scholarly journals Association of patients’ perception of quality of healthcare received and colorectal cancer screening uptake: An analysis of two national surveys in the United States

2020 ◽  
Author(s):  
Karan Chawla ◽  
Angesom Kibreab ◽  
Victor & Scott ◽  
Edward L. Lee ◽  
Farshad Aduli ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Crc Screening ◽  
Fair Poor ◽  
National Trends

Objective: It is unknown whether patients’ ratings of the quality of healthcare services they receive truly correlate with the quality of care from their providers. Understanding this association can potentiate improvement in healthcare delivery. We evaluated the association between patients’ ratings of the quality of healthcare services received and uptake of colorectal cancer (CRC) screening. Subject and Methods: We used two iterations of the Health Information National Trends Survey (HINTS) of adults in the United States. HINTS 2007 (4,007 respondents; weighted population=75,397,128) evaluated whether respondents were up-to-date with CRC screening while HINTS 4 cycle 3 (1,562 respondents; weighted population=76,628,000) evaluated whether participants had ever received CRC screening in the past. All included respondents from both surveys were at least 50 years of age, had no history of CRC, and had rated the quality of healthcare services that they had received at their healthcare provider’s office in the previous 12 months. Results: HINTS 2007 data showed that respondents who rated their healthcare as good, or fair/poor were significantly less likely to be up to date with CRC screening compared to those who rated their healthcare as excellent. We found comparable results from analysis of HINTS 4 cycle 3 data with poorer uptake of CRC screening as the healthcare quality ratings of respondents’ reduced. Conclusion: Our study suggested that patients who reported receiving lower quality of healthcare services were less likely to have undergone and be compliant with CRC screening recommendations. It is important to pay close attention to patient feedback surveys in order to improve healthcare delivery.

Telepsychiatry Use in Rural Areas in the United States

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Alberto Coustasse ◽  
Morgan Ruley ◽  
Tonnie C. Mike ◽  
Briana M. Washington ◽  
Anna Robinson
Keyword(s):  
Mental Health ◽  
United States ◽  
Quality Of Care ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Access And Quality

Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.

National trends in hospitalizations among patients with colorectal cancer in the United States

2021 ◽  
pp. 1-3
Author(s):  
Udhayvir Singh Grewal ◽  
Harsh Patel ◽  
Shiva Jashwanth Gaddam ◽  
Aakash Rajendra Sheth ◽  
Subhash Chandra Garikipati ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
The United States ◽  
National Trends

Prevalence of Colorectal Cancer Screening Among Hispanic Subgroups in the United States: NHIS 2010 and 2015 Data

2021 ◽  
pp. 154041532110636
Author(s):  
Jessica Calderón-Mora ◽  
Luis Alvarado ◽  
Alok Dwivedi ◽  
Navkiran Shokar
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Multivariable Analysis ◽  
The United States ◽  
Determinants Of Health ◽  
Degree Relative ◽  
Crc Screening ◽  
Starting Point

Introduction: Much of the data related to colorectal cancer (CRC) disease burden among Hispanics is grouped together. The purpose of our study was to better understand the current screening uptake across Hispanic subgroups. Methods: Data from the CRC screening portion of the 2010 and 2015 Adult Cancer Control Module of the National Hispanic Interview Survey (NHIS). A univariate and multivariable analysis were conducted. Results: Total sample size: 7,389. Subgroup with most participants: Mexican-American. For all Hispanics, 24% were up to date with CRC screening. In adjusted analyses, variables significantly associated with being up to date among all Hispanics were: older age (prevalence ratio [PR] = 1.03; p = <.0001), female sex (PR = 1.28; p = 0.003), more than high school education (PR = 1.25; p = 0.006), annual household income between $45,000 and $74,999 ( PR = 1.51; p = 0.018), living in the United States for 15 years or more (PR = 1.45; p = 0.039), having health insurance (PR = 2.06; p = <.0001), and having a first-degree relative with CRC (PR = 1.35; p < .0001). Discussion: Various social determinants of health were found to be associated with increased prevalence of being up to date with CRC screening among different Hispanic subgroups. Conclusion: These findings serve as a starting point to develop interventions tailored to specific Hispanic subgroups with social determinants of health, namely low socioeconomic status, at the forefront of development.

scholarly journals Obesity Status and Colorectal Cancer Screening in the United States

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Karima A. Kendall ◽  
Euni Lee ◽  
Ilene H. Zuckerman ◽  
Linda Simoni-Wastila ◽  
Marlon Daniel ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Body Mass Index ◽  
Body Mass ◽  
The United States ◽  
Screening Tests ◽  
Morbidly Obese ◽  
Medicare Beneficiaries ◽  
Crc Screening ◽  
Obesity Status

