178766 Access to complementary medicine for underserved women with cancer

Sunday, October 26, 2008

Linda Wardlaw, DrPH , Charlotte Maxwell Complementary Clinic, Oakland California, CA
Beverly Ann Burns, MS LAc , Charlotte Maxwell Complementary Clinic, Oakland, CA
Rapid advances in cancer diagnosis and treatment offer the promise that breast cancer will one day be a manageable, if not curable disease. However, women who are uninsured and lack access to primary care, health education, and early detection, will continue to be excluded from such progress because they are far more likely to be diagnosed with late stage cancer and face poor prognosis for survival. African American women, regardless of income, are more likely to be diagnosed with “triple negative” cancers with fewer treatment options open to them. In fact, cancer statistics indicate that all women of color, regardless of income, are at great risk for delayed cancer diagnosis and will be much less likely to survive their bout with breast cancer. CAM treatments, although rarely covered under public or private insurance, are a critical component of comprehensive cancer treatment because they are so effective in managing disabling side effects that can lead to interruption or termination of cancer treatments. Lack of access to CAM is a medical and ethical concern because timely completion of conventional cancer treatments may reduce the risk of recurrence and extend survival time even among women with advanced cancers. Leveraging the power of more than 350 dedicated CAM practitioners, The Charlotte Maxwell Complementary Clinic will serve more than 700 low income women with cancer in the coming year, offering free CAM, Social Services, and survivorship programs. The clinic plays a crucial role within the public health care system by ensuring access to CAM for some of our most vulnerable, underserved community members.

Learning Objectives:
Learn the importance of access to complementary alternative medicine (CAM) for low-income women with cancer to address symptom management, ehance quality of life, and achieve greater equity in access to health care. Be able to identify the challenges and opportunities of CAM practice in public health settings. Understand the potential for using volunteer CAM practitioners to expand access to cancer care among the underserved.

Keywords: Breast Cancer, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I work at the Charlotte Maxwell Complementary Clinic which offers CAM to low income women. I manage grants and perform program evaluation there.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.