Psychosocial service use: a qualitative exploration from the perspective of rural Australian cancer patients

Introduction: Emergency service use should be almost non-existent among hospice patients, as hospice is intended to provide for all care needs at the end of life. Cancer patients comprise almost 50% of hospice patients nation-wide and have relatively low rates of emergency service use while on hospice care. Hospice enrollment has been steadily increasing among patients with heart failure, but concerns have been raised about how well hospice care meets these patients’ needs. Emergency service use is one indicator of how well heart failure patients’ needs are met on hospice. Objective: To explore whether emergency service use is higher among heart failure patients on hospice as compared to cancer patients on hospice and reasons for this potential disparity. Methods: This is a secondary analysis of the 2007 National Home and Hospice Care Survey (NHHCS). Only hospice patients with heart failure (n=311) and hospice patients with breast, prostate, colon or lung cancer (n=946) were included in the analysis. Emergency service use was measured by response to NHHCS question 73 (“did the patient use one or more types of emergent care?”) and includes the use of both emergency room and outpatient (urgicenter) services. Multiple logistic regression was used to examine the relationship between emergency service use and diagnosis. All analyses were adjusted for hospice length of stay, patient age, race/ethnicity, caregiver relationship, number of comorbidities, functional status, cognitive function and place of care. Results: Subjects (M age 75.3, SD 12.68) were 51% female and 89% white. The rate of emergency service use was 9.6% among the cancer patients and 17.36% among heart failure patients. Heart failure patients were almost two times more likely to utilize emergency services (OR 1.96, p<.002). Among the covariates examined, only hospice length of stay was significantly associated with emergency service use (p<.000), but did not appear to make a clinically significant difference (OR 1.003). Conclusions: While this study lends support to the hypothesis that heart failure patients suffer unmet care needs while on hospice, the nature of these unmet needs should be further explored. Outcome disparities have previously been suggested to be due to differences in age, comorbidities and functional status between the heart failure and cancer populations, but this study does not support that hypothesis. Hospice care plans unique to the heart failure patient should be considered.

Download Full-text

PHP1 A Qualitative Exploration of Malaysian Cancer Patients' Perceptions Towards Cancer Screening

Value in Health ◽

10.1016/j.jval.2012.08.053 ◽

2012 ◽

Vol 15 (7) ◽

pp. A609

Author(s):

M. Farooqui ◽

M.A. Hassali ◽

A. Knight ◽

A. Akmal ◽

M.A. Farooqui

Keyword(s):

Cancer Screening ◽

Cancer Patients ◽

Qualitative Exploration

Download Full-text

Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients

Psycho-Oncology ◽

10.1002/pon.3488 ◽

2014 ◽

Vol 23 (7) ◽

pp. 812-819 ◽

Cited By ~ 20

Author(s):

Catherine E. Mosher ◽

Joseph G. Winger ◽

Nasser Hanna ◽

Shadia I. Jalal ◽

Achilles J. Fakiris ◽

...

Keyword(s):

Mental Health ◽

Lung Cancer ◽

Mental Health Service ◽

Health Service ◽

Cancer Patients ◽

Service Use ◽

Mental Health Service Use ◽

Health Service Use ◽

Lung Cancer Patients

Download Full-text

Health and Psychosocial Service Use among Suicides without Psychiatric Illness

Social Work ◽

10.1093/sw/swu054 ◽

2014 ◽

Vol 60 (1) ◽

pp. 65-74 ◽

Cited By ~ 6

Author(s):

Y. Wa Law ◽

P. W. C. Wong ◽

P. S. F. Yip

Keyword(s):

Psychiatric Illness ◽

Service Use ◽

Psychosocial Service

Download Full-text

Post-Acute Care Service use in Lung Cancer Patients

10.21203/rs.3.rs-809617/v1 ◽

2021 ◽

Author(s):

Mitra McLarney ◽

Frances S. Shofer ◽

Jasmine Zheng

Keyword(s):

Lung Cancer ◽

Length Of Stay ◽

Cancer Patients ◽

Acute Care ◽

Service Use ◽

Care Service ◽

Rehabilitation Service ◽

Lung Cancer Patients ◽

Acute Care Service ◽

Post Acute Care

Abstract Purpose: Lung cancer patients experience functional deconditioning secondary to their underlying cancer and treatment yet rehabilitation service use remains low. The goal of this study is to compare post-acute care service use in lung cancer patients admitted to a metropolitan academic medical center. Methods: Adult lung cancer patients admitted from January 1, 2017 to August 31, 2018 with a diagnosis of lung cancer based on International Classification of Diseases 10, C34.0-C34.9, were included in this study. Patient characteristics including age, gender, race, marital status, functional status on admission, length of stay, and number of comorbidities were compared based on discharge setting. Results: 1,139 lung cancer patients were included in our study. The majority of patients discharged home with home care (51%) followed by home without services (35%), skilled nursing facilities (SNF) (10%) and acute inpatient rehabilitation facilities (IRF) (4%). 44% (498) of patients were primarily admitted for their lung cancer diagnosis. In unadjusted analyses, patients who discharged to SNF compared to home were more likely to be older, black, unmarried, live alone and have died during the study period. Patients who discharged to IRF had longer acute care hospitalization length of stays. In adjusted analyses, age, number of concurrent comorbidities and length of stay significantly correlated with discharge location. Conclusion: Lung cancer patients are unlikely to be discharged to a post-acute care facility after an acute hospitalization. Rehabilitation service use differs by sociodemographic factors, concurrent medical history and functional status. Future study is needed to better understand why these differences in discharge setting persists.

