Socioeconomic and demographic factors that predict where children receive cancer care in Florida.

Abstract:

:Socioeconomic and demographic factors associated with type of facility (cancer center vs non-cancer center) at which a child with cancer is seen were identified to suggest interventions to increase access to state-of-the-art care. The 2268 children with cancer in Florida (1981-1986) were classified as ever having been seen or not having been seen at a cancer center. Patients referred from one type of facility to another were compared to those not referred. Nineteen percent of children with cancer were never seen at a cancer center. These children were likely to be older (15-19 years of age), have Hodgkin's disease or a brain tumor, reside in a county without a cancer center, or have higher median income. Interventions extending state-of-the-art cancer care beyond cancer centers should target (1) physicians treating adolescent-aged children and (2) patients for whom private insurance may serve as a barrier to referral and protocol therapy.

journal_name

J Clin Epidemiol

authors

Roush SW,Krischer JP,Cox MW,Pollock BH

doi

10.1016/0895-4356(93)90126-l

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

535-44

issue

6

eissn

0895-4356

issn

1878-5921

pii

0895-4356(93)90126-L

journal_volume

46

pub_type

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