Factors affecting health services strategic purchasing for breast cancer patients: a mixed study in Iran

Abstract Background Inappropriate ways of health services purchasing for cancer patients can be challengeable and costly and seriously affect the access to health services and outcomes. This study aimed at Factors affecting health services strategic purchasing for breast cancer patients. Methods As a mixed study, this research was conducted in Iran in 2020. In the qualitative phase, 21 specialists and professionals in the field of health services purchasing were purposefully selected and interviewed. After data saturation, interviews were analyzed with the framework analysis and a structured questionnaire was made based on these analyses. 400 breast cancer patients were selected by randomized sampling and completed the questionnaire. Data were analyzed with SPSS23 in p < .05. Results The highest mean rate of the three main categories belonged to “insurance trusteeship” (4.71 ± .35), followed by “supply management” (4.48 ± .27) and “financial performance” (4.48 ± .37). There were significantly differences between the mean rates of the main categories and the cut-off point (p < .001). In addition, “insurance trusteeship” ranked first (2.58), followed by financial performance (1.77) and supply management (1.65). Conclusion Of main components in health services strategic purchasing for breast cancer patients, insurance trusteeship, supply management, and financial performance ranked first to third, respectively. Therefore, healthcare policy-makers should consider the placement of insurance trusteeship and coordinate between purchasers and providers for making reform in the health system.

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Factors affecting breast cancer patients' need for genetic risk information: From information insufficiency to information need

Journal of Genetic Counseling ◽

10.1002/jgc4.1087 ◽

2019 ◽

Vol 28 (3) ◽

pp. 543-557 ◽

Cited By ~ 2

Author(s):

Soo Jung Hong ◽

Barbara Biesecker ◽

Jennifer Ivanovich ◽

Melody Goodman ◽

Kimberly A. Kaphingst

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Genetic Risk ◽

Risk Information ◽

Breast Cancer Patients ◽

Information Need ◽

Factors Affecting ◽

Genetic Risk Information

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Veiksniai, darantys įtaką krūties vėžiu sergančių pacienčių potrauminio streso sutrikimui, depresijai ir suicidinėms mintims

10.15388/vu.thesis.152 ◽

2021 ◽

Author(s):

◽

Jurgita Kazlauskienė

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Breast Cancer Patients ◽

Post Traumatic Stress ◽

Suicidal Thoughts ◽

Factors Affecting ◽

Post Traumatic

Factors affecting post-traumatic stress disorder, depression and suicidal thoughts in breast cancer patients

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Factors affecting surgical margin positivity in invasive ductal breast cancer patients who underwent breast-conserving surgery after preoperative core biopsy diagnosis

Journal of the Korean Surgical Society ◽

10.4174/jkss.2013.84.3.154 ◽

2013 ◽

Vol 84 (3) ◽

pp. 154 ◽

Cited By ~ 6

Author(s):

Bulent Koca ◽

Bekir Kuru ◽

Savas Yuruker ◽

Barıs Gokgul ◽

Necati Ozen

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Core Biopsy ◽

Surgical Margin ◽

Breast Conserving Surgery ◽

Breast Cancer Patients ◽

Factors Affecting ◽

Invasive Ductal Breast Cancer ◽

Ductal Breast Cancer ◽

Biopsy Diagnosis

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Healthcare utilization among breast cancer patients during the COVID-19 outbreak

Palliative & Supportive Care ◽

10.1017/s1478951520000516 ◽

2020 ◽

Vol 18 (4) ◽

pp. 385-391 ◽

Cited By ~ 4

Author(s):

Shiri Shinan-Altman ◽

Inbar Levkovich ◽

Guy Tavori

Keyword(s):

