quality centers.

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“…Según este estudio, las barreras para la atención en salud percibida por los participantes (adultos con CG, sus cuidadores y médicos tratantes) obedecen a la condición del individuo o son secundarias a la estructura del SGSSS. La identificación de estas barreras permite correlacionarlas con el impacto en la mortalidad y la calidad de vida de la población del Área Metropolitana de Bucaramanga, e influyen en el pronóstico del CG porque agudizan los sentimientos de estrés y ansiedad, reducen la calidad de vida del adulto enfermo y, potencialmente, afectan la supervivencia (23).…”

Section: Discussionunclassified

Barreras para la atención en salud del cáncer gástrico, Santander, Colombia. Etapa exploratoria

P¹,

et al. 2019

Rev Colomb Gastroenterol

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Introducción: el cáncer gástrico es un problema de salud pública; ocupa el quinto y tercer lugar en incidencia y mortalidad mundial, respectivamente.Objetivo: describir las barreras para la atención en salud percibidas por el adulto con cáncer gástrico, su cuidador y el médico tratante en el departamento de Santander, Colombia-etapa exploratoria en el período 2015-2016.Metodología: estudio cualitativo utilizando algunas técnicas del proceso de análisis de la teoría fundamentada a partir de la aplicación de entrevistas semiestructuradas que fueron codificadas y categorizadas con el software N-VIVO 10.Resultados: Emergieron 13 categorías, 182 códigos descritos en 6 ejes: el primero relacionado con el significado del cáncer y sus barreras; el segundo con las principales barreras para la atención en salud, cuyo orden de mayor a menor frecuencia fue: administrativas, económicas, culturales, de conocimiento, de comunicación e institucionales; el tercero es las estrategias para superar las barreras; el cuarto, las estrategias para disminuirlas; el quinto, sentimientos y el rol de la familia; y el sexto, necesidades del paciente.Conclusión: la fragmentación y segmentación del sistema de salud impone barreras que limitan el diagnóstico temprano del cáncer gástrico y su manejo oportuno. Además, amenazan la calidad de vida del adulto enfermo y su familia.

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Accessibility and Barriers to Oncology Appointments at 40 National Cancer Institute–Designated Comprehensive Cancer Centers: Results of a Mystery Shopper Project

Cited by 14 publications

References 6 publications

Medicaid Patients Have Greater Difficulty Scheduling Health Care Appointments Compared With Private Insurance Patients: A Meta-Analysis

Medicaid Patients Have Greater Difficulty Scheduling Health Care Appointments Compared With Private Insurance Patients: A Meta-Analysis

Acceptance of Simulated Adult Patients With Medicaid Insurance Seeking Care in a Cancer Hospital for a New Cancer Diagnosis

Barreras para la atención en salud del cáncer gástrico, Santander, Colombia. Etapa exploratoria

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