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Patient Educ Couns. 2010 Dec;81 Suppl:S34-40. doi: 10.1016/j.pec.2010.08.009. Epub 2010 Nov 12.

Perceptions of care coordination in a population-based sample of diverse breast cancer patients.

Author information

  • 1Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109-0429, USA. sarahawl@med.umich.edu

Abstract

OBJECTIVE:

To identify factors associated with perceptions of care coordination in a diverse sample of breast cancer patients.

METHODS:

Breast cancer patients reported to the metropolitan SEER registries of Detroit or Los Angeles from 6/05 to 2/07 were surveyed after diagnosis (N=2268, RR=72.4%). Outcomes were two dichotomous measures reflecting patient appraisal of care coordination during their treatment experience. Primary independent variables were race/ethnicity (white, African American, Latina-high acculturated, Latina-low acculturated) and health literacy (low, moderate, high). Logistic regression was used to evaluate factors associated with both measures of care coordination.

RESULTS:

2148 subjects were included in the analytic dataset. 16.4% of women perceived low care coordination and 12.5% reported low satisfaction. Race/ethnicity was not significantly associated with care coordination. Women with low subjective health literacy were 3-4 times as likely as those with high health literacy to perceive low care coordination and low satisfaction with care coordination (OR=3.88; 95% CI: 2.78-5.41; OR=3.19 95% CI: 2.25-4.52, respectively).

CONCLUSIONS:

Many breast cancer patients positively appraised their care coordination, but patients with low health literacy perceived low care coordination.

PRACTICE IMPLICATIONS:

Providers should be aware of the health literacy deficits that may contribute to their patients' attitudes towards their breast cancer care coordination.

Published by Elsevier Ireland Ltd.

KEYWORDS:

breast cancer; coordination of care; health literacy

PMID:
21074963
[PubMed - indexed for MEDLINE]
PMCID:
PMC2997113
Free PMC Article

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