Foreign-born cancer patients reported lower quality of care and were less likely to receive some cancer therapies than patients born in the U.S. Better coordination of care and communication regarding cancer treatments may lessen these disparities.
Physicians in solo practice and single-specialty medical groups were less likely than HMO physicians to report using trained medical interpreters or telephone interpreter services to communicate with breast cancer patients with limited English proficiency.
Better strategies for shared decision making between physicians and patients may be needed when there is no evidence to support benefit of a treatment or when patients have terminal illnesses that cannot be cured.
Findings of this study suggest that measurement of health related quality of life after prostate cancer treatment should incorporate the distress that patients experience from urinary, sexual, and bowel problems resulting from prostate cancer treatment.
This study assessed hospice use by men dying of prostate cancer and compared the use of high-intensity care between those who did or did not enroll in hospice. Those who enroll in hospice are less likely to receive high-intensity end-of-life care.
The quality of end-of-life care was assessed in disadvantaged men prospectively enrolled in a public assistance program. That end-of-life care would be aggressive, moreso than recommended by quality-of-care guidelines, was hypothesized.
The authors compared the types of treatments prostate cancer patients received from county hospitals and private providers as part of a statewide public assistance program in a cohort study of 559 men enrolled in a state-funded program for low-income patients known as Improving Access, Counseling, and Treatment for Californians With Prostate Cancer (IMPACT).
Radiation or surgery can lead to significant dysfunction or distress in the urinary, sexual, or bowel domains. Hence, the simultaneous consideration of both quality and quantity of life improves medical decision making for these men.