214348 Quality breast cancer care for all: Health system limitations and their influence on health disparities in the national capital area

Wednesday, November 10, 2010 : 10:48 AM - 11:06 AM

Catherine Oliveros, MPH, DrPH , Health Sciences, Susan G. Komen for the Cure, Dallas, TX
Molly Loyer, MPH , Community Health, Susan G. Komen for the Cure, Dallas, TX
LaToya Lewis, MPH , Community Health, Susan G. Komen for the Cure, Dallas, TX
Susan G. Komen for the Cure's promise is to save lives and end breast cancer forever by empowering people, ensuring quality care for all and energizing science to discover the cures. In the National Capital Area (NCA), Susan G. Komen conducted a comprehensive needs assessment to understand the barriers that influence a woman's access to quality care. This presentation discusses the findings of one segment of the assessment the health system analysis.

Nineteen key informant interviews were completed with breast cancer service providers and free clinics in four target areas of the NCA where statistics demonstrated a serious breast cancer burden. Interviews were structured to assess health system barriers to care and the type of care available throughout various phases of the continuum of care including access to screening, screening to diagnosis, diagnosis to treatment, treatment to follow up and rescreening.

Findings indicate capacity and structural barriers are significant issues to access throughout the continuum for those at high risk. Lack of resources in poor communities overburdens existing providers, interrupts and delays access and builds up distrust in the community. Unequal access and differences in access to quality care and cancer treatment may contribute to observed differences in survival for African American and other minority women in the National Capital area.

Themes from each category will be discussed as well as next steps in integrating these findings with other data collected as part of the needs assessment process that will be used by Komen to develop community priorities.

Learning Areas:
Administration, management, leadership
Diversity and culture
Provision of health care to the public
Public health administration or related administration
Public health or related public policy
Public health or related research

Learning Objectives:
1.) Describe the community based research used to assess health systems limitations and how they influence access to care for high risk populations in parts of the national capital area. 2.) Describe research findings and define how Susan G. Komen for the Cure will address disparities through partnerships,advocacy and grantmaking in the national capital area.

Keywords: Breast Cancer, Access and Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because I lead the Susan G. Komen for the Cure(r) community needs assessment research for Susan G. Komen Headquarters in the national capital area which includes DC and areas of Virginia and Maryland.
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.