Brazilian mothers with HIV: experiences with diagnosis and treatment in a human rights based health care system

9557 Background: Adolescent and young adult (AYA) cancer patients are faced with obstacles and challenges related to their diagnosis and treatment compared to children and older adults. The aim of this study was to explore the patient and health care system-related delays in the interval from cancer symptom onset to diagnosis and treatment as well as to identify the possible contributing factors to these delays in the AYA group. Methods: This study was based on a questionnaire conducted in 2010-2011 completed by patients diagnosed with a malignancy between the ages of 16 and 39 in addition to older patients diagnosed with a pediatric type malignancy. Four categories of delays: patient delay (time from patient symptom onset until first health care contact date), health care system delay (time from first health care contact until diagnosis date), treatment delay (time from diagnosis date until first treatment) and oncologist delay (time from first health care contact until first medical oncologist meeting) were calculated. Median delay (in days) with interquartile interval (IQI) was the main outcome measure. Median time for each category of delay was further analysed to explore how they vary with different patient characteristics. Results: We identified a median patient delay of 30 days (IQI 1-131), a median health care system delay of 53 days (IQI 1-213), a median treatment delay of 36 days (IQI 5-92) and a median oncologist delay of 77 days (IQI 30-281). Patient delay was affected by patient gender, age at diagnosis and type of first health care contact. Health care system delay was associated with patient marital status, financial situation and attitude of first health care professional. Treatment delay was related to type of cancer. Conclusions: The health care system delay (including oncologist delay) accounts for much of the delay from symptom onset to first treatment. Professional characteristics of frontline medical personnel as well as socioeconomic and biological characteristics of the patients may contribute to delay. Healthcare professionals and the general community as a whole need to be aware of the factors contributing to delay in diagnosis and treatment in the underserved patient population.

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Exploring the Effects of Racial and Socioeconomic Disparities on Time to Lung Cancer Diagnosis and Treatment in Veteran Affairs Health Care System Patients

10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1743 ◽

2021 ◽

Author(s):

F. Alghanim ◽

K. Li ◽

W.R. Grier ◽

A.C. Verceles ◽

J. Deepak

Keyword(s):

Lung Cancer ◽

Health Care ◽

Health Care System ◽

Cancer Diagnosis ◽

Socioeconomic Disparities ◽

Diagnosis And Treatment ◽

Veteran Affairs ◽

Lung Cancer Diagnosis ◽

Care System

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Care in the time of COVID-19: impact on the diagnosis and treatment of breast cancer in a large, integrated health care system

Breast Cancer Research and Treatment ◽

10.1007/s10549-021-06468-1 ◽

2022 ◽

Author(s):

Annie Tang ◽

Elad Neeman ◽

Brooke Vuong ◽

Vignesh A. Arasu ◽

Raymond Liu ◽

...

Keyword(s):

Breast Cancer ◽

Health Care ◽

Health Care System ◽

Integrated Health Care ◽

Diagnosis And Treatment ◽

Integrated Health ◽

Integrated Health Care System ◽

Care System

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Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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