Public Health ◽

Breast Cancer ◽

Health Services ◽

Cancer Patients ◽

Healthcare Professionals ◽

Health Services Utilization ◽

Breast Cancer Patients ◽

Perceived Susceptibility ◽

Services Utilization ◽

Sense Of Mastery

AbstractObjectiveContinuing to utilize healthcare as needed during an epidemic outbreak is significant, in general, and especially for cancer patients. Therefore, this study aimed to explore factors associated with health services utilization among breast cancer patients during the coronavirus disease (COVID-19) outbreak.MethodA cross-sectional online survey was conducted among 151 women with breast cancer. Participants completed measures of perceived health status, perceived susceptibility to COVID-19, anxiety, coping resources, health services utilization (contact with healthcare professionals and cancellation of an appointment to the oncology/hematology clinic), and socio-demographic questionnaires. A multiple hierarchical regression was calculated; contact with healthcare professionals was the dependent variable. In addition, a logistic regression was calculated; cancellation of an appointment to the oncology/hematology clinic because of the COVID-19 was the dependent variable.ResultsBreast cancer patients’ contact with healthcare professionals was lower than their contact prior to the pandemic. A higher extent of contact with healthcare professionals was related to patients’ perception of health as bad/reasonable, lower perceived susceptibility, a lower sense of mastery, and higher social support. In addition, the odds of cancelling an appointment to the oncology/hematology clinic were higher in the presence of additional chronic illnesses and a higher sense of mastery.Significance of resultsThe results could provide public health agencies with a more complete picture of the impact of the COVID-19 epidemic among breast cancer patients. This is significant because, in the event that COVID-19 re-emerges, the findings of the current study could help guide public health officials and possibly prevent the future avoidance of health services’ use among this high-risk population.

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Retrospective analysis of clinico-pathological factors affecting survival in endocrine resistant hormone receptor positive advanced breast cancer patients

European Journal of Cancer ◽

10.1016/s0959-8049(18)30372-1 ◽

2018 ◽

Vol 92 ◽

pp. S49

Author(s):

E. Alsharawy ◽

M. Mostafa ◽

H. Ahmed ◽

A. Nagy

Keyword(s):

Breast Cancer ◽

Advanced Breast Cancer ◽

Retrospective Analysis ◽

Cancer Patients ◽

Hormone Receptor ◽

Advanced Breast ◽

Breast Cancer Patients ◽

Factors Affecting ◽

Hormone Receptor Positive

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Abstract P3-14-11: Risk factors affecting post-operative complication after immediate reconstruction with implant for operable breast cancer patients

10.1158/1538-7445.sabcs16-p3-14-11 ◽

2017 ◽

Author(s):

SJ Park ◽

JH Choi ◽

MH Lee ◽

S-Y Jung ◽

ES Lee

Keyword(s):

Breast Cancer ◽

Risk Factors ◽

Cancer Patients ◽

Operable Breast Cancer ◽

Breast Cancer Patients ◽

Immediate Reconstruction ◽

Factors Affecting ◽

Operative Complication

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Factors affecting lymphovascular invasion in node-positive breast cancer patients.

Journal of Clinical Oncology ◽

10.1200/jco.2011.29.27_suppl.24 ◽

2011 ◽

Vol 29 (27_suppl) ◽

pp. 24-24

Author(s):

L. B. Cornwell ◽

K. McMasters ◽

A. B. Chagpar

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Lymph Node Status ◽

Breast Cancer Patients ◽

Extracapsular Extension ◽

Community Size ◽

Factors Affecting ◽

Younger Age ◽

Clinicopathologic Factors ◽

Pathology Reports

24 Background: Lymphatic and/or vascular invasion (LVI) is not uniformly reported in breast cancer tumors, and may be absent even in LN+ patients. The purpose of this study was to define factors associated with (a) the non-reporting of LVI, and (b) the finding of no LVI in LN+ patients. Methods: Data from 400 LN+ patients from a cohort of patients in a prospective multicenter study were reviewed. Institutional and clinicopathologic factors correlating with the reporting and finding of LVI were assessed using non-parametric statistical analysis. Results: Of the 400 LN+ patients in this cohort, LVI was not reported in 98 (24.5%) patients. Of the remaining 302 patients, LVI was reported as negative in 147 (48.7%). LVI was more often reported in later years (84.9% in 2001-2004 vs. 67.9% in 1997-2000, p<0.001). The reporting of LVI did not vary significantly by region, teaching affiliation, community size, or the surgeon’s proportion of breast practice or number of cases. Further, reporting of LVI was not associated with surgery type, patient age, number of positive nodes, size of largest metastasis, nor extracapsular extension. LVI was, however, more frequently reported in larger tumors (median tumor size 2.0 cm vs. 1.8 cm, p=0.030). Despite the finding that LVI was more frequently reported in later years, the proportion of patients found to have LVI did not vary by year (53.3% in 2001-2004 vs. 49.3% in 1997-2000, p=0.565), region, teaching affiliation, community size, or surgeon practice. LVI positivity was associated with younger age (median age 53 vs. 60, p=0.001), larger tumors (median size 2.5 vs. 1.8 cm, p<0.001), more positive lymph nodes (median 2.5 vs. 1, p<0.001), more macrometastases (58.7% vs. 36.5%, p=0.002), and more extracapsular extension (70.3% vs. 46.0%, p=0.001). Conclusions: Reporting of LVI has improved in recent years, and while the rate of LVI positivity has not changed in LN+ patients, it remains associated with poor prognostic factors in this cohort. Therefore, reporting of LVI should be encouraged as a standard part of synoptic pathology reports for breast cancer patients, regardless of lymph node status.

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