scholarly journals Access to Cancer Care and General Medical Care Services Among Cancer Survivors in the United States

2016 ◽  
Vol 131 (6) ◽  
pp. 783-790 ◽  
Author(s):  
Janet S. de Moor ◽  
Katherine S. Virgo ◽  
Chunyu Li ◽  
Neetu Chawla ◽  
Xuesong Han ◽  
...  
Keyword(s):  
United States ◽  
Cancer Survivors ◽  
Medical Care ◽  
Cancer Care ◽  
The United States ◽  
General Medical Care ◽  
Care Services

The Economic Attributes of Medical Care: Implications for Rationing Choices in the United States and United Kingdom

1996 ◽  
Vol 5 (4) ◽  
pp. 546-558 ◽  
Author(s):  
Dwayne A. Banks
Keyword(s):  
United States ◽  
United Kingdom ◽  
Private Sector ◽  
Medical Care ◽  
Consumer Choice ◽  
The United States ◽  
Public And Private ◽  
Care Services ◽  
Point Of Entry ◽  
Public And Private Sector

The healthcare systems of the United States and United Kingdom are vastly different. The former relies primarily on private sector incentives and market forces to allocate medical care services, while the latter is a centrally planned system funded almost entirely by the public sector. Therefore, each nation represents divergent views on the relative efficacy of the market or government in achieving social objectives in the area of medical care policy. Since its inception in 1948, the National Health Services (NHS) of the United Kingdom has consistently emphasized equity in the allocation of medical services. It has done so by creating a system whereby services are universally free of charge at the point of entry. Conversely, the United States has relied upon the evolution of a perplexing array of public and private sector insurance schemes centered more around consumer choice than equity in allocation.

scholarly journals Cancer Care and Cancer Survivorship Care in the United States: Will We Be Able to Care for These Patients in the Future?

2009 ◽  
Vol 5 (3) ◽  
pp. 119-123 ◽  
Author(s):  
Lawrence N. Shulman ◽  
Linda A. Jacobs ◽  
Sheldon Greenfield ◽  
Barbara Jones ◽  
Mary S. McCabe ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
Health Care ◽  
Cancer Survivors ◽  
Cancer Care ◽  
Primary Care Physicians ◽  
The United States ◽  
Survivorship Care ◽  
Patients With Cancer ◽  
Number Of Patients

The combination of a shortfall in oncologists and primary care physicians and an increased number of patients using more health care resources raises concerns about our health care system's ability to accommodate future patients with cancer and cancer survivors.

scholarly journals Annual Patient Time Costs Associated With Medical Care Among Cancer Survivors in the United States

Medical Care ◽  
2014 ◽  
Vol 52 (7) ◽  
pp. 594-601 ◽  
Author(s):  
K. Robin Yabroff ◽  
Gery P. Guy ◽  
Donatus U. Ekwueme ◽  
Timothy McNeel ◽  
Heather M. Rozjabek ◽  
...  
Keyword(s):  
United States ◽  
Cancer Survivors ◽  
Medical Care ◽  
The United States ◽  
Time Costs

scholarly journals An International Mapping of Medical Care in Nursing Homes

2019 ◽  
Vol 12 ◽  
pp. 117863291882508 ◽  
Author(s):  
Gudmund Ågotnes ◽  
Margaret J McGregor ◽  
Joel Lexchin ◽  
Malcolm B Doupe ◽  
Beatrice Müller ◽  
...  
Keyword(s):  
United States ◽  
Nursing Home ◽  
Medical Care ◽  
The United States ◽  
Fee For Service ◽  
Care Provision ◽  
Care Services ◽  
Service Models ◽  
Academic Publications

Nursing home (NH) residents are increasingly in need of timely and frequent medical care, presupposing not only available but perhaps also continual medical care provision in NHs. The provision of this medical care is organized differently both within and across countries, which may in turn profoundly affect the overall quality of care provided to NH residents. Data were collected from official legislations and regulations, academic publications, and statistical databases. Based on this set of data, we describe and compare the policies and practices guiding how medical care is provided across Canada (2 provinces), Germany, Norway, and the United States. Our findings disclose that there is a considerable difference to find among jurisdictions regarding specificity and scope of regulations regarding medical care in NHs. Based on our data, we construct 2 general models of medical care: (1) more regulations—fee-for-service payment—open staffing models and (2) less regulation—salaried positions—closed staffing models. Some evidence indicates that model 1 can lead to less available medical care provision and to medical care provision being less integrated into the overall care services. As such, we argue that the service models discussed can significantly influence continuity of medical care in NH.

Mental health outcomes in a national sample of adult cancer survivors in the United States: Has psychosocial care improved?

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 120-120
Author(s):  
Robin L. Whitney ◽  
Janice F. Bell ◽  
Jill G. Joseph ◽  
Richard J. Bold
Keyword(s):  
Mental Health ◽  
United States ◽  
Psychological Distress ◽  
Chronic Disease ◽  
Cancer Survivors ◽  
Cancer Care ◽  
Unmet Need ◽  
The United States ◽  
Care Quality ◽  
Adult Cancer Survivors

120 Background: Recent cancer care recommendations include routine mental health (MH) screening and support. We provide national estimates of psychological distress, MH visits, and unmet need (defined as having distress but no MH visit) for MH services among adult cancer survivors. Additionally, we test for temporal differences between years 2005 and 2010 to assess whether the estimates differ before and after important policy recommendations for psychosocial cancer care. Methods: This study analyzed cross-sectional data from the National Health Interview Survey (NHIS), years 2005 and 2010, for adults (≥18yrs) in the United States (n=58,585) categorized as having: 1) no chronic disease; 2) chronic disease other than cancer; 3) cancer without co-morbid chronic disease; 4) cancer with co-morbid chronic disease. In these four groups we compared psychological distress, MH visits, and unmet need for MH services. Survey-weighted logistic regression was used to model the dependent variables as functions of disease status, socio-demographic variables and self-reported health status. Estimates are generalizable to the US civilian non-institutionalized population. Results: Compared to the group with no chronic disease, the cancer with co-morbid chronic disease group had the highest odds of psychological distress (OR 2.78; 95% CI: 2.18, 3.54) and MH visits (OR 1.7; 95% CI: 1.42, 2.05), with no change from 2005 to 2010. The other two groups (cancer without co-morbid chronic disease and chronic disease other than cancer) also had statistically significantly higher odds of both outcomes compared to those with no chronic disease. Among individuals with cancer, estimates of unmet need for MH services were significantly lower in 2010 (OR 1.53; 95% CI: 1.03, 1.88) compared to 2005 (OR 2.89; 95% CI: 2.09, 3.99). Conclusions: Individuals with cancer have disproportionate MH needs. We find evidence of MH care quality improvement among individuals with cancer between 2005 and 2010, a time period that coincides with continued policy and clinical attention to psychosocial needs in this population. These efforts appear to have reduced, but not eliminated, unmet need for MH services for individuals with cancer.

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