Establishing a General Medical Outpatient Clinic for Cancer Survivors in a Public City Hospital Setting

Abstract

This new clinical service has been well-integrated into its public urban hospital setting and constitutes an innovative model of health-care delivery for socio-economically challenged, culturally diverse adult cancer survivors.

One-Year Follow-Up of Collaborative Depression Care for Low-Income, Predominantly Hispanic Patients With Cancer

“…Cancer patients frequently face ongoing cancer-related and socioeconomic stress (12), and the finding that clinical, functional, and socioeconomic factors were associated with recurrence of depression is consistent with findings of other studies (1). Among cancer survivors, the risk of depression recurrence highlights a need to develop continuation models for psychological care (3)(4)(5)63,64), including tailored models for diverse racial-ethnic populations and socioeconomically disadvantaged populations (65). Despite relatively high rates of clinically significant major depression (highest for mild depression), treatment rates were low in the control group, and treatment rates dropped significantly over time for both study groups, including among patients experiencing recurrence.…”

Prevalence, Awareness, Control, and Treatment of Hypertension and Diabetes in Korean Cancer Survivors: A Cross-Sectional Analysis of the Fourth and Fifth Korea National Health and Nutrition Examination Surveys

“…Hypertension was the most frequent comorbid condition treated in cancer survivors (Goytia et al, 2009), and there is a widespread need for the management of chronic diseases and related risk factors to reduce the late adverse effects of chemotherapy and radiation (Daher et al, 2012). In general, cancer survivors are known to have better behaviors related to hypertension management, as we found.…”

Queens Library HealthLink: Fighting Health Disparities through Community Engagement

“…As a public hospital, QCC is accessible to all, regardless of immigration status, insurance status or ability to pay. More than 80% of the 17,000 patients obtaining care at QCC annually fall below the federal poverty level, and QCC provides service to patients who speak approximately 140 languages (Goytia, et al, 2009). The Flushing CAC determined that an ALP class visit to QCC would be the most effective way to introduce students to public health care options .…”

“…According to data collected at Queens Cancer Center, which is part of New York City's public hospital system, the rates of late stage detection for breast and prostate cancers are approximately six times the national averages (Goytia, et al, 2009). The cultural and linguistic diversity of urban areas, such as Queens, is associated with unique barriers to accessing healthcare, including a lack of culturally and linguistically appropriate services, fear surrounding immigration status, lack of health insurance and inability to pay for care (Freij, Rejeske, Gurvitch, Ferrandino, & Weiss, 2010;The Henry J. Kaiser Family Foundation, 2003).…”