Download Full-text

Socio-economic and rural-urban differences in healthcare and catastrophic health expenditures among cancer patients in China: analysis of the China Health and Retirement Longitudinal Study

10.21203/rs.3.rs-889381/v1 ◽

2021 ◽

Author(s):

Yang Zhao ◽

Shenglan Tang ◽

Wenhui Mao ◽

Tomi F Akinyemiju

Keyword(s):

Longitudinal Study ◽

Cancer Treatment ◽

Cancer Patients ◽

Service Utilization ◽

Rural Areas ◽

Urban Areas ◽

Healthcare Service ◽

Service Use ◽

Increased Risk ◽

Chinese Cancer Patients

Abstract Background In China, cancer deaths account for one-fifth of all deaths and exert a heavy toll on patients, families, healthcare systems, and society as a whole. This study aims to examine socio-economic and rural-urban differences in treatment, healthcare service utilization and catastrophic health expenditure (CHE) among Chinese cancer patients, and to investigate the relationship between different treatment types and healthcare service use as well as incidence of CHE. Methods We analyzed a nationally representative sample from the China Health and Retirement Longitudinal Study including 17,224 participants in 2011 and 19,569 participants in 2015. Multivariable regression models were performed to investigate the association of cancer treatments with healthcare service utilization and CHE. Results The age-adjusted prevalence of cancer is 1.37% for 2011 and 1.84% for 2015. Approximately half of the cancer patients utilized treatment for their disease, with a higher proportion of urban residents (54%) than rural residents (46%) receiving cancer treatment in 2015. CHE declined by 22% in urban areas (25% in 2011 and 19% in 2015) but increased by 31% in rural areas (25% in 2011 to 33% in 2015). There was a positive relationship between cancer treatment and outpatient visit (OR = 2.098, 95% CI = 1.453, 3.029), admission to hospital (OR = 1.961, 95% CI = 1.346, 2.857) and CHE (OR = 1.796, 95% CI = 1.231, 2.620). Chemotherapy and surgery were each associated with a 2-fold increased risk of CHE. Conclusions Meaningful changes to improve health insurance benefit packages are needed to ensure universal, affordable and patient-centered health coverage for the Chinese cancer patients.

Download Full-text

Perceptions of Malaysian Colorectal Cancer Patients Regarding Dietary Intake: A Qualitative Exploration

Asian Pacific Journal of Cancer Prevention ◽

10.7314/apjcp.2013.14.2.1151 ◽

2013 ◽

Vol 14 (2) ◽

pp. 1151-1154 ◽

Cited By ~ 5

Author(s):

Afzaninawati Suria Yusof ◽

Zaleha Md. Isa ◽

Shamsul Azhar Shah

Keyword(s):

Colorectal Cancer ◽

Dietary Intake ◽

Cancer Patients ◽

Colorectal Cancer Patients ◽

Qualitative Exploration

Download Full-text

Knowledge, Attitude And Health Belief (KAHB) On Cancer And Its Treatment: Qualitative Exploration Of Cancer Patients in Penang, Malaysia

Environment-Behaviour Proceedings Journal ◽

10.21834/ebpj.v6i16.2695 ◽

2021 ◽

Vol 6 (16) ◽

Author(s):

Che Noriah Othman ◽

Syed Azhar Syed Sulaiman ◽

Maryam Farooqui ◽

Wan Ismahaniza Ismail

Keyword(s):

Cancer Patients ◽

Treatment Effectiveness ◽

Publishing House ◽

Health Belief ◽

Structured Interview ◽

Positive Health ◽

Related Quality ◽

Health Related ◽

International Publishing ◽

Qualitative Exploration

Knowledge, attitude, and health belief (KAHB) on cancer and treatment among cancer patients are essential for better clinical outcomes. This study measured KAHB among cancer patients in Penang, Malaysia. Using a semi-structured interview guide, we recorded the information. After transcribing the data, we analyzed them and reached saturation at patients no 18. Results revealed that knowledge on cancer was moderate, the attitude toward cancer was positive. Health belief on cancer was various; however, most believe that the treatment they received would heal their cancer. The correct information is crucial to ensure treatment effectiveness, thus better health-related quality of life. Keywords: Knowledge, Attitude, Health Belief, Cancer. eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI:

Download Full-text