Abstract
Objective: To identify factors associated with perceptions of care coordination in a diverse sample of breast cancer patients. Methods: Breast cancer patients reported to the metropolitan SEER registries of Detroit or Los Angeles from 6/05 to 2/07 were surveyed after diagnosis (N=2268, RR. =72.4%). Outcomes were two dichotomous measures reflecting patient appraisal of care coordination during their treatment experience. Primary independent variables were race/ethnicity (white, African American, Latina-high acculturated, Latina-low acculturated) and health literacy (low, moderate, high). Logistic regression was used to evaluate factors associated with both measures of care coordination. Results: 2148 subjects were included in the analytic dataset. 16.4% of women perceived low care coordination and 12.5% reported low satisfaction. Race/ethnicity was not significantly associated with care coordination. Women with low subjective health literacy were 3-4 times as likely as those with high health literacy to perceive low care coordination and low satisfaction with care coordination (OR. =3.88; 95% CI: 2.78-5.41; OR. =3.19 95% CI: 2.25-4.52, respectively). Conclusions: Many breast cancer patients positively appraised their care coordination, but patients with low health literacy perceived low care coordination. Practice implications: Providers should be aware of the health literacy deficits that may contribute to their patients' attitudes towards their breast cancer care coordination.
| Original language | English (US) |
|---|---|
| Pages (from-to) | S34-S40 |
| Journal | Patient education and counseling |
| Volume | 81 |
| Issue number | SUPPL. 1 |
| DOIs | |
| State | Published - Dec 2010 |
Funding
Funding: This work was fund by grant numbers R01 CA109696 and R01 CA08870 from the National Cancer Institute to the University of Michigan . S.J.K. was supported by an established investigator award in Cancer Prevention, Control, Behavioral and Population Sciences Research from the National Cancer Institute (K05 CA111340). The collection of Los Angeles County cancer incidence data used in this study was supported by the California Department of Public Health as part of the statewide cancer reporting program mandated by California Health and Safety Code Section 103885; the NCI's Surveillance, Epidemiology and End Results (SEER) Program under contract N01-PC-35139 awarded to the University of Southern California, contract N01-PC-54404 awarded to the Public Health Institute; and the Centers for Disease Control and Prevention's National Program of Cancer Registries, under agreement 1U58DP00807-01 awarded to the Public Health Institute. The collection of metropolitan Detroit cancer incidence data was supported by the NCI SEER Program contract N01-PC-35145. The ideas and opinions expressed herein are those of the author(s) and endorsement by the State of California, Department of Public Health the NCI, and the Centers for Disease Control and Prevention or their Contractors and Subcontractors is not intended nor should be inferred.
Keywords
- Breast cancer
- Coordination of care
- Health literacy
ASJC Scopus subject areas
- General Medicine