Background. Findings from previous studies on an association between obesity and colorectal cancer (CRC) screening are inconsistent and very few studies have utilized national level databases in the United States (US).Methods. A cross-sectional study was conducted using data from the 2005 Medicare Current Beneficiary Survey to describe CRC screening rate by obesity status.Results. Of a 15,769 Medicare beneficiaries sample aged 50 years and older reflecting 39 million Medicare beneficiaries in the United States, 25% were classified as obese, consisting of 22.4% “obese” (30 ≤ body mass index (BMI) < 35) and 3.1% “morbidly obese” (BMI ≥ 35) beneficiaries. Almost 38% of the beneficiaries had a body mass index level equivalent to overweight (25 ≤ BMI < 30). Of the study population, 65.3% reported having CRC screening (fecal occult blood testing or colonoscopy). Medicare beneficiaries classified as “obese” had greater odds of CRC screening compared to “nonobese” beneficiaries after controlling for other covariates (ORadj= 1.25; 95% CI: 1.12–1.39).Conclusions. Findings indicate that obesity was not a barrier but rather an assisting factor to CRC screening among Medicare beneficiaries. Future studies are needed to evaluate physicians’ ordering of screening tests compared to screening claims among Medicare beneficiaries to better understand patterns of patients’ and doctors’ adherence to national CRC screening guidelines.

scholarly journals Developments in Screening Tests and Strategies for Colorectal Cancer

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Justin L. Sovich ◽  
Zachary Sartor ◽  
Subhasis Misra
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Cancer Mortality ◽  
The United States ◽  
Screening Tests ◽  
Fecal Occult Blood ◽  
Common Cause ◽  
Crc Screening ◽  
The Third ◽  
Incidence And Mortality

Background.Worldwide, colorectal cancer (CRC) is the third most common cancer in men and second most common in women. It is the fourth most common cause of cancer mortality. In the United States, CRC is the third most common cause of cancer and second most common cause of cancer mortality. Incidence and mortality rates have steadily fallen, primarily due to widespread screening.Methods.We conducted keyword searches on PubMed in four categories of CRC screening: stool, endoscopic, radiologic, and serum, as well as news searches in Medscape and Google News.Results.Colonoscopy is the gold standard for CRC screening and the most common method in the United States. Technological improvements continue to be made, including the promising “third-eye retroscope.” Fecal occult blood remains widely used, particularly outside the United States. The first at-home screen, a fecal DNA screen, has also recently been approved. Radiological methods are effective but seldom used due to cost and other factors. Serum tests are largely experimental, although at least one is moving closer to market.Conclusions.Colonoscopy is likely to remain the most popular screening modality for the immediate future, although its shortcomings will continue to spur innovation in a variety of modalities.

Quality of Healthcare Services in Rural India: The User Perspective

2011 ◽  
Vol 36 (1) ◽  
pp. 51-60 ◽  
Author(s):  
J K Sharma ◽  
Ritu Narang
Keyword(s):  
Service Quality ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Developing Nations ◽  
User Perception ◽  
Policy Makers ◽  
Life Years ◽  
Physical Access

Developing nations have been focusing on relevant infrastructure, technology, disease control, and health outcomes in terms of deaths and disability-adjusted life years, largely ignoring the service quality aspect from the patient's viewpoint. However, researchers opine that real improvement in quality of care cannot occur if the user perception is not involved. Patients' perception is significant as it impacts their ‘health-seeking behaviour’ including utilization of services, seeks involvement in issues directly related to them, enables the service provider to meet their expectations better, and provides relevant information to the policy makers to improve the quality. Some studies conducted in the recent years have made attempts to develop multi-dimensional scales and measure quality of healthcare services in the developing nations. The current study seeks to assess the perception of patients towards quality of healthcare services in rural areas of seven districts of Uttar Pradesh based on the scale developed by Haddad et al (1988) after making adjustment for Indian culture and language. 500 patients were contacted at the healthcare centres. A response rate of 79.2 per cent was obtained resulting in 396 complete questionnaires. The 23-item scale employed in the study comprised five homogeneous sub-scales and tested well for reliability. The findings illustrated some interesting differences in user perception regarding service quality and how they varied between different healthcare centres and according to the demographic status of patients. It was observed that: ‘Healthcare delivery’ and ‘financial and physical access to care’ significantly impacted the perception among men while among women it was ‘healthcare delivery’ and ‘health personnel conduct and drug availability’. With improved income and education, the expectations of the respondents also increased. It was not merely the financial and physical access that was important but the manner of delivery, the availability of various facilities and the interpersonal and diagnostic aspect of care as well that mattered to the people with enhanced economic earnings. What was most astonishing was the finding that the overall quality of healthcare services is perceived to be higher in Primary Healthcare Centres than in Community Healthcare Centres (CHCs). Inadequate availability of doctors and medical equipments, poor clinical examination and poor quality of drugs were the important drawbacks reported at CHCs. The current study demonstrates that the instrument employed was reliable and possessed the power to discern differences in the opinion of people on the basis of demographic factors and point out the quality differences in different healthcare centres. It could be employed to evaluate healthcare quality perception in other rural and urban regions of the country and to assess the perception of users towards private healthcare centres. Further, research could be conducted on price-quality relationship. The government and policy makers are urged to consider the perceptions of patients as well in order to affect improvement in the quality of services and subsequently increase their utilization.

