Service Use Among Low-Income Minority Elderly: Strategies for Overcoming Barriers

Yeatts, Dale; Crow, Thomas R.; Folts, E.

doi:10.1093/geront/32.1.24

Cited by 122 publications

(77 citation statements)

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“…Helping with medical costs may include support with transportation, lodging, offering health services not related to the trial, paying for trial-related medications, paying for laboratory studies, and/or providing funds to help with everyday problems. 6,20,[23][24][25] Another important intervention would involve increasing education about cancer and clinical trials in the community through community leaders, physicians, church and community groups, and patient advocates. Patients in this study who knew friends and/or relatives who had participated in clinical trials were more likely to participate in clinical trials themselves.…”

mentioning

confidence: 99%

Barriers to the participation of African‐American patients with cancer in clinical trials

Advani

Atkeson

Brown

et al. 2003

Cancer

184

145

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BACKGROUNDAfrican‐American patients have been under‐represented in oncology clinical trials. Better understanding barriers to African‐American participation may help increase the accrual of African‐American patients onto clinical trials.METHODSTwo hundred eighteen patients with malignant disease (72 African‐American patients and 146 white patients) were recruited from the Duke Cancer Clinic and from Duke Oncology Outreach Clinics (DOORS). Patients were interviewed using a standardized survey. Questions included patients' knowledge of cancer, religious/spiritual beliefs, satisfaction with medical care, knowledge of clinical trials, reasons for participating or refusing to participate in a clinical trial, financial/transportation issues, and demographic factors, such as age and education. Data on attitudes and belief were analyzed for group differences between African‐American patients and white patients as well as between patients who were treated at the Duke Cancer Clinic and patients who were treated at DOORS clinics.RESULTSWillingness to participate in a clinical trial depended on both race and clinic site. Forty‐five percent of white patients, compared with 31% of African‐American patients, were willing to participate in a clinical trial (P = 0.05). white and African‐American patients who were treated at the Duke Cancer Clinic were more willing to participate in a trial compared with their counterparts who were treated at DOORS clinics (47% vs. 37%, respectively; P = 0.09). The greatest differences between groups (African‐American patients vs. white patients and Duke Cancer Clinic patients vs. DOORS patients) were education and income: Much greater percentages of African‐American patients and DOORS patients did not complete high school and had annual incomes < $15,000. In addition, more African‐American patients than white patients believed that God would determine whether they would be cured or would die from their disease. In a multivariate analysis, education, income, and belief that God would determine the patient's outcome also were correlated with a decreased willingness to participate in clinical trials.CONCLUSIONSFactors associated with religion, education, and income, rather than race, may be major barriers to clinical trial participation. Interventions that target education and income may increase the recruitment of African‐American oncology patients onto clinical trials. Cancer 2003;97:1499–506. © 2003 American Cancer Society.DOI 10.1002/cncr.11213

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mentioning

confidence: 99%

Barriers to the participation of African‐American patients with cancer in clinical trials

Advani

Atkeson

Brown

et al. 2003

Cancer

184

145

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“…On the other hand, the newly detected group did not have high intentions of receiving the health and welfare services, maybe because of low knowledge of the services (Yeatts et al, 1992;Antonson and Robertson, 1993). After the home visit and explanation of the services from PHN, 80% of the elderly applied for the services, meaning that home visits by PHN would be effective.…”

Section: Conditions Of Bedridden Elderlymentioning

confidence: 91%

A Study of Case Finding of the Latent Bedridden Elderly Using Criteria of Activity of Daily Living.

Uza

Tome

Imai³

et al. 1997

Jpn. J. Health Hum. Ecol

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The purpose of this study is to assess the number and need of health and welfare services of the latent bedridden elderly in the community using the new criteria developed by the Ministry of Health and Welfare. A survey conducted in Ayase city revealed 145 bedridden elderly, out of which 52 were receiving home care (the home visit group), but 44 were the newly detected cases with not-receiving any services (the newly detected group). Comparing these two groups, conditions of the bedridden elderly seemed to be more severe for the home visit group, but there were no significant differences in conditions of caregivers for either group. For the newly detected group, information on health and welfare services had been provided by public health nurses, and more than half applied for some services.These results suggest that the role of public health nurses in both the case finding and delivery of the services is important.

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“…I dette arbeidet er det også behov for å rette søkelyset mot hindre for å benytte omsorgstjenestene, gjennom å informere om og gjøre tjenestene tilgjengelige (Yeatts 1992, Mortensen og Mortensen 2005. Tilrettelegging av tilbud vil kunne bidra til nedbygging av barrierer mot å bruke tjenestene både fra brukere selv og pårørende.…”

Section: Avsluttende Kommentarunclassified

Omsorgstjenester til personer med etnisk minoritetsbakgrunn

Ingebretsen¹

2011

NOVA Rapport

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Service Use Among Low-Income Minority Elderly: Strategies for Overcoming Barriers

Cited by 122 publications

References 0 publications

Barriers to the participation of African‐American patients with cancer in clinical trials

Barriers to the participation of African‐American patients with cancer in clinical trials

A Study of Case Finding of the Latent Bedridden Elderly Using Criteria of Activity of Daily Living.

Omsorgstjenester til personer med etnisk minoritetsbakgrunn

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