Treatment quality and outcomes vary with hospital burden of uninsured and Medicaid patients with cancer in early non–small cell lung cancer

Muslim, Zaid; Razi, Syed S.; Poulikidis, Kostantinos; Latif, M. Jawad; Weber, Joanna F.; Connery, Cliff P.; Bhora, Faiz Y.

doi:10.1016/j.xjon.2022.05.020

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…However, it is also true that Medicaid patients are often subjugated to economically segregated health care facilities. 50 Separate is again not equal.…”

Section: Access To Care Policiesmentioning

confidence: 99%

“…In some instances, this is due to patient poor adherence to therapy related to factors influenced by the social determinants of heath, such as lack of family support or transportation. However, it is also true that Medicaid patients are often subjugated to economically segregated health care facilities 50 . Separate is again not equal.…”

Section: Policy Formulationmentioning

confidence: 99%

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Health Care Policy and Disparities in Health

Lansey,

Ramalingam,

Brawley

2023

Cancer J

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The United States has seen a 33% decline in age-adjusted cancer mortality since 1991. Despite this achievement, the United States has some of the greatest health disparities of any developed nation. US government policies are increasingly directed toward reducing health disparities and promoting health equity. These policies govern the conduct of research, cancer prevention, access, and payment for care. Although implementation of policies has played a significant role in the successes of cancer control, inconsistent implementation of policy has resulted in divergent outcomes; poorly designed or inadequately implemented policies have hindered progress in reducing cancer death rates and, in certain cases, exacerbated existing disparities. Examining policies affecting cancer control in the United States and realizing their unintended consequences are crucial in addressing cancer inequities.

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“…However, it is also true that Medicaid patients are often subjugated to economically segregated health care facilities. 50 Separate is again not equal.…”

Section: Access To Care Policiesmentioning

confidence: 99%

Section: Policy Formulationmentioning

confidence: 99%

Health Care Policy and Disparities in Health

Lansey,

Ramalingam,

Brawley

2023

Cancer J

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Differences in Surgical Cancer Care Delivery and Outcomes Between Safety‐Net and Non‐Safety‐Net Hospitals in the United States: A Comprehensive Systematic Review

Alsalek,

Liu,

Han

et al. 2024

Journal of Surgical Oncology

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BackgroundStudies evaluating the association of safety‐net hospitals (SNHs) with outcomes of surgical care in cancer patients have demonstrated mixed results. We sought to systematically investigate the association of SNH status with measures of surgical cancer care delivery and outcomes.MethodsA comprehensive review of the literature identified from the MEDLINE/PubMed, Embase, Web of Science, and Cochrane databases was performed according to the PRISMA guidelines. Risk of bias assessment was conducted using the Joanna Briggs Institute's tool. The findings were synthesized qualitatively.ResultsOf the 1749 records identified, 33 retrospective studies were included, 79% of which investigated national databases. Risk of bias assessment revealed average score of 78%. Among studies assessing each outcome, lower likelihood of receiving appropriate surgical interventions in SNH patients was reported by 85%; longer intervals to surgery by 100%; and prolonged hospital stays by 73%. Most studies reported no differences in survival (65%) or readmission (67%). Results were mixed regarding complications and mortality. Patient characteristics and shortage of resources and interdisciplinary teams were frequently proposed factors for observed disparities.ConclusionsCancer patients at SNHs may be less likely to undergo some surgical treatments and experience longer intervals to treatment but achieve largely comparable short‐ and long‐term outcomes to non‐SNH patients.

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Treatment quality and outcomes vary with hospital burden of uninsured and Medicaid patients with cancer in early non–small cell lung cancer

Cited by 2 publications

References 25 publications

Health Care Policy and Disparities in Health

Health Care Policy and Disparities in Health

Differences in Surgical Cancer Care Delivery and Outcomes Between Safety‐Net and Non‐Safety‐Net Hospitals in the United States: A Comprehensive Systematic Review

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