If Roth Were a Doctor: Physician Reputation under the HCQIA

2004 ◽  
Vol 30 (1) ◽  
pp. 85-100 ◽  
Author(s):  
Guillermo A. Montero
Keyword(s):  
United States ◽  
Peer Review ◽  
Health Care Quality ◽  
Data Bank ◽  
Quality Of Healthcare ◽  
The United States ◽  
Care Quality ◽  
Disciplinary Action ◽  
Health Care Quality Improvement

Hospitals in the United States rely on peer review committees to make credentialing decisions and to conduct ongoing evaluations of all medical care, thereby ensuring the quality of the physicians they employ. Physicians, however, may be reluctant to serve on peer review committees for fear of retaliatory litigation. In response, and in an effort to improve the quality of healthcare in the United States, Congress passed the Health Care Quality Improvement Act of 1986 (“HCQIA”).Congress designed the HCQIA to improve the quality of healthcare in two ways. First, it increased the effectiveness of peer review by providing review committees with immunity from lawsuits filed in response to professional review actions. Second, it authorized the Secretary of Health and Human Services (“HHS”) to create the National Practitioner's Data Bank (“NPDB”). Any disciplinary action taken by a review committee must, as a condition to immunity, be reported for listing in the NPDB.

Colorectal Cancer Screening

2015 ◽  
Author(s):  
Jennifer A. Inra ◽  
Molly Perencevich ◽  
Ramona Lim
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Risk Stratification ◽  
The United States ◽  
Colon Polyps ◽  
Serrated Adenoma ◽  
Sessile Polyp ◽  
Crc Screening ◽  
The Third ◽  
Incidence And Mortality

Colorectal cancer (CRC) is the second most common cancer in women and the third most common in men and is the third leading cause of all cancer deaths in the United States. Due to screening examinations used to detect and remove premalignant colon polyps, as well as modification of risk factors and improvements in the treatment of CRC, the incidence and mortality due to CRC have declined over the last several decades. Regardless, CRC continues to account for about 9% of all cancer deaths in the United States. This review addresses CRC, including the epidemiology, pathophysiology and genetics, screening modalities, treatment, and complications associated with CRC screening. Figures show etiologies of CRC, multiple sessile adenomas, a pedunculated adenoma, a sessile polyp, a large polyp found on computed tomographic colonography, and a characteristic sessile serrated adenoma/polyp with a mucus cap in the proximal colon. Tables list oncogenes, tumor suppressor genes, and mismatch repair genes involved in CRC; surveillance recommendations based on a family history of CRC; CRC risk stratification; CRC screening recommendations by risk stratification; and CRC surveillance recommendations. This review contains 6 highly rendered figures, 5 tables, and 82 references. 

scholarly journals Hearing the Classes: A Study of Cochlear Implantation and Socioeconomic Status

Elements ◽  
2010 ◽  
Vol 6 (2) ◽  
Author(s):  
Katherine Koniares
Keyword(s):  
United States ◽  
Socioeconomic Status ◽  
Hearing Loss ◽  
Low Socioeconomic Status ◽  
Cochlear Implantation ◽  
Free Market ◽  
Healthcare Services ◽  
The United States ◽  
Profound Hearing Loss

Profound hearing loss affects thousands of people in the United States and the United Kingdom, with a higher incidence among people of low socioeconomic status. A cochlear implant is a surgically implanted device that has been demonstrated to improve communication and quality of life among profoundly hearing-impaired individuals. This review postulates that the rate of cochlear implantation among eligible candidates can be used to assess quality of healthcare, with a view toward examining disparities in healthcare services both in American free-market system and in the British National Health Service. A systematic literature search was performed for pertinent articles investigating socioeconomic status and cochlear implantation. Data from twenty-two sources were analyzed, and it was shown that-despite differences in the healthcare systems of the United States and England-similar trends are apparent in the two countries with regard to a lower rate of pediatric cochlear implantation surgery in children with profound hearing loss as familial socioeconomic status decreases.

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